Matti Santtila

• PhD
• Professor (Associate) at National Defence University

Introduction The Western lifestyle challenges national defence. Inactivity, obesity, high BP and elevated lipid and glucose levels as well as tobacco use all increase cardiometabolic risk. The present study was thus aimed at investigating the health and physical activity of employees in a military environment, concentrating on comparisons between s...

The objective of the present review was to evaluate the time-course of recovery of biochemical marker levels and physical performance after strenuous military training, and identify which biomarkers are affected. A systematic literature search was conducted using the databases MedLine (Ovid) and Web of Science (WoS) to identify studies until Januar...

Systematic review and meta-analysis applying PRISMA guidelines with a PICOS format was constructed to provide an overview of changes in physical performance, body composition and physical training in soldiers during prolonged (≥ 3 months) military operations. Twenty-four studies out of the screened 4431 records filled the inclusion criteria. A smal...

Helén, J, Kyröläinen, H, Ojanen, T, Pihlainen, K, Santtila, M, Heikkinen, R, and Vaara, JP. High-intensity functional training induces superior training adaptations compared with traditional military physical training. J Strength Cond Res XX(X): 000-000, 2023-This study examined the effectiveness of concurrent strength and endurance training with a...

Introduction The physical and mental training load can be high during military service. Therefore, tailored preconditioning programmes based on assessment of physical fitness could increase readiness for military service, especially among those ones with lower baseline fitness level. The purpose of present study was to investigate how self-assessed...

Physical activity is beneficial for improving health and reducing sick leave absences. This article describes a protocol for an intervention using an interactive accelerometer smartphone application, telephone counselling, and physical activity recordings to increase the physical activity of workers in the military and improve their health. Under t...

Physically demanding essential military tasks include load carriage, manual material handling and casualty evacuation. This narrative review characterizes the main physical attributes related to performance of these occupational tasks and reviews physical training intervention studies in military settings to improve performance in these military ta...

Limited data are available regarding strength and endurance training adaptations to occupational physical performance during deployment. This study assessed acute training-induced changes in neuromuscular (electromyography; EMG) and metabolic (blood lactate, BLa) responses during a high-intensity military simulation test (MST), performed in the beg...

Very few studies have examined the impact of training interventions on soldier readiness during an international military operation. Therefore, the present study investigated the effects of combined strength and endurance training on body composition, physical performance, and hormonal status during a 6-month international military deployment consi...

Introduction: Military training programmes are often similar for male and female recruits despite sex differences in physical performance that may influence training adaptations during military service. The present study aimed to compare changes in physical fitness and anthropometrics between Finnish female and male recruits during military servic...

Decreases in aerobic fitness during military operations have been observed in several studies. Thus, differences in training adaptations during a 6-month crisis-management operation were compared by using the change in endurance performance as the outcome measure. Sixty-six male soldiers volunteered for the study, consisting of pre–post assessments...

Objectives: The purpose of the present study was to investigate how aerobic fitness, muscle fitness and body mass index (BMI) change in relation to their baseline levels during 6-12 months of military service. Design: Retrospective longitudinal follow-up study. Methods: The study group consisted of 249279 healthy young male conscripts (age 19....

Introduction: Physical fitness is strongly related to health and may offer valuable information about public health. We investigated trends in physical fitness, leisure-time physical activity (LTPA) and anthropometry of young healthy adult Finnish men in representative population based samples between 2003 and 2015. Methods: Three independent cr...

Purpose: To compare training load and energy expenditure during an 8-week military BT period among individuals having different fitness level using objective measurements in an authentic environment. Methods: Thirty-four voluntary male conscripts (age 19.1±0.3 years) were divided into three training groups (inactive, moderate, active) by their r...

Differences Between Responders and Non-responders for Endurance Performance During Combined Training in Military Operation ABSTRACT: 1040 Board #274 May 29 2:00 PM - 3:30 PM Pihlainen, Kai; Santtila, Matti; Häkkinen, Keijo; Kyröläinen, Heikki FACSM Medicine & Science in Sports & Exercise: June 2019 - Volume 51 - Issue 6 - p 276 doi: 10.1249/01.mss....

Introduction Optimal diet together with good physical fitness maintains readiness and military performance during longer deployments. The purpose of this study was to describe changes in dietary macronutrient and energy intake, total physical activity and body composition during a 6-month deployment in South Lebanon. Furthermore, associations of di...

Purpose: Few large-scale population-based studies have adequately examined the relationships between steroid hormones, health status and physical fitness. The purpose of the study was to describe the relationship of serum basal endogenous steroid hormones (testosterone, TES; empirical free testosterone, EFT; cortisol, COR) and sex hormone-binding g...

Introduction The physical fitness of male conscripts has decreased, and body mass increased during the last few decades, especially in Nordic countries. However, limited research-based reports are available concerning the physical fitness profiles of female recruits. Therefore, the purpose of this study was to investigate changes in physical fitnes...

Objectives: Worldwide decreases in physical fitness and increases in body fat among youth have set challenges for armed forces to recruit physically capable soldiers. Therefore, knowledge of optimizing physical adaptation and performance through physical training is vital. In addition, maintaining or improving physical performance among profession...

Objectives: Generally, operational military duties are associated with a variety of stressors, such as prolonged physical activity (PA). However, limited information is available on the occupational workload or changes in PA during international military operations. Thus, the aim of the study was to investigate the changes in body composition, str...

Purpose: The purpose of the present study was to investigate changes in physical fitness and anthropometry of young men entering the military service in Finland during the years 1975-2015. Methods: The study included the fitness test results of 627,142 healthy young male conscripts (age 19.1±0.4 yrs.). Data included results of aerobic capacity,...

The purpose of the present study was to evaluate the associations of physical fitness and body composition characteristics with anaerobic endurance performance, tested in the combat load using the occupationally relevant military simulation test (MST). Eighty-one male soldiers, deployed to a crisis management operation in the Middle East, volunteer...

The aim of the present study was to assess associations between physician diagnosed unspecified low back pain (LBP) during compulsory military service and self-reported LBP and physical fitness measured on average four years after military service. From a total of 1155 persons who had been pass medical examination for military service and who had c...

No previous studies have investigated attitudes of the female soldiers toward physical fitness tests and physical performance requirements. The purpose of the present study was to investigate how military personnel group, age, physical fitness, and body composition are associated with female soldiers’ attitudes toward fitness tests and requirements...

The purpose of the present study was to examine the changes in cardiovascular performance (VO2max) and maximal strength development during an 8-week basic training (BT) combined with emphasized endurance training (ET) or strength training (ST) among 72 conscripts. The emphasized ST and ET programs combined with BT improved VO2 max by 12.0% (p≤0.01)...

Background The aim of the present study was to investigate how cardio respiratory (CRF) and muscular fitness (MF) together with leisure-time physical activity (LTPA) influence stress symptoms and mental resources among normal-weight and overweight men, because it is not known how body weight affects this association. Methods In a cross-sectional st...

Study aim: The purpose of the present study was to investigate the impact of a social media exercise platform (HeiaHeia, Helsinki, Finland) on the level of physical activity, physical fitness, wellbeing and body weight of the service users. Material and methods: The subject group consisted of 2862 individuals who voluntarily participated in a web s...

Santtila, M, Pihlainen, K, Viskari, J, and Kyröläinen, H. Optimal physical training during military basic training period. J Strength Cond Res 29(11S): S154-S157, 2015-The goal for military basic training (BT) is to create a foundation for physical fitness and military skills of soldiers. Thereafter, more advanced military training can safely take...

Taipale, RS, Heinaru, S, Nindl, BC, Vaara, J, Santtila, M, Häkkinen, K, and Kyröläinen, H. Hormonal responses to active and passive recovery after load carriage. J Strength Cond Res 29(11S): S149-S153, 2015-Military operations often induce fatigue resulting from load carriage. Recovery promotes military readiness. This study investigated the acute...

Study aim: to develop and estimate the validity of non-exercise methods to predict VO2max among young male conscripts entering military service in order to divide them into the different physical training groups. Material and methods: fifty males (age 19.7 ± 0.3 years) reported their physical activity before military service by IPAQ and SIVAQ quest...

Aim: Physical fitness can be used as a marker of health and abilities to carry out activities of daily living. Since fitness measurements are challenging in epidemiological studies, the study aimed at analysing whether a single question on self-estimated physical fitness can be used as a surrogate measure for fitness measurements representing sever...

Study aim: the purpose of the present study was to survey the impact of a social media platform on physical fitness, physical activity levels and daily sitting time. Material and methods: a total of 2039 users (1445 women and 594 men) of the social media service (HeiaHeia, Helsinki, Finland) voluntarily participated in the study by answering an onl...

The aim was to study associations of maximal strength and muscular endurance with inflammatory biomarkers independent of cardiorespiratory fitness in those with and without abdominal obesity. 686 young healthy men participated (25±5 years). Maximal strength was measured via isometric testing using dynamo-meters to determine maximal strength index....

Aim: There is limited evidence available regarding the relationship between physical fitness, especially muscular fitness, and the mental well-being among young healthy men. Therefore, the aim of the present study was to investigate the impact of measured cardiovascular and muscle fitness and self reported leisure time physical activity (LTPA) on...

Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loaded (M2) marching, artillery fi...

The aim was to study the relationships between different domains of physical activity and cardiovascular risk factors and physical fitness. 781 young men participated. Self-reported leisure-time (LTPA), commuting (CPA) and occupational (OPA) activity were determined. Blood pressure, s-HDL-cholesterol, s-triglyserides and s-LDL-cholesterol and gluco...

The aim was to study the associations of maximal strength and muscular endurance with single and clustered cardiovascular risk factors. Muscular endurance, maximal strength, cardiorespiratory fitness and waist circumference were measured in 686 young men (25±5 years). Cardiovascular risk factors (plasma glucose, serum high- and low-density lipoprot...

Purpose: We hypothesized that lower androgen status together with poor physical fitness associates with atherogenic lipid profile and oxidative stress. Methods: Volunteered young men (N = 846, mean age 25.1 ± 4.6 years) were categorized into unfit, average fit, and fit groups according to tertiles of maximal oxygen uptake, series of muscle endur...

Background: Metabolic syndrome (MetS) is associated with increased oxidized LDL (ox-LDL), systemic inflammation, and poor cardiorespiratory fitness. We examined affiliations of these factors and the effect of muscular fitness on MetS in young healthy men. Methods: Physical fitness, ox-LDL, tumor necrosis factor α (TNFα), interleukin-6 (IL-6) and...

Predicted maximal oxygen uptake (VO2max) measurements are based on the assumption of linear relationship between heart rate or power output and oxygen consumption during various intensities. To develop more reliable predicted test for soldiers, the purpose of the present study was to compare the results of direct measurements of VO2max to respectiv...

Poor physical fitness and obesity are risk factors for all cause morbidity and mortality. We aimed to clarify whether common genetic variants of key energy intake determinants in leptin (LEP), leptin receptor (LEPR), and fat mass and obesity-associated (FTO) are associated with aerobic and neuromuscular performance, and whether aerobic fitness can...

The aim of the study was to evaluate the heat stress of Finnish male soldiers (N = 20, age 22.0 ± 2.5 years, body mass 78.8 ± 11.5 kg, and height 180.2 ± 5.6 cm) during their 4-month deployment in a hot environment and to find out the effects on physical performance and body composition. The troops moved from 2.5° C (mean monthly temperature) in Fi...

Maintaining soldiers' physical and mental capacities throughout an operation is essential for the success. Monitoring of these capacities is needed to avoid exhaustion and incapacitation that can compromise the success of the operation. Monitoring of physiological parameters is one way to follow-up the effects of physical and mental loading. The go...

The purpose of this study was to examine the changes in cardiovascular and neuromuscular performances induced by 8 weeks of basic training (BT) period followed by 8 weeks of special training period (STP). Fifty-seven male soldiers (age: 19.2 ± 0.9 years, height: 1.79 ± 0.06 m, body mass: 73.8 ± 12.4 kg) volunteered for tests of peak oxygen uptake (...

Oxidized LDL (ox-LDL) is associated with lifestyle diseases such as cardiovascular diseases, metabolic syndrome, and type 2 diabetes. The present study investigated the association between ox-LDL and overweight/obesity and how cardiorespiratory or muscle fitness affects this association. Healthy young (mean age = 25.1 yr, range = 18-48 yr) men (n =...

Good physical fitness is associated with favorable serum lipids. Oxidized low-density lipoprotein (ox-LDL) could be even more atherogenic than serum lipids. We studied the association of ox-LDL and serum lipids with physical fitness. Healthy young (mean age 25 years) men (n=846) underwent maximal oxygen uptake (VO(2max) ) and muscle fitness index (...

We clarified the effect of insulin-like growth factor-1 (IGF1), IGF-binding protein-3 (IGFBP3), interleukin-6 (IL6), and its receptor (IL6R) gene variants on muscular and aerobic performance, body composition, and on circulating levels of IGF-1 and IL-6. Single nucleotide polymorphisms (SNPs) may, in general, influence gene regulation or its expres...

Insulin-like growth factor-I (IGF-I) is thought to mediate many of the beneficial outcomes of physical activity. While IGF-I has previously been shown to be positively related with aerobic fitness, few studies have examined IGF-I relationships with other fitness and health parameters. The robustness of IGF-I as a biomarker of fitness and health has...

Obesity in youth has increased during the last 10 years in Western countries Several studies have investigated physical activity and its effects on obesity and health, showing that regular physical activity combined with improved physical fitness reduces the risk of obesity and several metabolic problems (e g diabetes mellitus, metabolic syndrome,...

The purpose of the study was to examine the effects of an 8-week basic training (BT) with added strength training (ST) or endurance training (ET) on both the performance of a 3K-combat loaded run test and the acute neuromuscular and hormonal responses. All training groups improved (p < 0.001) their run-test times: ST by 12.4%, ET by 11.6%, and norm...

Currently, there is insufficient evidence available regarding the relationship between level of physical fitness and health-related quality of life (HRQoL) in younger adults. Therefore, the aim of the present study was to investigate the impact of measured cardiovascular and musculoskeletal physical fitness level on HRQoL in Finnish young men. In a...

Liikunta & Tiede (7): p. 61

Military personnel are often exposed to training programs and operational situations that involve multiple stressors such as caloric deficit, sleep deprivation, and prolonged physical effort, which may disturb body homeostasis, as indicated by hormonal responses.Therefore, we investigated the effects of three training regimens on serum basal hormon...

The purpose of present study was to examine to what extent an 8-week endurance-based military training period interferes with muscle strength development in the conscripts (n = 72) compared with that caused by sport-related military training with added strength training (ST) or endurance training (ET). More specifically, we examined the effects of...

The purpose of the present study was to examine the changes in cardiovascular performance (VO2 max) and maximal strength development during an 8-week basic training (BT) combined with emphasized endurance training (ET) or strength training (ST) among 72 conscripts. The emphasized ST and ET programs combined with BT improved VO2 max by 12.0% (p < 0....

The present study examined whether activity energy expenditure related to body mass (AEE/kg) is associated with maximal aerobic fitness (VO(2max)), energy balance, and body mass index (BMI) during the 2 hardest weeks of the military basic training season (BT). An additional purpose was to study the accuracy of the pre-filled food diary energy intak...

In modern society, decreased physical activity and/or changes in quality and quantity of nutritional intake contribute to obesity and lifestyle diseases that result in economic costs, both to society and to individuals. To measure physical fitness and body mass index (BMI) and to assess their association with sickness absence in male soldiers. Data...

The purpose of the present study was to test the hypothesis that the magnitude of hormonal concentration alterations during a prolonged military field exercise with constant energy intake (EI) is influenced by changes in energy deficit (ED) induced by varying the exercise intensity. Basal serum hormone concentrations were measured in a group of hea...

This population-based study describes fitness profiles in aerobic capacity (N = 387088) during the years 1975-2004, muscle performance (N = 280285) from 1982 to 2003, and body anthropometry (N = 324911) from 1993 to 2004 among the Finnish conscripts at the age of 20 yr. Endurance performance was tested by the 12-min running test. Muscle fitness tes...

To test two hypotheses: (1) cardiorespiratory (CRF) and neuromuscular (NMF) fitness is associated with body mass index (BMI) and waist circumference (WC), independent of each other and of leisure-time physical activity; (2) individuals with high CRF and NMF have lower WC for a given BMI, compared with those with low CRF and NMF. Cross-sectional stu...

This study was conducted to criterion-validate the short format of International Physical Activity Questionnaire (IPAQ) against health-related fitness. Participants included 951 men, aged 21-43 yr. VO2max by ergometer was used to measure cardiorespiratory fitness. Muscular fitness tests included the number of sit-ups, push-ups, and squats performed...