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Cardiovascular risks in firefighters: implications for occupational health nurse practice.

Authors
Byczek-L; Walton-SM; Conrad-KM; Reichelt-PA; Samo-DG
Source
AAOHN J 2004 Feb; 52(2):66-76
NIOSHTIC No.
20039134
Abstract
Limited cardiovascular risk data are available for firefighters. This cross sectional study of data collected during annual physical examinations described the prevalence of cardiovascular risk factors among firefighters (N = 200) and examined relationships between body mass index (BMI) and other cardiovascular risk factors. Evidence based guidelines were used to determine prevalence of cardiovascular risk factors and Framingham risk scoring was used to estimate probability of coronary heart disease (CHD). Firefighters ranged in age from 22 to 64 with a mean of 41. The prevalence of obesity, elevated total cholesterol, and elevated blood pressure in firefighters exceeded Healthy People 2010 targets. In addition, their prevalence of obesity, low high density lipoprotein (HDL), high low density lipoprotein (LDL), and high total cholesterol levels was higher relative to the general population. Elevated body mass index (BMI) values had positive significant (p < or = .01) associations with elevated blood pressures, triglycerides, and glucose levels, and a negative significant (p < .05) association with lower HDL cholesterol levels. Fire department worksite health and fitness policies and programs should proactively target firefighters' cardiovascular risks. Future firefighter related intervention research will benefit from considering not only the individual determinants of cardiovascular disease, but also the ecological framework that includes the influences of workplace and external environmental factors.
Keywords
Age-groups; Humans; Men; Women; Body-weight; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Fire-fighters; Risk-factors; Hypertension; Weight-factors; Occupational-health-nursing; Occupational-health; Occupational-diseases
CODEN
AAJOEP
Publication Date
20040201
Document Type
Journal Article
Funding Type
Grant
Fiscal Year
2004
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-CCT-510424; Grant-Number-T42-OH-008672
Issue of Publication
2
ISSN
0891-0162
Source Name
AAOHN Journal - American Association of Occupational Health Nurses Journal
State
IL
Performing Organization
University of Illinois at Chicago, School of Public Health
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