RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2012-02768 COUNSEL: NONE HEARING DESIRED: NO ________________________________________________________________ APPLICANT REQUESTS THAT: Her 25 Apr 2012 “Unsatisfactory” Fitness Assessment (FA) score, be removed from the Air Force Fitness Management System (AFFMS). ________________________________________________________________ APPLICANT CONTENDS THAT: According to AFI 36-2905, Air Force Fitness Program, Table A13.1, persons on thyroid replacement medication are to be exempt from the walk or run components of the FA until cleared by their Primary Care Manager (PCM) as these medications can affect the outcome of the test. The AF Form 469, Duty Limiting Conditions Report, was not completed by her PCM when the medicine was prescribed. Her dosage was still being adjusted and had been doubled two weeks prior to the FA. Heartbeat is a key component of the one mile walk test and her medication caused an abnormally high heart rate. The applicant's complete submission, with attachments, is at Exhibit A. ________________________________________________________________ STATEMENT OF FACTS: According to the applicant’s SF 600, Chronological Record of Medical Care, dated 7 Aug 2012, she had gradual weight gain over the last year or so aggravated by Hypothyroidism. ________________________________________________________________ THE AIR FORCE EVALUATION: AFPC/DPSIM recommends denial. DPSIM states the applicant does have an AF Form 422, Notification of Air Force Member's Qualification Status, exempting her from all components of the FA in question, except the abdominal circumference (AC). DPSIM therefore recommends the cardio, push-up, and sit-up components of the FA dated 25 Apr 2012 be updated to reflect "exempt" in the AFFMS. Because she failed to meet the minimum AC measurement, exemption of the aforementioned components will still result in an overall composite score of 72.50 (Unsatisfactory). The complete DPSIM evaluation, with attachment, is at Exhibit C. ________________________________________________________________ APPLICANT'S REVIEW OF THE AIR FORCE EVALUATION: To discount all components of the test except the AC would be unjust. The flight medical officer clearly states the cardio component was affected by the medication and a causal relationship between her medical condition and AC was inferred. Because people gain weight by different distributions throughout the body, a quantitative statement saying the medical condition resulted in a gain of a specific amount of inches around the waist cannot be made. Exercise physiologists say spot reduction is not possible through specific exercise, so to lower one’s AC, one must lose weight. This logic also concludes a medical condition causing weight gain would cause an increase in AC. Her heart rate was abnormally high due to the increased dosage of Synthroid. The increased heart rate caused her to fail the FA. She should have never taken the walk test while her dosage was still being adjusted and the FA should be invalidated based on the solid medical evidence presented. She should not be penalized with a failure on her record for extenuating circumstances that were beyond her control. Invalidating only portions of the test is unfair. The increased dosage of Synthroid caused tachycardia which in turn caused her to fail the FA in question. Her 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. Sufficient relevant evidence has been presented to demonstrate the existence of an error or injustice warranting partial relief. After thoroughly reviewing the evidence of record and noting the applicant’s contentions and response to the Air Force advisory we agree with the Air Force office of primary responsibility (OPR) and recommend the cardio, sit-up and push-up components of the FA dated 25 Apr 2012, be updated to reflect exempt in the AFFMS. While we note the applicant requests the entire FA dated 25 Apr 2012, be removed, the AF Form 422 reflected that she was cleared to test using AC and she has not provided substantial evidence to persuade us otherwise. Therefore, we find no basis to remove the entire FA. In view of the above, we recommend her records be corrected to the extent indicated below. ________________________________________________________________ THE BOARD RECOMMENDS THAT: The pertinent military records of the Department of the Air Force relating to APPLICANT, be corrected to show that the cardio, sit-up and push-up components of her FA dated 25 Apr 2012 reflect “exempt” in the AFFMS. _______________________________________________________________ The following members of the Board considered this application in Executive Session on 19 Mar 2013, under the provisions of AFI 36-2603: Panel Chair Member Member All members voted to correct the record as recommended. The following documentary evidence was considered in AFBCMR BC-2012- 02768: Exhibit A. DD Form 149, dated 2 May 2012, w/atchs. Exhibit B. Letter, AFPC/DPSIM, dated 12 Jul 2012, w/atch. Exhibit C. Letter, SAF/MRBR, dated 26 Jul 2012. Exhibit D. Letter, Applicant, dated 24 Aug 2012, w/atchs.