Factors Influencing The Incidence Of Stress Fractures Based On The Characteristics of Command Education Students At The Special Forces Command Education And Training Center In Batujajar, West Java, Indonesia: A Retrospective Approach With Secondary Data

Authors

  • Claudiva Lavidya Kirana The Republic of Indonesian Defense University, Bogor, Indonesia Author
  • Dian Andriani Ratna Dewi The Republic of Indonesia Defense University, Bogor, Indonesia Author
  • Sissy Chen The Republic of Indonesia Defense University, Bogor, Indonesia Author
  • Sausan Maulida Padjadjaran University, Bogor, Indonesia Author

Keywords:

Stress Fracture, Command Education Students, Age Characteristics, Body Mass Index, Anatomical Location, Special Forces

Abstract

Stress fractures caused by repetitive mechanical loading represent a significant threat to physical performance and operational readiness among military personnel. This study aimed to identify factors associated with stress fracture occurrence among command education students at the Special Forces Education and Training Center in Batujajar, West Java, Indonesia. A retrospective descriptive study was conducted using secondary data from forty-three documented stress fracture cases collected over a six-year period. The variables analyzed included age, body mass index (BMI), and anatomical location of the fracture. Data were analyzed using univariate and bivariate descriptive analysis to characterize the distribution of stress fractures based on the studied variables. The results showed that the majority of cases occurred in individuals aged 20–25 years (90.7%), with the left tibia being the most frequently affected anatomical site (34.9%). All subjects had BMI values within the normal range, indicating no significant association between abnormal BMI and stress fracture occurrence. These findings suggest that age and fracture location are key characteristics of stress fractures among command education students. The study provides evidence to support the development of targeted prevention and early intervention strategies aimed at reducing stress fracture incidence, improving training completion rates, and enhancing the operational readiness of special forces personnel.

Downloads

Download data is not yet available.

Author Biographies

  • Claudiva Lavidya Kirana, The Republic of Indonesian Defense University, Bogor, Indonesia

    Faculty of Military Medicine

  • Dian Andriani Ratna Dewi, The Republic of Indonesia Defense University, Bogor, Indonesia

    Faculty of Military Medicine

  • Sissy Chen, The Republic of Indonesia Defense University, Bogor, Indonesia

    Faculty of Military Medicine

  • Sausan Maulida, Padjadjaran University, Bogor, Indonesia

    Faculty of Medicine

References

1. Esau, S. E., Angmalisang, E. C., & Wongkar, D. (2020). Effect of nicotine exposure on fracture healing. Biomedical Journal:JBM, 12(3), 200. https://doi.org/10.35790/jbm.12.3.2020.31991

2. Feliciana, A., Daniel, D., & Suriadi, G. (2023). Stress Fracture Biomarker: What And When To Test? J Indon Med Assoc, 73(3), 108–112. https://doi.org/10.47830/jinma-vol.73.3-2023-1014

3. Galo', H. F., Rawung, R., & Prasetyo, E. (2019). Factors Related to the Incidence of Neglected Fracture in Patients at Prof. Dr. R. D. Kandou Manado Hospital in the January-December 2018 Period. E-CliniC, 8(1), 33–40. https://doi.org/10.35790/ecl.8.1.2020.27009

4. Kahanov, L., Eberman, L. E., Games, K. E., & Wasik, M. (2015). Diagnosis, treatment, and rehabilitation of stress fractures in the lower extremity in runners. Open Access Journal of Sports Medicine, 6, 87–95. https://doi.org/10.2147/OAJSM.S39512

5. Kepel, F. R., & Lengkong, A. C. (2020). Geriatric fractures. E-CliniC, 8(2), 203–210. https://doi.org/10.35790/ecl.v8i2.30179

6. Loa, W. W., Nabuasa, E., & Sir, A. B. (2022). The Relationship Between Weight, Diet, Physical Activity and Stress Levels with Menstrual Cycle Disorders. Public Health Media, 4(1), 34–43. https://doi.org/10.35508/mkm

7. Mappaware, N. A. (2016). Ethics in Medical Research. UMI Medical Journal, 1(1), 90–100. https://doi.org/10.33096/umj.v1i1.10

8. Mawaddah, H., Abdullah, A., Marthoenis, M., Zahara, M., & Zakaria, R. (2025). Risk Factors for Mental Emotional Disorders in TNI AD Soldiers of Kodam Iskandar Muda. Journal of Community Health, 11(1), 80–85. https://doi.org/10.25311/keskom.Vol11.Iss1.1770%0ACopyright

9. Milgrom, C., Giladi, M., Stein, M., Kashtan, H., Margulies, J. Y., Chisin, R., Steinberg, R., & Aharonson, Z. (2020). Stress fractures in military recruits. A prospective study showing an unusually high incidence. The Journal of Bone and Joint Surgery. British Volume, 67(5), 732–735. https://doi.org/10.1302/0301-620X.67B5.4055871

10. Nurdin, I., & Hartati, S. (2019). Social Research Methodology. MEDIA SAHABAT CENDEKIA. https://books.google.co.id/books?id=tretDwAAQBAJ

11. Orr, R. M., Pope, R., Johnston, V., & Coyle, J. (2014). Soldier occupational load carriage: a narrative review of associated injuries. International Journal of Injury Control and Safety Promotion, 21(4), 388–396. https://doi.org/10.1080/17457300.2013.833944

12. Parahita, P. S., & Kurniyanta, P. (2013). Management of Extreme Fracture in Emergency Department. E-Journal of Udayana Medicine, 2(9), 1597–1615. https://jurnal.harianregional.com/eum/id-6300

13. Rozi, I. F., Tekwan, G., & Nugroho, H. (2021). The Relationship between Patient Age, Type of Fracture and Location of Long Bone Fracture to Length of Postoperative Hospitalization at Prof. Dr. R. Soeharso Orthopedic Hospital Surakarta. Journal of Science and Health, 3(5), 2407–6082. https://jsk.ff.unmul.ac.id/index.php/JSK/article/view/483

14. Schepull, T., & Aspenberg, P. (2019). Early Controlled Tension Improves the Material Properties of Healing Human Achilles Tendons After Ruptures A Randomized Trial. The American Journal of Sports Medicine, 41. https://doi.org/10.1177/0363546513501785

15. Waterman, B. R., Belmont, P. J., Cameron, K. L., Svoboda, S. J., Alitz, C. J., & Owens, B. D. (2021). Risk factors for syndesmotic and medial ankle sprain: Role of sex, sport, and level of competition. American Journal of Sports Medicine, 39(5), 992–998. https://doi.org/10.1177/0363546510391462

Downloads

Published

2026-01-30

Issue

Section

Articles

How to Cite

Factors Influencing The Incidence Of Stress Fractures Based On The Characteristics of Command Education Students At The Special Forces Command Education And Training Center In Batujajar, West Java, Indonesia: A Retrospective Approach With Secondary Data. (2026). ASEAN Journal of Military and Preventive Medicine, 3(1), 32-36. https://journal.kedokteranunhan.net/index.php/ajmpm/article/view/47