Dietary Intake Among Members of a Volunteer Fire Department Compared With US Daily Dietary Recommendations

Kadiwar, Payal; Shah, Nimit N.; Black, Taylor M; Caban‐Martinez, Alberto J.; Steinberg, Michael B.; Black, Kathleen; Sackey, Joachim; Graber, Judith M.

doi:10.1097/jom.0000000000002102

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…Epidemiological studies observed that firefighters have a high consumption of red meat and fast food [74,75]. Similarly, fat, cholesterol, protein, sugar, and sodium were overconsumed, whereas fruits, vegetables, grains, and dietary fibers were below recommended levels [61,76]. Evidence from surveys shows that the Mediterranean diet could be the most appealing healthy diet option accepted by many firefighters [58], and is consistent with revised US government dietary guidelines [58].…”

Section: Nutritionmentioning

confidence: 77%

Cancer and Potential Prevention with Lifestyle among Career Firefighters: A Narrative Review

Sidossis

Lan

Hershey

et al. 2023

Cancers

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Career firefighters are at considerable risk for chronic diseases, including an increased risk of various cancers, compared to the general population. Over the last two decades, several systematic reviews and large cohort studies have demonstrated that firefighters have statistically significant increases in overall and site-specific cancer incidence and site-specific cancer mortality compared to the general population. Exposure assessment and other studies have documented exposures to a variety of carcinogens in fire smoke and within the fire station. Other occupational factors such as shift work, sedentary behavior, and the fire service food culture may also contribute to this working population’s increased cancer risk. Furthermore, obesity and other lifestyle behaviors such as tobacco use, excessive alcohol consumption, poor diet, inadequate physical activity, and short sleep duration have also been associated with an increased risk of certain firefighting-associated cancers. Putative prevention strategies are proposed based on suspected occupational and lifestyle risk factors.

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Section: Nutritionmentioning

confidence: 77%

Cancer and Potential Prevention with Lifestyle among Career Firefighters: A Narrative Review

Sidossis

Lan

Hershey

et al. 2023

Cancers

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“…Evidence from the literature indicates that SFFs have a high consumption of red meat and fast food contributing to the insufficiency of consumed calories relative to the energy expenditure needed for firefighting [ 6 , 23 ]. SFFs, during their shift, have been observed to over consume fat, cholesterol, protein, sugar, and sodium, and under consume fruits, vegetables, whole grains, and dietary fiber than is recommended [ 24 , 31 ]. More recent studies also indicated that SFFs consume inadequate amounts of linolenic fatty acids, fiber, potassium, magnesium, zinc, and vitamins D, E, and K with vitamin D, magnesium, and potassium having the greatest shortcomings [ 26 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

Dietary Behavior and Diet Interventions among Structural Firefighters: A Narrative Review

et al. 2022

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Structural firefighters (SFFs) are exposed to multiple occupational hazards that affect dietary behavior and can contribute to increased risks of cancer and cardiovascular disease compared to the United States’ general population. Dietary behavior is a feasible modification for positive health outcomes. The objectives of this narrative review are to summarize the diet behavior of SFFs, review findings of diet interventions that positively modify diet behavior, identify research gaps, and suggest recommendations for addressing those gaps. PubMed, MEDLINE, Scopus, and CABI Web of Science were searched between February 2020 and June 2022 for peer-reviewed articles. The inclusion criteria were as follows: (1) study population must include SFFs; (2) investigate diet or diet intervention among SFFs; (3) report results specific to SFFs; and (4) be published in the English language. Thirty-four studies were included. Results indicate that SFFs recognize the importance of a healthy dietary pattern, but do not follow one, and that food choices are often influenced by colleagues. Diet interventions, such as the Mediterranean diet, were observed to have positive health improvements, such as improved lipid levels and lower CVD risk. Team counseling was found to be more effective for adopting healthier diets compared to one-on-one counseling; and general counseling was more effective than no counseling. A gap identified by this review is the lack of information concerning differences in dietary intake, diet quality, and dietary behaviors while on- and off-shift, and throughout the career. Diet is an important risk factor for occupational disease development; therefore, effective, consistent dietary interventions are necessary.

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“…The survey was conducted online using REDCap, a secure survey management system 14 . The survey questions were adapted from the Fire Fighter Cancer Cohort Study (FFCCS) enrollment survey, 15 with modifications specific to volunteer firefighters 16–18 . The study was approved by the University of Arizona Institutional Review Board.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and predictors of colon and prostate cancer screening among volunteer firefighters: The United States Firefighter Cancer Assessment and Prevention Study

Shah,

Steinberg,

Calkins

et al. 2024

American J Industrial Med

Self Cite

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BackgroundAlthough firefighters have increased risk for colon and prostate cancer, limited information exists on screening practices for these cancers in volunteer firefighters who compose two‐thirds of the US fire service. We estimated the prevalence of colon and prostate cancer screening among volunteer firefighters using eligibility criteria from 4 evidence‐based screening recommendations and evaluated factors influencing screening.MethodsWe evaluated colon (n = 569) and prostate (n = 498) cancer screening prevalence in a sample of US volunteer firefighters using eligibility criteria from the US Preventive Services Taskforce (USPSTF), National Fire Protection Association, American Cancer Society, and National Comprehensive Cancer Network. We assessed associations with fire service experience, demographics, and cancer risk perception based on USPSTF guidelines.ResultsFor those eligible based on USPSTF guidelines, colon and prostate cancer screening prevalence was 51.7% (95% CI: 45.7, 57.8) and 48.8% (95% CI: 40.0, 57.6), respectively. Higher odds of colon and prostate cancer screening were observed with older age and with some college education compared to those with less education. Fire service experience and cancer risk perception were not associated with screening practices.ConclusionThis is the first large study to assess colon and prostate cancer screening among US volunteer firefighters based on different screening guidelines. Our findings suggest gaps in cancer prevention efforts in the US volunteer fire service. Promoting cancer screening education and opportunities for volunteer firefighters by their fire departments, healthcare professionals, and public health practitioners, may help to address the gaps.

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Dietary Intake Among Members of a Volunteer Fire Department Compared With US Daily Dietary Recommendations

Cited by 8 publications

References 23 publications

Cancer and Potential Prevention with Lifestyle among Career Firefighters: A Narrative Review

Cancer and Potential Prevention with Lifestyle among Career Firefighters: A Narrative Review

Dietary Behavior and Diet Interventions among Structural Firefighters: A Narrative Review

Prevalence and predictors of colon and prostate cancer screening among volunteer firefighters: The United States Firefighter Cancer Assessment and Prevention Study

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