• Jasmin R Jenkins, Owen F Salmon, and Cory M Smith.
• Interdisciplinary Health Sciences PhD Program, College of Health Sciences, University of Texas at El Paso, El Paso, TX 79968, USA.
• Mil Med. 2023 Mar 20; 188 (3-4): e753e760e753-e760.

IntroductionThe newly implemented Army Combat Fitness Test (ACFT) of the U.S. Army seeks to revolutionize the Army's fitness culture and reduce the rate of preventable injuries among soldiers. The initial rollout of the ACFT has been met with several challenges, including a gender-neutral scoring system. The ACFT has undergone several revisions to adapt to the present state of U.S. Army physical fitness; however, the test faces several more obstacles as more data become available. The ACFT was designed to measure combat readiness, a useful tool for units facing deployment or a change in duty station to a high-altitude environment. Reduced oxygen availability (hypoxia) at high altitude influences many physiological functions associated with physical fitness, such that there is an increased demand for oxygen in exercising muscle. Therefore, the purpose was to investigate the effects of normoxic and two levels of hypoxia exposure (moderate and severe; fraction of inspired oxygen [FiO2]: 16.0% and 14.3%) during the 3-repetition deadlift (MDL), hand-release push-up (HRP), and leg tuck (LTK) events of the ACFT.Materials And MethodsFourteen recreationally active men (n = 10) and women (n = 4) soldier analogs (27.36 ± 1.12 years, height 1.71 ± 2.79 m, weight 80.60 ± 4.24 kg) completed the MDL, HRP, and LTK at normoxia and acute normobaric moderate (MH; FiO2 16%) and severe (SH; FiO2 14.3%) hypoxic exposure. Scores and performance were recorded for each event, and heart rate (HR) and total body oxygen saturation (SpO2) were monitored throughout. Repeated-measures analysis of variance (ANOVA) was used to assess differences in modified ACFT scores, performance, HR, and SpO2 among hypoxic conditions, with follow-up one-way ANOVA and paired t-test when appropriate.ResultsTotal body oxygen saturation was decreased at MH and SH conditions compared to normoxia but did not vary between ACFT events. Heart rate was not influenced by altitude but did increase in response to exercise. Scores of the modified total and individual ACFT events were not different between normoxia, MH, and SH. There was also no difference in performance based on the amount of weight lifted during the MDL and number of repetitions of the HRP and LTK events in response to hypoxic exposure.ConclusionsPerformance and scores of the modified ACFT were not influenced by acute normobaric MH and SH exposure compared to normoxia. Further investigations should examine the full testing battery of the ACFT to provide a comprehensive analysis and potential evidence for such differences.© The Association of Military Surgeons of the United States 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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