Document is current

Article History

Received: 19 January 2025

Accepted: 18 January 2026

First Online: 12 February 2026

Declarations

:

: The results of the study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation. The results of the present study do not constitute endorsement by the United States Army or Department of Defense. All opinions are those of the authors and not official positions, though they are employed by an organization which stands to benefit from the reporting of these results.

: The datasets generated during and/or analyzed during the current study are not publicly available due to potential national security implications but may be available from the public affairs office pending a formal request, documented need to know requirement, verification of data security practices and authorizations, completion of a data sharing agreement, and formal review. All requests to initiate this process should be directed to U.S. Army Training and Doctrine Command Center for Initial Military Training Public Affairs Office at usarmy.jble.tradoc.mbx.cimt-pao@army.mil.

: Data were pulled from U.S. Army and Department of Defense data systems. Written informed consent was not required as the data were official historical records and §46.102(l) legislation specifies authorized operational activities in support of homeland security, defense, or other national security missions do not constitute research and are thus not subject to 45 CFR 46. Department of the Army Execution Order 149-19 established Holistic Health and Fitness (H2F) as an operational activity in support of national defense and directs the analysis and reporting of these ROI metrics.

: A.G.T. 1,2,5–8 , M.S. 5–8 , A.E.M. 4,6,7 , C.L.S. 5,7,8 , and K.A.B. 3,4,6,7 . 1 Manuscript ideation; 2 publication process management; 3 program generation; 4 program fielding; 5 data analysis; 6 literature review; 7 manuscript drafting and editing; 8 figure and table design.