OPNAVINST 6110.1G

1
Physical Readiness Program

• OPNAVINST 6110.1G
• 1 October 02
• www.mwr.navy.mil
• Updated 2-18-03

2
Physical Readiness ProgramDebra HowzeCommand
Fitness Leader (CFL)Program ManagerMission
Essential Branch(PERS 651H) BLDG 4575720
Integrity DriveMillington, TN 38055-6510COMM
[phone] DSN 882-3463 Fax [phone]
debra.howze_at_navy.mil www.mwr.navy.mil
3
Program Action and ResponsibilitiesENCLOSURE
(1)
4
Program Action Responsibilities

• Commanders, COs, and OICs up to CNO, will
  support program and policy
• Command Fitness Leader (CFL)
• Become familiar with components of this
  instruction
• Obtain and maintain CPR certification
• Complete COMNAVPERSCOM-approved CFL training as
  soon as possible upon assignment

5
Program Action Responsibilities

• Command Fitness Leader (CFL)continued
• Schedule, administer, monitor, and report on PFA
  for all members
• Ensure member takes completed PARFQ to PHA
  appointment
• Work closely and advise chain of command, safety
  officer, command master chief, and command career
  counselor

6
Program Action Responsibilities

• MWR Departments shall
• Make available facilities and fitness staff to
  assist with
• Physical Fitness Assessments (PFA)
• Physical Training (PT)
• Command/member-organized programs
• Making available healthy, low-fat food options at
  clubs

7
Program Action Responsibilities

• MWR Departments continued
• Make available facilities and fitness staff to
  assist with
• CFL education, awareness, and intervention
  referral
• Providing assistance visits to units and commands
  to provide recommendations for improvement of
  their physical readiness programs

8
Program Action Responsibilities

• NAVY MWR Fitness Instructor
• Obtain and maintain certification as a fitness
  instructor
• Obtain CPR and community first aid certified
• Personally oversee exercise prescriptions on a
  regular basis for personnel who did not pass the
  PFA
• Upon request, provide commanders with guidance on
  developing FEP for members

9
Program Action Responsibilities

• NAVY MWR Fitness Instructor continued
• Develop physical conditioning programs and
  counsel members who are
• medically waived from PFA
• on restricted physical activity (LIMDU)
• do not meet physical standards
• Ensure availability of and provide
• programs, facilities, education, and training

10
Program Action Responsibilities

• NAVY MWR Fitness Instructor continued
• Provide guidance on local environmental
  acclimatization (e.g., WBGT with flag indicators,
  cold , air quality)
• Provide annual fitness status updates
• Conduct GMT presentations to senior leaders and
  command personnel regarding Physical Readiness
  Program

11
Program Action Responsibilities

• Individual Service Member
• Maintain a healthy lifestyleyear-round!
• Answer PARF-Q completely and truthfully
• Report for PRT and PT at a ready fitness level
• Report injuries or illnesses that may affect
  participation in PRT, FEP, or individual PT
• Participate in PFA and FEP unless absence is
  authorized by chain of command
• Maintain a prudent diet

12
Physical Fitness Assessment (PFA)ENCLOSURE (2)
13
PFA Program Statement

• Design is goal-oriented based on standards
• Encourages improvement above probationary or
  what is minimally acceptable
• Promotes Total Health internal, external, mind
• Prepares member for Physical Fitness Readiness
  Program semi-annual testing
• Allows assessment of individuals strengths and
  weaknesses
• Encourages all naval personnel to strive in
  exceeding minimum standards and achieving
  continual improvement

14
Purpose of the PFA

• Provide members with goals to promote basic
• Physical Fitness
• Health
• Readiness
• Provide chain of command the means of assessing
  the general fitness of their members

15
Components of the PFA

• Composed of two activities
• Body Composition Assessment (BCA)
• Initial weight and height screening
• Navy-approved circumference technique to estimate
  body fat
• Only command designated CFL or properly trained
  assistants may perform measurements...

16
Components of the PFA

• Physical Readiness Test (PRT) A series of
  physical activities designed to evaluate factors
  that enable members to perform physically.
• Flexibility
• sit-reach
• Muscular strength and endurance
• curl-up and push-up
• Aerobic capacity
• 1.5 mile run/walk (road, course, track)
• (or options if approved by command and resources
  are available)
• 1.5 mile run/walk (treadmill)
• 500-yard or 450-meter swim

17
Procedural Options of the PFA

• Commanders may allow the swim or treadmill event
  if facilities and equipment are reasonably
  available.
• Unless medically waived, members shall be
  required to participate in the 1.5-mile run/walk
  when swimming facilities are not available.
• If medically waived from the 1.5-mile run,
  members are not required to participate in the
  swim.

18
Scheduling of the PFA

• Dates for members test shall be no sooner than 4
  months, but not to exceed 8 months since last
  semi-annual PRT
• Select alternate dates if
• poor weather, TAD, leave, holidays, etc.
• Select and train assistants in
• PRIMS, BCA, warm-up, cool-down, PT, and
  administrative procedures

19
Scheduling of the PFA

• Verify members PHA was completed within past
  year if not, refer to medical department
• Conduct preliminary (courtesy) BCA
• Verify periodic physical examination
• Schedule CPR certification and training for
  monitors and ACFLs
• Develop PRT safety plan
• Confirm all logistics pertaining to event

20
Scheduling of the PFA

• Provide Navy Weight Control Self-Study Guide to
  any member who fails to meet body composition
  standards.
• Prohibit tobacco use at site
• Prohibit participation of all ineligible members
• Have water available and remind members about
  proper hydration before and after event

21
Scheduling of the PFA

• Ensure environmental conditions are safe
• Ask members about general health specifically
  ask the following pre-physical activity
  questions
• Has a health care provider ever said that you
  have a heart condition and that you should only
  do physical activity recommended by a doctor?
• Do you feel pain in your chest when you do
  physical activity?

22
Scheduling of the PFA

• In the past month, have you had chest pain when
  you are not doing physical activity?
• Do you lose your balance because of dizziness or
  do you ever lose consciousness?
• Do you have bone or joint problem that could be
  made worse by a change in your physical activity?

23
Scheduling of the PFA

• Is your health care provider currently
  prescribing drugs (for example, water pills) for
  your blood pressure or heart condition?
• Have you taken any over the counter medications,
  nutritional supplements, or performance enhancers
  in the past week? (Under review by BUMED as of
  1-13-03)
• Do you know of any reason why you should not do
  physical activity today?

24
Scheduling of the PFA

• Prohibit member participation if recently
  recovered from a cold, flu, illness, or health
  changes since last PHA
• Review cardiac distress symptoms
• chest pain, shortness of breath, and arm and neck
  pain
• Conduct exercise events after warm-up and
  stretching is completed
• Notify workplace supervisors of members
  participation

25
Scheduling of the PFA

• Enter BCA and PRT results into web-based PRIMS
• https//prims.persnet.navy.mil
• Results utilized for FITREPs, EVALs, career
  counseling , LONs
• Send reports to NAVPERSCOM
• (PERS-31 or PERS-834)
• Recognize improvement or superior performance
• Send injury reports to COMNAVSAFCEN

26
Medical Screening and Waivers ENCLOSURE (3)

27
Medical Screening and Waivers

• Medical Screening
• Medical Referral and Evaluation
• Medical Waivers

28
Medical Screening

• Medical Screening includes
• Current Physical Examination
• PHA (NAVADMIN 043/03)
• PARFQ
• Medical referral and evaluation
• Waivers
• Operational Risk Management (ORM)

29
Medical Screening

• Physical Readiness Information Management Systems
  (PRIMS) is the means of organizing and
  documenting the Physical Readiness Program
  including medical screening
• Current Physical Examination
• not currentmember shall not be tested or
  participate in physical conditioning
• members can participate in BCA

30
Medical Screening

• Preventive Health Assessment (PHA)
• AD members receive annually
• allows participation in PFA for a 12-month period
• as of January 2004 (NAVADMIN 043/03 released
  2-14-03) members who do not have a current PHA
  shall not participate in PRT or PT until
  assessments are completed
• recommended that PHA be completed during members
  birth month where mission/operational
  requirements permit

31
Medical Screening

• Reserve Personnel
• Reserve personnel may be cleared for PRT for a
  12-month period upon completion of either a
• annual Certificate of Physical Condition (NAVMED
  6120/3) short form physical or a long form
  physical

32
Medical Screening

• PARFQ
• Member answers questions online through PRIMS
• Member takes completed PARFQ to PHA appointment
  to facilitate clearance for participation in PFA,
  FEP and or PT
• PARFQ questions are available online-PRIMS
  https//prims.persnet.navy.mil and locally on a
  SF 600 Chronological Record of Medical Care
• 24 questions

33
Medical Screening

• PARFQ (continued)
• Pre-physical activity questions asked by CFL or
  ACFL prior to PRT or any conditioning directed
  and supervised by command
• CFL shall refer members reporting change in
  health to medical department for evaluation and
  clearance
• Body Composition Assessment (BCA) - HT/WT
  screening, circumference BF
• - 10 days - no less than 24 hours prior to
  PRT
• - Medical clearance for PRT and FEP required
  upon initial failure to meet BCA standards

34
Medical Screening

• Written Recommendations
• document any medical conditions predisposing
  obesity
• if cleared, referred to command for FEP
• written recommendations (fitness prescription)
  shall be provided and referral to Shipshape if
  member qualifies

35
Medical Referral and Evaluation

• Members referred to medical for clearance in PRT,
  FEP, and PT if
• current periodic physical has expired
• do not have current PHA
• answered yes to any question on the PARFQ (other
  than tobacco use), pre-physical activity
  questions
• failed initial BCA standards for first time in
  career
• are 50 years of age or older and have not
  successfully completed all portions of a PRT in
  the last 12 months

36
Medical Referral and Evaluation

• Completion of PARFQ by member shall be documented
  using PRIMS

37
Medical Waivers

• Medical Waivers
• Member obtains a well-documented medical
  condition in writing from medical department
  representative
• PRT events, body composition, and PT conditioning
  may be waived
• Medical waivers are subject to Commanders, COs,
  or OICs final approval and re-evaluated on
  transfer or change of command

38
Medical Waivers

• Medical waiver recommendations shall be
  documented in writing
• PFA components (BCA or PRT) waived
• restrictions placed on FEP and PT
• activities to promote physical fitness and
  control body fat
• prohibited physical activities
• expiration date
• chronic injuries may require extended waiver may
  be recommended by medical and approved by
  Commander, CO, or OIC

39
Medical Waivers

• Medical waiver on one part of the PRT are not
  waivers on all events
• Medical waiver on PRT events is not a waiver from
  BCA
• Waivers for BCA shall only be issued for members
• ...recuperating from a medical or surgical
  condition that interferes with an accurate and
  valid measurement.
• not to exceed 6-months if longer is needed,
  referred to Limited Duty/Medical Board for
  further evaluation
• written by board eligible or certified specialist
  and reviewed by department head
• CFL documents waivers using PRIMS

40
Medical Waivers

• Waivers require reevaluation by the medical
  department prior to renewal
• If medically waived from a previous PFA for a
  condition or injury that has been resolved,
  member does not have to be cleared to participate
  in a upcoming PFA if waiver expires at least 10
  weeks prior to scheduled date of the PFA

41
Medical Waivers

• Pregnancy
• Members not held to meeting PRT or BCA standards
  from time of diagnosis of pregnancy by a health
  care provider, during, and up to 6 months after
  pregnancy termination
• On advice of their physician, and with assistance
  of a CFL or MWR Fitness Specialist, pregnant
  service members may continue to participate in an
  exercise program, as recommended by ACOBGYN,
  unless waived by their Primary Care Manager
• Following termination of pregnancy, a medical
  evaluation by a health care provider will
  determine her participation in PT, FEP, and PFA

42
Conditioning and Test Safety ENCLOSURE (4)
43
Risk of Injury

• Any participation in physical activity may pose a
  risk of injury
• Characteristics of the participant and their
  surrounding environment play a large role in
  overall injury risk
• Members need to be informed and educated

44
Responsibilities

• Chain of Command shall ensure proper safety
  precautions are followed during PFA, FEP, and
  during any command physical activities
• CFLs shall follow all safety precautions and
  develop a safety plan for summoning emergency
  medical assistance
• Coordinate activities with local base safety
  officer, MWR, and medical representatives

45
Safety Concerns Prior to Conducting PRT

• Operational Risk Management (ORM)
• Analysis completed at least 24 hours prior to PRT
• Use the What if tool
• individuals medical/physical condition
• current medications
• hydration, terrain, weather, back-up emergency
  communications, etc.
• Eliminate all known risks document ORM process
  ensure flexibility (change analysis)

46
Body Composition Assessments (BCA)

• Normally, conducted within 10 days of, but not
  less than 24 hours prior to the PRT
• Members who fail BCA for first time in career
  shall be referred to medical department prior to
  participating in the PRT, FEP, and PT

47
Support Personnel

• CPR Monitors
• 1 CPR-certified monitor for every 25 members
• Minimum of 2 monitors for every test
• Not required to be Hospital Corpsmen
• Shall not be test participants
• Medical Emergency Assistance
• Safety plan well-documented and in place
• At a minimum, includes telephone numbers, how to
  summon aid, logistical plan for rapid access of
  emergency personnel

48
Support Personnel

• Test Cite Selection/Certification
• Most level 1.5 mile course available
• Free of steep inclines, declines, surface
  irregularities, and sharp turns
• Verify course distance with a measuring wheel
  (bike odometer may be used only if wheel is not
  available)
• Witness and document measurement
• Automobile or motorcycle odometers not authorized
• Entire course must be in view of CPR-certified
  monitors
• Test site must be accessible to emergency
  vehicles, near a phone
• Cellular phone or a walkie-talkie is acceptable

49
Support Personnel

• Pool Safety
• When the swim is conducted for the PRT, at least
  1 certified lifeguard must be present at all
  times during the testing event

50
Safety Concerns During PRT

• Weather Conditions
• Not conducted under harsh environmental
  conditions
• Outdoors
• COLD-
• Wind chill is 20 degrees F or lower
• Additional examples of cold weather are ice,
  snow, hail, storms, lightening,etc.
• HOT-
• Acclimatization to heat takes approximately 10-14
  days

51
Safety Concerns During PRT

• Hot weather, black flag conditions, exist
• Wet Bulb Globe Temperature (WBGT) of 90 degrees
  or higher
• Extremely intense PT-careful of heat exhaustion
  and heat stroke-caution
• 82-84.9 Green Flag
• Heavy exercise-use discretion (marginal stress)

52
Safety Concerns During PRT

• 85-87.9 Amber Flag
• Strenuous exercise/activity should be curtailed
  for new and unseasoned members (1st 3 weeks)
• 88-89.9 Red Flag
• 90 Black Flag
• PT/exercise suspended for all

53
Safety Concerns During PRT

• Pre-physical activity questions
• Prior to PRT, FEP, or any command supervised PT,
  all members shall be asked about their general
  health
• ConcernsAsking can be this simplebe safe not
  sorry!
• Cardio-respiratory ?
• Orthopedic ?
• Medications ?
• Supplementation?
• Under a doctors care?
• Pregnancy ?
• Or any reason you should not participate in this
  activity today???

54
Safety Concerns During PRT

• Pre-physical activity questions
• Members recovering from a recent illness, a
  change in health, or risk factors ( specifically
  a tightness or discomfort in chest, arms, or neck
  associated with activity or exercise) shall not
  be tested
• CFLs should review symptoms of cardiac
  distress(chest pain, shortness of breath, arm and
  neck pain) immediately send to medical...test
  later, after medically cleared
• CFLs and ACFLs shall never diagnose a members
  condition

55
Safety Concerns During PRT

• Conducting at higher elevations
• Commands shall follow all safety measures to
  minimize risk of injury to personnel exercising
  at increased elevation
• Avoid or minimize use of alcohol and other
  diuretics
• Ensure water is readily available and that
  members are well hydrated (increase monitoring on
  sickle cell trait personnel)
• Increase monitoring of participants and
  availability of medical support

56
Safety Concerns During PRT

• Warm Up
• Gradually increases muscle temperature,
  metabolism, and blood flow to prepare members for
  exercise
• Lengthens short, tight muscles
• Session includes 5-10 minutes of low impact,
  continuous movements followed by 3-5 minutes of
  static stretching(slow, controlled movements
  through a full range of motion) before exercise

57
Safety Concerns During PRT

• Clothing
• Proper attire includes running shoes (Orthotics
  when needed) and clothing that is appropriate for
  weather conditions at time of activity
• In hot weather, wear light-weight, light-colored
  clothes
• In cold weather, dress in layers protect and
  cover extremities
• Combat boots and rubberized suits are not
  appropriate and may put member at risk for injury

58
Safety Concerns During PRT

• Hydration
• Approximately 60 of total body weight is water
• Water in the body serves many important roles,
  including
• Digesting and absorbing nutrients
• Excreting wastes
• Maintaining blood circulation throughout the body
• Maintaining body temperature
• Drink eight 8 ounce glasses of clear liquid
  daily before, during, and after PRT, FEP, PT

59
Safety Concerns During PRT

• Dehydration
• Dehydration results when fluid losses exceed
  fluid intake
• Conditions that can lead to dehydration include
• Not drinking enough fluids daily
• Working or exercising in a hot/cold
  environment-wet or dry
• Going to high altitudes
• Drinking too much alcohol or exercising with a
  hangover
• A loss of 20 of body water can result in death

60
Safety Concerns During PRT

• Smoking/Tobacco Use
• PRT shall be conducted in a smoke-free
  environment
• CFL, monitors, and PRT participants shall not
  smoke or use tobacco products during the entire
  PRT testing period
• To reduce health risks, smoking and use of
  tobacco products should be discouraged at least
  30 minutes before and 15 minutes after PRT

61
Safety Concerns During PRT

• Cool-Down
• Helps to avoid pooling of blood in the muscles,
  controls heart rate decline, and improves removal
  of metabolic end-products
• A cool-down is important because it may reduce
  muscle soreness, cramps, and stiffness after the
  exercise event or workout
• Cool-down for at least 5 minutes by exercising at
  a light pace using the same muscles just exercised

62
Safety Concerns During PRT

• Injury Reporting
• If a member is injured during the PRT, the
  command safety officer shall report the injury to
  COMNAVSAFCEN, using the guidance set forth in
  OPNAVINST 5100.23E (NOTAL), chapter 14
  SECNAVINST 1920.6B, chapter A-6
• Also send as information to BUMED (MED-02),
  NAVPERSCOM (PERS-651F), and NHRC

63
Fitness Enhancement and Weight Management
Programs ENCLOSURE (5)
64
Fitness Enhancement Program(FEP)

• Program Requirements
• Effective leadership is critical
• Understand goals of the physical readiness
  programs
• Be visible and active practitioners of physical
  fitness
• Chain of command shall ensure that regular PT
  sessions and daily physical activities become
  routine for all Navy members unless medically
  waived

65
Fitness Enhancement Program(FEP)

• The purpose of PT and daily activity is to
• Increase overall fitness
• Ensure safe and effective execution of daily and
  emergent tasks
• Ensure safe participation in all physical
  activity
• Members maintain a healthy and physically active
  lifestyle
• At least 3 moderately intense physical activity
  sessions per week
• Maintaining a prudent diet

66
Fitness Enhancement Program(FEP)

• Command and members share responsibility for
  physical fitness
• Commands shall incorporate PT into the normal
  workday, consistent with mission requirements
• Schedules duties should be structured to
  promote the use of normal work hours for physical
  fitness
• Members should also use off-duty time for
  physical fitness activities

67
Fitness Enhancement Program (FEP)

• Resources
• Command and Navy-Sponsored programs
• BUMED-approved weight Management Program -
  ShipShape
• MWR resources and facilities
• Fitness Professionals
• Navy Fitness Instructors
• Medical Professionals
• Registered Dietitian
• Physical Therapist
• Health Promotion Directors

68
Fitness Enhancement Program (FEP)

• FEP
• Introduce self-help strategies
• FEP is for all members
• Facilitate adoption of healthy habits

69
Fitness Enhancement Program (FEP)

• If medically cleared, FEP is required for members
  who
• Exceed Navy upper allowable limit for body fat
• Do not meet or perform better than Navy PRT
  standards
• Have body fat percentage age adjusted standard
  and scores less than Good-Low on any PRT event
• Overall PRT score of Probationary
• Waived from one or more PRT exercise events and
  score Probationary on each of the other two
  events
• Waived from two PRT events and score
  Probationary on the third event

70
Fitness Enhancement Program (FEP)

• Participation and monitoring shall continue
  until
• Member passes two consecutive regularly scheduled
  PFAs with body fat below age adjusted standard
  and
• PRT score of Good-low or better on all events

71
Fitness Enhancement Program (FEP)

• FEP shall consist of the following
• Activities for all fitness levels
• Programs tailored for body fat loss
• Improve core activities
• Method of monitoring participation and
  improvement
• logbook
• direct observationthe best indicator
• Nutrition Education
• Complete NAVPERS 15602A, Navy Nutrition and
  Weight Control Self-Study Guide, if member
  exceeds or in danger of exceeding BCA standards

72
Fitness Enhancement Program

• Navy Health Promotion Programs include
  BUMED-approved Weight Management Program...
  SHIPSHAPE
• Conduct monthly courtesy BCAs and mock-PRTs to
  monitor monthly progress and motivate members
• Include activities beyond weekly PT, runs, and
  calisthenics
• Program for members who return to standards
• Make available education and awareness
  information that promotes a healthy lifestyle,
  becomes part of command structure, and
  demonstrates leadership skills

73
Fitness Enhancement Program (FEP)

• Physical Training (PT)
• Sessions conducted three to five times per week
• PT sessions shall include
• Moderate intense aerobic, muscular strength
  endurance, and flexibility
• Enjoyable activities
• Recreational sports can be included periodically

74
Fitness Enhancement Program (FEP)

• A training session shall include
• 5 to 10 minutes warm-up and stretch activities
• Aerobic exercise (30-40 minutes within target
  heart rate)
• Flexibility exercises
• Muscular strength and endurance conditioning
• Cool down activities

75
Fitness Enhancement Program

• Muscular strength and endurance conditioning
  should not become sole focus of PT sessions
• Initial maximum required PT suggestions
• 4 sessions per week
• 60 minutes in duration
• members who exceed this maximum are at risk of
  injury
• Proper PT attire
• suitable clothing avoid plastic and rubberized
  suits
• appropriate footwear discourage running or
  jogging in combat type boots

76
Fitness Enhancement Program (FEP)

• Physical Training Principles
• Promote lifelong commitment to physical activity,
  fitness, and health
• FITT
• Frequency 3 to 5 times per week
• Intensity moderate based on target heart rate
• Time at least 30 minutes per activity session
• Type cardiovascular and muscular
  strength/endurance

77
Fitness Enhancement Program

• Body fat decreasing activities
• Abdominal crunches will not reduce the size of
  the abdomen or natural waist line
• Loss of body fat is promoted by continuous, low
  to moderate intensity aerobic activities, 40-60
  minutes, 4-5 days per week
• If too difficult, it is unlikely to be continued
  long enough to consume stored fat
• Add weight training to your activity 2-3 times
  per week increasing muscle can reduce body fat
  percentage
• A critical element of weight/body fat control is
  proper nutrition the Navy does not condone
  extreme or starvation diets

78
Fitness Enhancement Program (FEP)

• Warm-up and cool-down activities
• Walk/Jog
• Whole body calisthenics
• Body segment calisthenics
• Flexibility/Stretch

79
Fitness Enhancement Program

• ShipShape (BUMED-approved Weight Management
  Program)
• Offered by Medical Treatment Facility (MTF)
• Attendance is opened to all personnel who exceed
  or are in danger of exceeding BCA and are
  recommended by Commanders, CO, and OICs
• Upon completion
• Member and command are given a course summary
• Chain of command will monitor member for 1 year
• Member meets with command and assessed monthly
• Command ensures member has access to all
  appropriate support services ( MWR, medical,
  counselors, etc)

80
Body Composition Assessment(BCA) ENCLOSURE (6)
81
Body Composition Assessment

• Background and Rationale
• National Institute of Health (NIH) -1985
• Negative health consequences effects of excess
  body fat
• increase in high BP
• diabetes
• cancer
• cardiovascular disease
• Metropolitan Life Insurance Height/Weight Tables
  - 1983
• 20 above midpoint weight for a middle-framed
  individual
• Naval Health Research Center (NHRC) determined
  that upper allowable Navy limits for men was
  22 and 33 for women

82
Body Composition Assessment

• Age adjusted maximum allowable BF
• Men 17-39 22
• Men 40 23
• --------------------------------------------------
  ---
• Women 17-39 33
• Women 40 34

83
Body Composition Assessment

• BCA Procedures
• Maximum weight for height screening
• HEIGHT
• member removes shoes
• feet together, flat on deck, deep breath, stand
  tall
• record height to the nearest 1/2 inch
• WEIGHT
• balance beam or digital scale, in PT-type
  clothing, without shoes
• one pound deduction in weight allowed for
  clothing (regardless of how member is dressed)
• fractions of a pound will be rounded down to the
  nearest whole pound

84
Body Composition Assessment

• MAXIMUM WT DETERMINATION
• Appendix A of Enclosure (6)
• maximum weight-for-height-table
• Find smallest value equal to or exceeding
  members actual height
• 69 1/4 70 69 1/2 70
• 69 3/4 70 70 70
• Equal to or below maximum weight - WS
• Above maximum weight - determine body fat by Navy
  approved circumference testing

85
Body Composition Assessment

• Body Fat Determination
• Men
• Use standing height measurement to nearest 1/2
  inch
• If requested, measure in the presence of same sex
  
• Measure neck circumference
• bare skin, member looks straight forward,
  shoulders down
• just below larynx (Adams Apple), perpendicular
  to long axis of neck
• round up to nearest 1/2 inch

86
Body Composition Assessment

• Measure abdomen circumference
• taken on bare skin, arms are at sides, at end of
  normal, relaxed exhalation
• at level of center of naval and parallel to deck
• round down to the nearest 1/2 inch
• Body fat calculation
• subtract neck from abdomen equals circumference
  value
• appendix B to enclosure (6)
• percent body fat estimation - intersect height
  rounded to nearest 1/2 inch and row equal to
  members circumference value

87
Body Composition Assessment

• Body Fat Determination
• Women
• Use standing height measurement to nearest 1/2
  inch
• If requested, measure in presence of same sex
• Measure neck circumference
• bare skin, member looks straight forward,
  shoulders down
• just below larynx (Adams Apple), perpendicular
  to long axis of neck
• round up to nearest 1/2 inch

88
Body Composition Assessment

• Measure natural waist circumference
• taken on bare skin, arms are at sides, at end of
  normal, relaxed exhalation
• natural waist circumference at point of minimal
  abdominal circumference
• tape level and parallel to the deck (site located
  about halfway between navel and lower end of
  sternum breastbone)
• round natural waist down to the nearest 1/2 inch

89
Body Composition Assessment

• Measure hip circumference
• taken over loose-fitting gym shorts or pants
• rubberized foundation garments or exercise belts
  shall not be worn at least 30 minutes before
  measuring
• items not worn during measuring
• control-top panty hose
• spandex tights
• shaping garments

90
Body Composition Assessment

• face members right side, place tape around hips
• over greatest protrusion of gluteal muscles
  (buttocks) as viewed from side
• level and parallel to the deck
• apply sufficient pressure to minimize effect of
  clothing
• round down to the nearest 1/2 inch

91
Body Composition Assessment

• Body fat calculation
• add waist and hip, then subtract neck equals
  circumference value
• Appendix B to enclosure (6) to determine members
  body fat
• percent body fat estimation - intersect height
  rounded to nearest 1/2 inch and row equal to
  members circumference value

92
Body Composition Assessment

• Grading BCA
• BCA is failed when
• member exceeds both maximum weight for height and
  BF allowed for age and gender
• BCA is passed when
• member exceeds maximum weight for height, but not
  maximum BF allowed for members age and gender
• member does not exceed maximum weight for height
  allowed for members age and gender
• meet or BF allowed for members age and gender

93
Physical Readiness Test (PRT) ENCLOSURE (7)
94
Physical Readiness Test

• Background and Rationale
• Navys fitness culture
• PRT is only a snapshot of physical capacity
• Optimize fitness and readiness by exceeding
  minimum standards and achieving continual
  improvements
• Standards (based on Fall 1997 and Spring 1998
  sample results200,000 members, divided by
  gender, and age)
• Outstanding (top 10)
• Excellent (top 25, but less than outstanding)
• Good (better than or equal to lowest 25)
• Sat (bottom 25, but above lowest 10)
• Un-sat (lowest 10)

95
Physical Readiness Test

• Components of the PRT
• Flexibility, Muscular Cardiovascular Endurance
• Event sequence
• PRT events completed on same day
• Following sequence
• Warm-Up/Stretch
• Sit-Reach
• Curl-Up
• Push-Up
• Cardiovascular event (run/walk/swim/treadmill)
• Cool-Down
• Allow at least 2 minutes, but not more than 15
  minutes between events

96
Physical Readiness Test

• Event Procedures
• Ensure proper warm-up and stretching is done
  prior to testing
• Sit-reach (P/F)
• Curl-ups (timed for 2 minutes)
• Push-ups (timed for 2 minutes)
• 1.5 mile run/walk
• Options...
• 500-yard or 450-meter swim
• treadmill test

97
Physical Readiness Test

• Sit-Reach
• Sit on deck, legs extended, knees slightly
  flexed, feet together, and toes pointed up
• Shoes are optional
• Reach slowly forward and touch toes with
  fingertips of both hands simultaneously
• Hold for 1 second do not bounce or lunge

98
Physical Readiness Test

• Curl-ups
• Event conducted on a level surface shoes are
  optional conducted as follows
• Participants lie flat on back, knees bent ,heels
  about 10 inches from buttocks arms folded across
  and touching chest with hands touching upper
  chest or shoulders
• Feet held to floor only by partners hands
• Timer calls out 15-sec time intervals for 2
  minutes
• Participants curls body up, elbows to thighs,
  keeping hands in contact with chest or shoulders
• After elbow to thighs, lie back touching lower
  edge of shoulder blades to deck
• Participants may rest in either up or down
  position

99
Physical Readiness Test

• Curl-ups
• Repeated correctly for two minutes
• Monitored by CFL or monitors for correct form and
  count
• Incorrectly performed curl-ups will not be
  counted
• Results, if test ended, are number correctly done
  in 2 minutes
• Event is ended if participant
• Lowers legs
• Raises feet off floor or ground
• Lifts buttocks off ground or floor
• Fails to keep arms folded and touching chest
• Fails to keep hands in contact with chest or
  shoulders

100
Physical Readiness Test

• Push-ups
• Performed on level surface shoes are optional
• Performed as follows
• Begin in front leaning position, palms on floor,
  directly beneath or slightly wider than
  shoulders both feet together on floor
• Back, buttocks, and legs remain straight
  throughout test
• Timer starts participants and calls out in
  15-second time intervals maximum 2 minutes

101
Physical Readiness Test

• Performed as follows
• Lower entire body as a single unit bend elbows
  until upper arms, shoulder, and lower back are
  aligned and parallel to the deck
• Return to front leaning position , elbows
  extended,, arms straight
• Rest only in up position maintaining arms, legs,
  back, and buttocks in straight position

102
Physical Readiness Test

• Push-ups
• Repeated correctly for two minutes
• Monitored by CFL or monitors for correct form and
  count
• Incorrectly performed push-ups will not be
  counted
• Results, if test ended, are number correctly done
  in 2 minutes
• Event is ended if participant
• Touches deck with any part of body except hands
  and feet
• Raises one or both feet or hands off deck or
  ground
• Fails to maintain back, buttocks, and legs
  straight from head to heels

103
Physical Readiness Test

• 1.5 - mile run/walk
• Any combination of running and walking is
  allowed
• Conducted on a flat and solid surface
• On Commanders, COs, or OICs discretion, event
  may be conducted on a treadmill
• Appropriate facilities and equipment must be
  available
• Must have the following features
• Motor-driven with emergency stop
• Adjustable speed displayed in MPH
• Inclination adjustment
• Odometer to measure distance traveled in miles

104
Physical Readiness Test

• Conducted on a track or outdoor course
• Participants stand at start line
• Timer signals start with stopwatch and calls out
  time intervals
• Time is recorded to nearest second
• Conducted on a treadmill
• Participant straddles treadmill 1 incline
• Timer starts participant starts treadmill at
  desired speed
• Timer calls out time intervals until end of test
• Time recorded with stopwatch to nearest second
• Treadmill speed may be adjusted , by participant,
  anytime during test
• Touching bar with fingertips or open palm for
  safety, to recover balance, is acceptable

105
Physical Readiness Test

• Event is ended if participant
• Stops walking or running other than to retie
  shoelace or remove foreign object from shoe
• Completes 1.5 miles
• Changes treadmill inclination from 1.0 percent
• Supports body weight using arms, hands, torso, or
  any mechanical device

106
Physical Readiness Test

• 500 yard or 450-meter swim
• Any swim stroke or any turn
• Only conducted in a 25 yard or 50 meter swimming
  pool
• Swim event will be conducted as follows
• swimmers begin test in water
• timer signals start and calls out time intervals
  or lengths
• time recorded with stopwatch to nearest second
• swimmers may use hands and feet to push off from
  sides of pool
• resting is permitted by holding sides of pool,
  standing, or treading water
• swimmers may use goggles, facemasks, swim caps,
  or ear plugs
• fins, snorkels, floatation, wet suit, and
  propulsion devices not allowed

107
Physical Readiness Test

• Event is ended if member
• Completes prescribed event
• Moves forward while resting
• Receives or requires assistance from lifeguard or
  other person

108
Physical Readiness Test

• Options
• Commanders, COs, and OICs may allow swim event
  if facilities are reasonably available
• If medically cleared, members will participate in
  the 1.5 mile run/walk unless swim event
  authorized by Commander, CO, or OIC
• If medically waived from 1.5 mile run/walk,
  members are not required to participate in the
  swim event
• Commanders, COs, and OICs may permit 1.5 mile
  run/walk to be conducted on a treadmill if
  equipment is reasonably available

109
Physical Readiness Test

• Personnel at Increased Elevation
• more than or equal to 5,000 ft
• PRTs conducted at increased elevations shall
• Be scored against standards for increased
  elevations
• Allow personnel acclimation periods based on 30
  days prior to conducting PRT
• Ensure physical readiness program procedures and
  safety measures are not modified due to increased
  elevation

110
Physical Readiness Test

• Interpretation of performance standard tables
• Values for curl-ups and push-upsminimum
• Values for run timemaximum
• If cardiorespiratory event is failed, it is a PRT
  failure(attempt on a different cardiorespiratory
  event is not authorized)
• Inability to touch toes is not a PRT failure

111
Physical Readiness Test

• Grading PRT
• PRT is passed when
• Member achieves Probationary performance
  standard or better for
• CU, PU, and one CV event, or
• Any two PRT events (other than sit-reach) when
  the third is medically waived
• Regardless of level of performance on other
  events, PRT is failed when members do not achieve
  Probationary performance standard or better for
  any PRT event (other than sit-reach) unless event
  is medically waived

112
Physical Readiness Test

• Overall Score
• An average of points accumulated on PRT events
• Members must pass all three PRT events to receive
  an overall score
• Members must perform CUs, PUs, and a CV event
• Members medically waived from any of these events
  cannot be assigned an overall score

113
Physical Readiness Test

• Point assignment
• Category level Points
• Outstanding-High 100
• Outstanding-Medium 95
• Outstanding-Low 90
• Excellent-High 85
• Excellent-Medium 80
• Excellent-Low 75
• Good-High 70
• Good-Medium 65
• Good-Low 60
• Satisfactory-High 55
• Satisfactory-Medium 50
• Probationary 45

114
Physical Readiness Test

• Example for a 25 year-old female
• Curl-ups 91 Excellent High 85
• Push-ups 26 Good Medium 65
• Run 1523 Satisfactory High 55
• 85 65 55 205
• 205 divided by 3 68.3
• 68 points equals Good medium
• Category-level is not achieved unless average
  equals or exceeds points corresponding to
  category-level

115
Administrative Actions ENCLOSURE (8)
116
Administrative Actions

• PFA
• PFA is comprised of the BCA and PRT
• PFAs are required of active duty and reserve
  members results must apply towards
  administrative consequences of this instruction
• CO may request additional PFAs to monitor
  individual progression
• Only official semi-annual PFAs will be used for
  administrative consequences

117
Administrative Actions

• Only the first body composition assessment or PRT
  counts per PFA meeting testing requirements
• Only two PFAs shall be conducted in a calendar
  year (at least 4 months but not more than than 8
  months apart)
• Body Composition taken 10 days of, but not less
  than 24 hours, prior to PRT
• Release written notification of PFA dates at
  least 10 weeks in advance specify times and
  dates
• Body Compositions taken by CFL or designated and
  trained ACFL only (all others do not count)

118
Administrative Actions

• Failure of BCA as part of a PFA is a PFA failure
• Failure of PRT as part of a PFA is a PFA failure
• Failing both BCA and PRT of the same PFA shall be
  counted as one PFA failure
• If medical waiver is granted for BCA and PRT,
  neither a pass or failure is given to member

119
Administrative Actions

• If member fails any PRT event, participation in
  another PRT event to apply to the same PFA is not
  permitted
• Reassessment of body composition is not permitted
• if member fails to meet BCA standards during PFA
  or
• if corresponding PRT is cancelled or rescheduled

120
Administrative Actions

• Injury or Illness During PRT
• If injury or illness during PRT impairs normal
  performance
• CO determines member has been in an effective
  conditioning program medical waiver is granted
• results in current PRT where injury occurred or a
  subsequent PRT conducted and graded per this
  instruction

121
Administrative Actions

• If injury or illness during PRT impairs normal
  performance
• CO determines member has not been in an effective
  conditioning program medical waiver not
  authorized
• results used to constitute members PFA PRT
  shall be graded per this instruction member will
  not be allowed to participate in a subsequent PRT

122
Administrative Actions

• When members are injured or become ill during PRT
  or physical training (PT), CFLs shall
• Report to command safety officer (CSO)
• CSO reports to COMNAVSAFECEN and addresses
• BUMED (MED-02)
• NAVPERSCOM (PERS-651)
• NHRC

123
Administrative Actions

• Tracking PFA Failures
• Members command responsible for tracking PFA
  failures, taking appropriate action, and
  notifying member in writing after each PFA
  failure written counseling will follow
• Official document on failures
• Enlisted - Administrative Remarks/ page 13 entry
• Officers - Letter of Notification (LON)
• first or second adverse entry warranted or
• physically unqualified for promotion
• third or greater failure in 4 years
• Page 13/LON avai