Denise L Smith1, Elliot Graham, Donald Stewart, Kevin C Mathias. 1. Health and Human Physiological Sciences Department, Skidmore College, Saratoga Springs, New York (Dr Smith, Graham, Dr Mathias); Illinois Fire Service Institute, University of Illinois at Urbana-Champaign, Champaign, Illinios (Dr Smith); Public Safety Occupational Health Center, 12099 Government Center Parkway, Fairfax, Virgina (Dr Stewart).
Abstract
OBJECTIVE: To examine changes in measures of cardiovascular health in male and female firefighters over 5 years. METHODS: Anthropometrics and biomarkers of cardiovascular health from two occupational medical exams separated by 5 years (2009 to 2016) were examined from a cohort of US career firefighters in Virginia (males, n = 603; females, n = 69). Changes over time were tested using paired t-tests and McNemar's tests. RESULTS: At baseline, 29% of males and 10% of females were obese. Body weight and body mass index significantly increased (P < 0.05) in males (2.5 ± 0.2 kg) (0.8 ± 0.1 kg·m) and females (2.5 ± 0.8 kg) (1.0 ± 0.3 kg·m) over the 5-year period. The prevalence of obesity, hypercholesterolemia, hypertensive medication usage, and high blood glucose significantly increased in males over the 5-year period. CONCLUSIONS: While improvements in blood pressure were observed, large percentages of firefighters, particularly males, had cardiovascular disease risk factors that increased over time.
OBJECTIVE: To examine changes in measures of cardiovascular health in male and female firefighters over 5 years. METHODS: Anthropometrics and biomarkers of cardiovascular health from two occupational medical exams separated by 5 years (2009 to 2016) were examined from a cohort of US career firefighters in Virginia (males, n = 603; females, n = 69). Changes over time were tested using paired t-tests and McNemar's tests. RESULTS: At baseline, 29% of males and 10% of females were obese. Body weight and body mass index significantly increased (P < 0.05) in males (2.5 ± 0.2 kg) (0.8 ± 0.1 kg·m) and females (2.5 ± 0.8 kg) (1.0 ± 0.3 kg·m) over the 5-year period. The prevalence of obesity, hypercholesterolemia, hypertensive medication usage, and high blood glucose significantly increased in males over the 5-year period. CONCLUSIONS: While improvements in blood pressure were observed, large percentages of firefighters, particularly males, had cardiovascular disease risk factors that increased over time.
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