Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul 1;65(7):e496-e505.
doi: 10.1097/JOM.0000000000002872. Epub 2023 May 3.

Association between Cardiovascular and Musculoskeletal Health in Firefighters

Affiliations

Association between Cardiovascular and Musculoskeletal Health in Firefighters

Jaron Ras et al. J Occup Environ Med. .

Abstract

Objective: The aim of the study is to determine the association between cardiovascular health (CVH) and musculoskeletal health in firefighters.

Methods: This cross-sectional study involved 309 full-time firefighters aged 20 to 65 years. Cardiovascular health encompassed cardiovascular disease risk factors, risk scores, CVH metrics, and heart rate variability. Musculoskeletal health was assessed using two validated questionnaires.

Results: Increasing age ( P = 0.004), body mass index ( P < 0.001), body fat percentage ( P < 0.001), diastolic blood pressure ( P = 0.003), total cholesterol ( P = 0.006), and Framingham risk score ( P = 0.011) increased the risk of reporting musculoskeletal injuries (MSIs). Obesity ( P = 0.018), hypertension ( P = 0.034), and dyslipidemia ( P = 0.005) increased the risk of reporting MSIs. Musculoskeletal discomfort was associated with total cholesterol ( P = 0.0.34) and low-density lipoprotein ( P = 0.014).

Conclusions: Adverse cardiovascular disease risk profile was associated with MSIs and musculoskeletal discomfort in firefighters. Firefighters should maintain an ideal CVH profile, especially as they age.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared.

References

    1. Smith DL Haller JM Korre M, et al. . The relation of emergency duties to cardiac death among US firefighters. Am J Cardiol. 2019;123:736–741. - PubMed
    1. Smith DL, Barr DA, Kales SN. Extreme sacrifice: sudden cardiac death in the US fire service. Extrem Physiol Med. 2013;2:1–9. - PMC - PubMed
    1. Soteriades ES, Smith DL, Tsismenakis AJ, Baur DM, Kales SN. Cardiovascular disease in US firefighters: a systematic review. Cardiol Rev. 2011;19:202–215. - PubMed
    1. Smith DL, DeBlois JP, Kales SN, Horn GP. Cardiovascular strain of firefighting and the risk of sudden cardiac events. Exerc Sport Sci Rev. 2016;44:90–97. - PubMed
    1. Ras J, Smith DL, Kengne AP, Soteriades EE, Leach L. Cardiovascular disease risk factors, musculoskeletal health, physical fitness, and occupational performance in firefighters: a narrative review. J Environ Public Health. 2022;2022:7346408–7346420. - PMC - PubMed

Publication types