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Firefighter metabolic syndrome

Markus Strauß, Peter Foshag, Bianca Przybylek, Marc Horlitz, Alejandro Lucia, Fabian Sanchis-Gomar, Roman Leischik
BACKGROUND: The treatment and prevention of the metabolic syndrome (MetS) is currently one of the major challenges in medicine. The impact of working conditions on metabolic risk has not been adequately studied. Our objective was to compare the prevalence of MetS and metabolic risk in two extremely different occupational groups: firefighters and office workers. METHODS: A total of 143 male subjects (97 firefighters and 46 office workers) from Germany participated in the study...
2016: Diabetology & Metabolic Syndrome
Roman Leischik, Peter Foshag, Markus Strauß, Henning Littwitz, Pankaj Garg, Birgit Dworrak, Marc Horlitz
BACKGROUND: This study examined the association between the physical work environment and physiological performance measures, physical activity levels and metabolic parameters among German civil servants. A main focus in this study was to examine the group differences rather than measuring the absolute values in an occupational group. METHODS: We prospectively examined 198 male German civil servants (97 firefighters [FFs], 55 police officers [POs] and 46 sedentary clerks [SCs])...
2015: PloS One
Agata Bronisz, Magdalena Spychalska, Małgorzata Szafrańska
Lactic acidosis is a form of metabolic acidosis with a high anion gap, reduced rate of arterial blood pH under 7.35 mmol/l, and lactic acid concentration over 7 mmol/l. In the literature we can find some descriptions of the cases of lactic acidosis in patients with severe systemic diseases (cancer, acquired immunodeficiency syndrome, sepsis, diabetes with cardiovascular disease and after organ transplantations). We present the case of lactic acidosis in a patient with no chronic disease--a firefighter in whom lactic acidosis has developed during standard exercises in the smoke chamber...
April 2014: International Journal of Occupational Medicine and Environmental Health
Jun Tsukiji, Soo Jung Cho, Ghislaine C Echevarria, Sophia Kwon, Phillip Joseph, Edward J Schenck, Bushra Naveed, David J Prezant, William N Rom, Ann Marie Schmidt, Michael D Weiden, Anna Nolan
RATIONALE: Metabolic syndrome, inflammatory and vascular injury markers measured in serum after World Trade Center (WTC) exposures predict abnormal FEV1. We hypothesized that elevated LPA levels predict FEV₁ < LLN. METHODS: Nested case-control study of WTC-exposed firefighters. Cases had FEV₁ < LLN. Controls derived from the baseline cohort. Demographics, pulmonary function, serum lipids, LPA and ApoA1 were measured. RESULTS: LPA and ApoA1 levels were higher in cases than controls and predictive of case status...
March 2014: Biomarkers: Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals
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
Michael D Weiden, Bushra Naveed, Sophia Kwon, Soo Jung Cho, Ashley L Comfort, David J Prezant, William N Rom, Anna Nolan
Pulmonary vascular loss is an early feature of chronic obstructive pulmonary disease. Biomarkers of inflammation and of metabolic syndrome predict loss of lung function in World Trade Center (WTC) lung injury (LI). We investigated if other cardiovascular disease (CVD) biomarkers also predicted WTC-LI. This nested case-cohort study used 801 never-smoker, WTC-exposed firefighters with normal pre-9/11 lung function presenting for subspecialty pulmonary evaluation (SPE) before March 2008. A representative subcohort of 124 out of 801 subjects with serum drawn within 6 months of 9/11 defined CVD biomarker distribution...
May 2013: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
D M Baur, A Leiba, C A Christophi, S N Kales
BACKGROUND: Low cardiorespiratory fitness (CRF) has been repeatedly linked to cardiovascular morbidity and mortality, while higher CRF levels are protective. This relationship is likely to be highly relevant in firefighters, who have increased risk of cardiovascular disease (CVD) mortality during strenuous emergencies, which can require prolonged periods of near-maximal heart rates (HR) and high workloads. Abnormalities during maximal stress testing could mark future CVD risk during strenuous duties...
October 2012: Occupational Medicine
Dorothee M Baur, Costas A Christophi, Antonios J Tsismenakis, Sara A Jahnke, Stefanos N Kales
BACKGROUND: The prevalence of obesity has reached epidemic proportions worldwide, and is also increasing among public safety professionals like firefighters who are expected to be fit and more active. The present study evaluates the associations among Body Mass Index (BMI), weight perception and cardiovascular risk factors in 768 male career firefighters from two Midwestern states in the United States. METHODS: A physical examination was performed and fasting blood samples were taken...
2012: BMC Public Health
Fernando Holguin
No abstract text is available yet for this article.
February 15, 2012: American Journal of Respiratory and Critical Care Medicine
Bushra Naveed, Michael D Weiden, Sophia Kwon, Edward J Gracely, Ashley L Comfort, Natalia Ferrier, Kusali J Kasturiarachchi, Hillel W Cohen, Thomas K Aldrich, William N Rom, Kerry Kelly, David J Prezant, Anna Nolan
RATIONALE: Cross-sectional studies demonstrate an association between metabolic syndrome and impaired lung function. OBJECTIVES: To define if metabolic syndrome biomarkers are risk factors for loss of lung function after irritant exposure. METHODS: A nested case-control study of Fire Department of New York personnel with normal pre-September 11th FEV(1) and who presented for subspecialty pulmonary evaluation before March 10, 2008. We correlated metabolic syndrome biomarkers obtained within 6 months of World Trade Center dust exposure with subsequent FEV(1)...
February 15, 2012: American Journal of Respiratory and Critical Care Medicine
Dorothee M Baur, Costas A Christophi, Stefanos N Kales
Cardiovascular disease (CVD) accounts for 45% of on-duty fatalities among firefighters, occurring primarily in firefighters with excess CVD risk factors in patterns resembling the metabolic syndrome (MetSyn). Additionally, firefighters have a high prevalence of obesity and sedentary behavior suggesting that MetSyn is also common. Therefore, we assessed the prevalence of MetSyn in firefighters and its association with cardiorespiratory fitness (CRF) in a cross-sectional study of 957 male career firefighters...
September 2012: Journal of Strength and Conditioning Research
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
Ryan Donovan, Tracy Nelson, Jennifer Peel, Tiffany Lipsey, Wyatt Voyles, Richard Gay Israel
BACKGROUND: The leading cause of mortality in on-duty firefighters is sudden cardiac death. While the reason for this remains unclear, low cardiorespiratory fitness and the metabolic syndrome have been associated with increased risk of cardiovascular disease-related events. AIMS: To document the levels of cardiorespiratory fitness and the metabolic syndrome, as well as to determine if there is a relationship between these variables, in firefighters. METHODS: Maximal cardiorespiratory fitness was assessed using the Bruce treadmill protocol in 214 male firefighters from Colorado...
October 2009: Occupational Medicine
Lawrence M Title, Evan Lonn, Francois Charbonneau, Marinda Fung, Kieren J Mather, Subodh Verma, Todd J Anderson
Metabolic syndrome (MetSyn) may predispose to cardiovascular disease (CVD) by causing vascular dysfunction. This study aimed to determine the association of MetSyn with vascular function, as assessed by brachial artery flow-mediated dilatation (FMD) and hyperemic shear stress (HSS). A total of 1,417 male firefighters without established diabetes and CVD were classified for MetSyn, according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP) definition. MetSyn was present in 267 individuals (19%)...
November 2008: Vascular Medicine
Stefanos N Kales, Antonios J Tsismenakis, Chunbai Zhang, Elpidoforos S Soteriades
Elevated blood pressure is a major risk factor for cardiovascular morbidity and mortality. Increased risk begins in the prehypertensive range and increases further with higher pressures. The strenuous duties of emergency responders (firefighters, police officers, and emergency medical services (EMS) personnel) can interact with their personal risk profiles, including elevated blood pressure, to precipitate acute cardiovascular events. Approximately three-quarters of emergency responders have prehypertension or hypertension, a proportion which is expected to increase, based on the obesity epidemic...
January 2009: American Journal of Hypertension
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