RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-02702
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
The fitness assessment scores he received on 23 Apr 10, 27 Oct
10, 14 Jan 11 and 14 Apr 11, be removed from the Air Force
Fitness Management System (AFFMS).
_________________________________________________________________
APPLICANT CONTENDS THAT:
He attended a mandatory primary care manager (PCM) appointment on
4 May 11, and his PCM indicated/documented on his AF Form 108, Physical Fitness Education and Intervention Processing, Member
has been evaluated and has a medical condition precluding the
achievement of a passing fitness score.
His PCM has written a memorandum documenting treatment of his
medical conditions over the time period from Apr 10 to present,
that specifies he was unable to utilize the maximum benefit of
weight control via cardiovascular exercise. He recently began
an exercise program that is in line with his Physical Training
(PT) restrictions and should allow him to achieve and maintain a
waist line that meets Air Force standards of weight and fitness.
In support of his request, the applicant provides copies of his
AFFMS Individual Fitness Assessment History, AF Form 108, e-mail
correspondence, and a memorandum from his PCM.
The applicant's complete submission, with attachments, is at
Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The relevant facts pertaining to this application are contained
in the letter prepared by the appropriate office of the Air
Force. Accordingly, there is no need to recite these facts in
this Record of Proceedings.
_________________________________________________________________
AIR FORCE EVALUATION:
USAF/A1PP recommends denial. A1PP states this request was
reviewed by the Aerospace Medicine Policy subject matter expert
(SME) from AF/SG3 and A1PP and both do not concur with the
applicants request to remove his three Unsatisfactory Fitness
Assessment scores from AFFMS. Even though the applicant had a
running profile, he was still responsible for maintaining waist
measurement standards which could have been achieved via other
cardiovascular means and by diet alteration. Additionally, the
applicants fitness history illustrates a long term pattern of
borderline/unfit performance that shows minimal effort to
improve.
The complete A1PP evaluation is at Exhibit B.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
He suffers from various recent medical afflictions that have
hindered his ability to effectively lose weight to meet the new
abdominal standards, that were not included as part of his
original request. His medical conditions are crucial to the
ability to achieve the abdominal circumference imposed by the Air
Force in Jul 2010.
The alleged long term pattern of borderline/unfit performance can
be directly attributed to his unmanaged obstructive sleep apnea
that was initially diagnosed in 1997. There are a multitude of
medical studies that show the correlation of inadequate and
disrupted sleep associated with obstructive sleep apnea, that
conclude weight gain and metabolic instability are a complication
and/or result of his current diagnosed condition.
In Oct 10, after ineffectively and unsuccessfully losing weight
or waist measurement, he sought medical treatment from his PCM.
He modified his diet in-line with nutritional guidance provided
by the local health and wellness center nutritionist.
Recent data suggests that treatment of obstructive sleep apnea
with continuous positive airway pressure (CPAP) will decrease not
only leptin levels but also central obesity, independent of any
overall change in body weight after treatment. This can be
substantiated in some portion to the successful reduction in his
waistline and weight as evidenced in his most recent satisfactory
fitness assessment dated 13 Jul 11, where he lost a significant
four inches in his waistline, since his Oct 10 unsatisfactory
assessment.
In addition to the obstructive sleep apnea, he was also treated
for chronic knee pain, and diagnosed with Stage 3 Osteoarthritis
in his left knee. Despite these limitations, he pursued PT
regularly, and was recognized as one of the most avid
participants in his units fitness program prior to his surgical
procedure.
His last medical affliction, compounded with obstructive sleep
apnea and his osteoarthritis, was a torn cartridge in his left
wrist, that required a surgical procedure in Jan 11, which is
documented in his medical records.
He asks the Board to consider his medical conditions and
complications and how they have negatively impacted his ability
to meet the Air Forces fitness requirements in relation to the
new abdominal circumference, and how his long term affliction of
obstructive sleep apnea has notably affected his fitness
assessment scores in previous years.
He considers his fitness assessment results an injustice since
his PCM can only grant an exception in abdominal circumference in
cases of pregnancy or abdominal surgery, neither which apply to
him.
The applicant's complete response, with attachments, is at
Exhibit D.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing
law or regulations.
2. The application was timely filed.
3. Insufficient relevant evidence has been presented to
demonstrate the existence of error or injustice. After
thoroughly reviewing the evidence of record and noting the
applicants contentions, we are not persuaded that he has been
the victim of an error or injustice. In this respect we note the
applicant was under a modified testing program which excluded
cardiovascular assessment and pushups; despite the modified
testing protocol, the applicant failed to attain passing scores.
He states that OSA and other medical conditions prevented him
from attaining a passing score. However, we find the evidence
submitted in support of his appeal is insufficient to conclude
that his medical conditions y interfered with his ability to pass
his fitness evaluations. Therefore we agree with the opinion and
recommendation of the Air Force office of primary responsibility
and adopt its rationale as the basis for our conclusion that the
applicant has not been the victim of an error or injustice.
Accordingly, we find no basis to recommend granting the relief
sought in this application.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of material error or injustice; that
the application was denied without a personal appearance; and
that the application will only be reconsidered upon the
submission of newly discovered relevant evidence not considered
with this application.
_________________________________________________________________
The following members of the Board considered Docket Number
BC-2011-02702 in Executive Session on 1 Dec 11, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 21 Jun 11, w/atchs.
Exhibit B. Letter, HQ USAF/A1PP, undated.
Exhibit C. Letter, SAF/MRBR, dated 26 Aug 11.
Exhibit D. Letter, Applicant, dated 9 Sep 11, w/atchs.
Panel Chair
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