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Firefighter diet

Mercedes Sotos-Prieto, Sean B Cash, Costas A Christophi, Sara Folta, Steven Moffatt, Carolyn Muegge, Maria Korre, Dariush Mozaffarian, Stefanos N Kales
Among US firefighters, cardiovascular disease is the leading cause of on-duty death. Poor diet contributes to this burden, but effective strategies to encourage healthy eating in the fire service are not established. "Feeding America's Bravest" motivates firefighters and their families to modify their food culture and reduce cardiometabolic risk profiles by adopting Mediterranean diet principles. Feeding America's Bravest is a cluster-randomized, controlled trial within the 44 stations of the Indianapolis Fire Department, including about 1000 firefighters...
October 2017: Contemporary Clinical Trials
Emily K Bonnell, Catherine E Huggins, Chris T Huggins, Tracy A McCaffrey, Claire Palermo, Maxine P Bonham
Shift work is associated with diet-related chronic conditions such as obesity and cardiovascular disease. This study aimed to explore factors influencing food choice and dietary intake in shift workers. A fixed mixed method study design was undertaken on a convenience sample of firefighters who continually work a rotating roster. Six focus groups (n = 41) were conducted to establish factors affecting dietary intake whilst at work. Dietary intake was assessed using repeated 24 h dietary recalls (n = 19). Interviews were audio recorded, transcribed verbatim, and interpreted using thematic analysis...
February 26, 2017: Nutrients
Justin Yang, Andrea Farioli, Maria Korre, Stefanos N Kales
BACKGROUND: Considerable cardiovascular disease and cancer risk among firefighters are attributable to excess adiposity. Robust evidence confirms strong relationships between dietary patterns and the risk of chronic disease. Dietary modification is more likely to be effective when the strategy is appealing and addresses knowledge gaps. OBJECTIVE: To assess career firefighters' diet practices and information needs, compare the relative appeal of proposed diet plans, and examine how these vary in association with body composition...
July 2015: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
Austin L Brown, Walker S C Poston, Sara A Jahnke, C Keith Haddock, Sheng Luo, George L Delclos, R Sue Day
INTRODUCTION: The high prevalence of overweight and obesity threatens the health and safety of the fire service. Healthcare professionals may play an important role in helping firefighters achieve a healthy weight by providing weight loss counseling to at-risk firefighters. This study characterizes the impact of healthcare professional weight loss advice on firefighter weight perceptions and weight loss behaviors among overweight and obese male firefighters. METHODS: A national sample of 763 overweight and obese male firefighters who recalled visiting a healthcare provider in the past 12 months reported information regarding healthcare visits, weight perceptions, current weight loss behaviors, and other covariates in 2011-2012...
October 2015: American Journal of Preventive Medicine
Sara A Jahnke, Melissa L Hyder, Christopher K Haddock, Nattinee Jitnarin, R Sue Day, Walker S Carlos Poston
Obesity and fitness have been identified as key health concerns among USA firefighters yet little is known about the current habits related to exercise and diet. In particular, high-intensity training (HIT) has gained increasing popularity among this population but limited quantitative data are available about how often it is used and the relationship between HIT and other outcomes. Using survey methodology, the current study evaluated self-reported HIT and diet practice among 625 male firefighters. Almost one-third (32...
March 2015: Safety and Health At Work
Liam Boyd, Todd Rogers, David Docherty, Stewart Petersen
The Canadian Forces Firefighter Physical Fitness Maintenance Evaluation (FF PFME) requires firefighters in full fire-protective ensemble, including self-contained breathing apparatus, to correctly complete 10 work-related tasks on a measured and calibrated course. Fitness for duty is inferred from completion time of the course. We hypothesized that completion time may be dependent on pacing strategy and day-to-day fluctuations in biological function. To examine variability in performance, 20 females and 31 males (mean ± SD; age, 27...
April 2015: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
Joel S Karliner
No abstract text is available yet for this article.
June 10, 2014: Circulation
Justin Yang, Andrea Farioli, Maria Korre, Stefanos N Kales
INTRODUCTION: Greater adherence to a Mediterranean diet is linked to lower risk for cardiovascular morbidity/mortality in studies of Mediterranean cohorts, older subjects, and/or those with existing health conditions. No studies have examined the effects of this dietary pattern in younger working populations in the United States. We investigated the effects of Mediterranean diet adherence on cardiovascular disease (CVD) biomarkers, metabolic syndrome and body composition in an occupationally active, non-Mediterranean cohort...
2014: PloS One
Adrienne C Eastlake, Brad S Knipper, Xinjian He, Barbara M Alexander, Kermit G Davis
BACKGROUND: In the United States, over 50% of the deaths of on-duty firefighters are classified as sudden cardiac deaths. A holistic view of the multiple risk factors and their relation to the prevalence of cardiovascular disease (CVD) is necessary to determine a baseline for prevention. METHODS: This study surveyed 154 firefighters in a large Midwestern county about their individual exposure to particulates, noise, heat stress, skin contamination, and physical stress; lifestyle factors such as exercise, diet, smoking, and alcohol consumption; health status; and demographic factors...
January 1, 2015: Work: a Journal of Prevention, Assessment, and Rehabilitation
K S Kuehl, D L Elliot, L Goldberg, E L Moe, E Perrier, J Smith
BACKGROUND: Work-related injuries and illness are prevalent and costly. Firefighting is especially hazardous and many firefighters sustain work-related injuries. Workplace health promotion programmes have shown positive return on investment (ROI). Little is known about how similar programmes would impact injury and cost among firefighters. AIMS: To evaluate the impact of a workplace health promotion intervention on workers' compensation (WC) claims and medical costs among Oregon fire departments participating in the PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) health promotion programme compared with Oregon fire departments not participating in PHLAME...
April 2013: Occupational Medicine
Walker S C Poston, Nattinee Jitnarin, C Keith Haddock, Sara A Jahnke, Brianne C Tuley
OBJECTIVE: To document weight changes in a population-based cohort of male career firefighters and evaluate the impact of health surveillance on subsequent participant behavior and body composition. METHODS: Body mass index, waist circumference, and body fat percentage were assessed longitudinally in 311 male firefighters. RESULTS: Firefighters who reported making no changes after the baseline assessment (42.1%) experienced a 0.64 ± 3.1 kg average weight gain, whereas firefighters who reported making one or more health behavior change (ie, changing their diet, increasing their physical activity, or both; 52...
August 2012: Journal of Occupational and Environmental Medicine
Angela G Pirlott, Yasemin Kisbu-Sakarya, Carol A Defrancesco, Diane L Elliot, David P Mackinnon
BACKGROUND: Counselor behaviors that mediate the efficacy of motivational interviewing (MI) are not well understood, especially when applied to health behavior promotion. We hypothesized that client change talk mediates the relationship between counselor variables and subsequent client behavior change. METHODS: Purposeful sampling identified individuals from a prospective randomized worksite trial using an MI intervention to promote firefighters' healthy diet and regular exercise that increased dietary intake of fruits and vegetables (n = 21) or did not increase intake of fruits and vegetables (n = 22)...
2012: International Journal of Behavioral Nutrition and Physical Activity
Krista W Ranby, David P MacKinnon, Amanda J Fairchild, Diane L Elliot, Kerry S Kuehl, Linn Goldberg
This paper examines the mechanisms by which PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects), a health promotion intervention, improved healthy eating and exercise behavior among firefighters, a population at high risk for health problems due to occupational hazards. In a randomized trial, 397 firefighters participated in either the PHLAME team intervention with their work shift or a control condition. Intervention sessions taught benefits of a healthy diet and regular exercise, and sought to improve social norms and social support from coworkers for healthy behavior...
October 2011: Journal of Occupational Health Psychology
Elpidoforos S Soteriades, Denise L Smith, Antonios J Tsismenakis, Dorothee M Baur, Stefanos N Kales
Cardiovascular disease (CVD) is the leading cause of on-duty death among firefighters (45% of on-duty fatalities) and a major cause of morbidity. CVD in the fire service also has adverse public safety implications as well as significant cost impacts on government agencies. Over the last decade, our understanding of CVD among firefighters has significantly improved and provides insight into potential preventive strategies. The physiology of cardiovascular arousal and other changes that occur in association with acute firefighting activities have been well-characterized...
July 2011: Cardiology in Review
Mary G Carey, Salah S Al-Zaiti, Limei M Liao, Heather N Martin, Rachael A Butler
BACKGROUND: The risk for cardiovascular events is higher for those with metabolic syndrome (MetS), and it is known that firefighters have a 4-fold risk for cardiovascular events. The purpose of this study was to quantify MetS prevalence and evaluate the effect of a low-glycemic nutritional fitness program on the reduction of MetS risk factors among firefighters. METHODS: Professional firefighters were screened for MetS then enrolled in a low-glycemic nutritional fitness program for a 12-week period...
July 2011: Journal of Cardiovascular Nursing
Scott J Montain, Carol J Baker-Fulco, Philip J Niro, Andrew R Reinert, John S Cuddy, Brent C Ruby
UNLABELLED: Repeated carbohydrate feedings and caffeine have been shown to increase self-paced physical activity. Whether a field ration pack that promotes snacking of these items would enhance physical activity remains unclear. PURPOSE: Evaluate the effectiveness of a ration pack consisting of eat-on-move items to promote snacking, as well as caffeine items, as a nutritional strategy to improve performance. METHODS: Twenty-eight wildland firefighters consumed both an eat-on-move ration (first strike ration (FSR): 13...
November 2008: Medicine and Science in Sports and Exercise
Diane L Elliot, Linn Goldberg, Kerry S Kuehl, Esther L Moe, Rosemary K R Breger, Michael A Pickering
OBJECTIVE: PHLAME's (Promoting Healthy Lifestyles: Alternative Models' Effects) objective was to assess and compare two means to promote healthy lifestyles. METHODS: Prospective trial among 599 firefighters randomized by station to 1) team-centered curriculum, 2) one-on-one motivational interviewing (MI), and 3) controls. Assessment included dietary behavior, physical activity, weight, and general well-being at baseline and 12 months. Program effects were determined using an analysis of covariance (ANCOVA) based approach, and models for relationships were evaluated with path analysis...
February 2007: Journal of Occupational and Environmental Medicine
Diane L Elliot, Linn Goldberg, Terry E Duncan, Kerry S Kuehl, Esther L Moe, Rosemary K R Breger, Carol L DeFrancesco, Denise B Ernst, Victor J Stevens
OBJECTIVE: To assess efficacy of 2 worksite health promotion interventions. METHODS: Randomly assign 3 fire stations to (a) team-based curriculum, (b) individual counselor meetings, and (c) control. RESULTS: Both interventions were feasible and acceptable, and they resulted in significant reductions in LDL cholesterol. The team approach significantly increased coworker cohesion, personal exercise habits, and coworkers' healthy behaviors. The one-on-one strategy significantly increased dietary self-monitoring, decreased fat intake, and reduced depressed feelings...
January 2004: American Journal of Health Behavior
C Winick, D Q Rothacker, R L Norman
The objective was to evaluate the efficacy of worksite weight reduction programs at high-stress worksites. We employed a longitudinal study based on two meal replacements daily with subjects choosing a third 'sensible' meal. The subjects were 492 healthy, overweight men and women working in high-stress occupations (police, hospital health professionals, flight crew members, firefighters). The mean group ages ranged from 32.17 +/- 5.70 to 44.50 +/- 16.40 years; the mean group body mass indexes (BMIs) ranged from 27...
February 2002: Occupational Medicine
C J Glueck, W Kelley, A Gupta, R N Fontaine, P Wang, P S Gartside
Our specific aim in a 10-year prospective study of 772 Cincinnati firemen (predominantly aged 26 to 46 years) was to determine the prevalence, attributes, and etiology of persistent hypobetalipoproteinemia, defined by entry low-density lipoprotein cholesterol (LDLC) less than 75 mg/dL. A second specific aim was to cross-sectionally assess hypocholesterolemia (defined by total serum cholesterol [TC] < 130 mg/dL) in 1,314 white and 165 black men aged 26 to 46 years in the National Health and Nutrition Examination Survey (NHANES I)...
June 1997: Metabolism: Clinical and Experimental
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