Sex Differences in the Metabolic Cost of a Military Load Carriage Task: A Field Based Study.

Occupational demands, such as load carriage in tactical professions, do not discriminate based on sex. The aim of this study was to explore the differences in metabolic cost of a loaded pack march between the sexes in both absolute and relative terms. Twelve Army personnel (six males and six females) volunteered to complete three identical load carriage marches (5 km at 5.5 km/h, carrying 30 kg), across flat (on road) and undulating (gravelled path) terrain as part of a larger equipment trial. Heart rate (HR) response (HR average and maximum) was monitored with a Polar Team Pro unit and oxygen consumption with VO Master Pro (VO2 average and maximum) with the level of significance set at 0.05. There were no significant differences in age, years of experience, absolute loads carried, or completion time for each of the three events. Male soldiers were significantly taller (182.3 ± 6.2 cm vs. 167.4 ± 6.9 cm), heavier (88.2 ± 8.7 kg vs. 70.9 ± 10.6 kg), carried significantly less relative load (34.3 ± 3.4% vs. 43.2 ± 7.5%), and had significantly greater predicted VO2max (56.7 ± 6.1 mL/kg/min vs. 45.0 ± 2.9 mL/kg/min). A linear mixed model identified a significant main effect of sex on both average HR (β = -1.10) and peak HR (β = -1.27), and on average VO2 (β = -0.68), but not peak VO2. While the study was not powered to detect sex differences, the large effect sizes observed suggest meaningful physiological differences warranting further investigation. Female soldiers faced significantly greater metabolic costs when carrying the same loads and moving at the same speed and across the same terrain as their male counterparts. Adequate recovery and pacing strategies should be considered for these events, especially during training.