Cardiovascular Disease Risk Factors in Québec Male Firefighters

Gendron, Philippe; Lajoie, Claude; Laurencelle, Louis; Trudeau, François

doi:10.1097/jom.0000000000001309

Cited by 26 publications

(21 citation statements)

References 27 publications

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“…By contrast, the overall frequency of overweight plus obese firefighters in our study was quite high (59.64%). This finding is similar to what has been described for other populations of firefighters within and outside of Brazil15 16 31 34 36 39 and surpasses the prevalence observed among the Brazilian adult man (BMI ≥25 kg/m 2 ; 57.6%) 4. There are two possible explanations for these apparently conflicting results.…”

Section: Discussionsupporting

confidence: 90%

“…The prevalence of obese firefighters (BMI ≥30 kg/m 2 ) in our study was lower (10.99%) compared with the prevalence reported in the Brazilian population of adult males (18.5%) 4. Our study also showed a lower obesity prevalence when compared with firefighter populations of the USA9 31–35 and Canada 36. On the other hand, two studies that described obesity (using BMI) among Brazilian firefighters from the Federal District showed similar frequencies of obese firefighters compared with our study 15 16.…”

Section: Discussionsupporting

confidence: 73%

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Obesity prevalence in Brazilian firefighters and the association of central obesity with personal, occupational and cardiovascular risk factors: a cross-sectional study

et al. 2020

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ObjectivesThis study aimed to investigate the obesity prevalence in a population of Brazilian firefighters and the association of central obesity (CO) with sociodemographic, occupational, life habits, fitness and health status variables.DesignCross-sectional study.SettingsThe data were collected during annual health inspections of firefighters from the Military Fire Service of the State of Espírito Santo, a state in Southeast Brazil.ParticipantsThe study encompassed 1018 active military firefighters. After exclusion criteria, 892 male firefighters were analysed.Primary and secondary outcome measuresThe collected data included: sociodemographic, occupational, lifestyle, fitness and health status variables. The associations between these factors and CO were calculated by adjusted OR through a hierarchical logistic regression model.ResultsObesity estimation by body mass index indicated that 48.65% of the firefighters were overweight and 10.99% were obese. Concerning the body fat percentage, 26.23% of the participants were considered obese, while 18.61% of the firefighters were considered centrally obese or at risk using the waist circumference measure. After adjusted OR analysis, CO was more likely associated with the age range of 50 to 59 years old (OR 2.93; 95% CI 1.05 to 8.14), low self-reported physical activity (OR 1.95; 95% CI 1.14 to 3.34), low cardiorespiratory fitness (OR 5.15; 95% CI 3.22 to 8.23), hyperglycaemia (OR 1.70; 95% CI 1.07 to 2.72) and hypertriglyceridaemia fasting status (OR 3.12; 95% CI 1.75 to 5.55).ConclusionsOur study identified an overall high prevalence of overweight and obese individuals in the examined firefighter population. Age and cardiovascular risk factors were directly associated with CO among the firefighters. Cardiovascular risk factors should be routinely inspected within the Brazilian firefighters’ corporations in order to improve the health condition and wellness of these workers. These endeavours will improve the performance of the services provided to the population.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 73%

Obesity prevalence in Brazilian firefighters and the association of central obesity with personal, occupational and cardiovascular risk factors: a cross-sectional study

et al. 2020

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“…In female firefighters, age was a significant predictor of BMI and WC, and age, BMI and WC were significant predictors of DBP. Philippe Gendron et al (2018a) reported that, in male firefighters, BMI was significantly different between the group that presented with no CAD risk factors compared to the group with one or more risk factors. Choi et al (2016c) reported that in both male and female firefighters, age was significantly correlated with BMI and WC in firefighters.…”

Section: Discussionmentioning

confidence: 99%

Predicting coronary artery disease risk in firefighters – a cross-sectional study

Ras

Leach

2021

F1000Res

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Background: Firefighters are placed under severe cardiovascular load in performing active duty and, when carrying various coronary artery disease (CAD) risk factors, firefighters are predisposed to significant morbidity and mortality. Reducing the incidence of these risk factors is paramount. The purpose of this study is to determine the predictors of CAD risk. Methods: This study used a quantitative, cross-sectional and correlational design. The researchers conveniently sampled 124 full-time firefighters from the City of Cape Town Fire and Rescue Service. A researcher-generated questionnaire was used to collect sociodemographic and CAD risk factors information, such as age, gender, ethnicity, family history of CAD, cigarette smoking and physical activity levels, and all research procedures were conducted according to the American College of Sports Medicine guidelines. Data collection took place between September and November 2019. Linear and logistic regression were used to determine the relationship between the various CAD risk factors and the predictors of CAD risk. Results: Age was a significant predictor of hypertension (p <0.01), dyslipidemia (p <0.01), diabetes (p <0.01), obesity (p <0.01) and central obesity (p <0.01). Gender was a significant predictor of obesity, central obesity and cigarette smoking (p <0.05). Waist circumference was a significant predictor of hypertension (p <0.01), dyslipidemia (p <0.01) and diabetes (p <0.05). Conclusion: Age was a significant predictor of various modifiable CAD risk factors, including obesity, in both genders and all ethnicities. Attentive monitoring should be in place as firefighters age, along with behavioural modifications designed to reduce age-related increases in CAD risk factors.

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“…Previously, Liao et al [25] explored the correlation between firefighter injury frequency and duration, demographics, personality and economics, and they found that female firefighters reported 33% more injuries than their male counterparts. According to the 2013 ACSM guidelines, studies of Gendron et al [26,27] showed that 11% of female and 34.5% of male firefighters were categorized as having moderate cardiovascular disease (CVD) risk, while 65% of female and 43.6% of male as high CVD risk.…”

Section: Introductionmentioning

confidence: 99%

Are there sex differences in physiological parameters and reaction time responses to overload in firefighters?

Perroni

Cardinali

Cignitti³

et al. 2021

PLoS ONE

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Male and female firefighters work side-by-side in the same in strenuous and risky conditions. Anthropometrics, physiological, and reaction time (mean of reaction time -MRT-, and errors made -E) parameters of 12 Female and 13 Male firefighters were compared. Effect of overload (step test with and without equipment) on the MRT and E were analyzed on 3 trials (T1 = 1-1s, T2 = 0.5-1s, T3 = 0.5–0.5s), compared with a pre-test condition (basal). T-test between males and females was applied to assess differences (p<0.05) in all parameters. ANOVA with repeated measures and Bonferroni on 3 conditions of step test between males and females was applied in reaction time variables. Between MRT and E, in T1, T2 and T3 trials and the 3 test conditions, ANCOVA models with interactions were used. Differences (p<0.05) in anthropometric, physiological and reaction time data emerged across groups, and on the 3rd trials (T3 vs T1 and T2) in reaction time parameters of each group. ANCOVA showed differences (p<0.001) in E among trials. Post hoc showed significant differences in T1vsT3 and T1vsT2. MRT x trial interaction was extremely significant (P<0.001). Implementing fitness and reaction time exercise programs is important to decrease the injury risk and increase work capacity in firefighters with reference to female workers.

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Cardiovascular Disease Risk Factors in Québec Male Firefighters

Abstract: A high proportion of Québec firefighters are at moderate to high risk of CVD. These findings suggest that Québec fire departments should help all firefighters to adopt and maintain a healthy lifestyle.

Cited by 26 publications

References 27 publications

Obesity prevalence in Brazilian firefighters and the association of central obesity with personal, occupational and cardiovascular risk factors: a cross-sectional study

Obesity prevalence in Brazilian firefighters and the association of central obesity with personal, occupational and cardiovascular risk factors: a cross-sectional study

Predicting coronary artery disease risk in firefighters – a cross-sectional study

Are there sex differences in physiological parameters and reaction time responses to overload in firefighters?

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