Comparing Physical Fitness in Career vs. Volunteer Firefighters

The Effect of Mandatory Fitness Requirements on Cardiovascular Events: A State-by-State Analysis Using a National Database

BACKGROUND

Cardiovascular events are known to be the leading cause of death among on-duty firefighters. Implementing fitness standards may help reduce the incidence of cardiovascular deaths; however, standards vary between firefighter type and states. We aimed to investigate the rate of cardiovascular events among firefighters across states.

METHODS

Using publicly available data from the United States Fire Administration, we explored the rates of cardiovascular deaths between firefighter type (e.g., career, volunteer, and wildland) and state. Specifically, we examined rates of cardiovascular deaths between California and Tennessee, which have fitness standards for all firefighters, and New York, which does not have fitness standards for volunteer firefighters. We used descriptive statistics and trend analysis to examine the data.

FINDINGS

Most cardiovascular events occur among volunteer firefighters (60.6%, n = 877). Volunteer firefighters had 7.5 (95% CI = [4.8, 11.7], p < .001) greater odds of cardiovascular events compared to wildland firefighters, who had the lowest incidence of cardiovascular events (1.7%, n = 24). New York reported the most cardiovascular events (n = 161), primarily among volunteer firefighters (73.9%, n = 119). After the passage of legislation mandating fitness standards in California, a downtrend in the number of volunteer firefighter fatalities is observed. However, a null effect was observed in Tennessee after the passage of similar fitness standards as in California.

CONCLUSIONS/APPLICATIONS TO PRACTICE

Volunteer firefighters are significantly more likely to die of a cardiovascular event than career and wildland firefighters, both of which have stricter fitness standards. However, the effect of legislation mandating stricter fitness standards among volunteers did not produce a clear benefit for preventing fatalities. Nurses need to promote cardiovascular health among volunteer firefighters.

Blood pressure surge with alarm is reduced after exercise and diet intervention in firefighters

BACKGROUND

Cardiac-related incidents are a public health concern for tactical occupations, and cardiovascular disease rates are higher in these populations compared with civilians. Research is needed to examine blood pressure (BP) responses in firefighters. The pager alert is one occupational hazard, and it is unknown if lifestyle change can reduce the systolic surge response.

PURPOSE

To measure BP surge with alarm in firefighters to determine whether the magnitude is lower after a 6-week tactical exercise and Mediterranean-diet intervention.

METHODS

SBP and DBP and BP surge levels, circulating markers, vascular health, and fitness were analyzed. BP surge with alarm was captured during a 12-hour workshift. Exercise and diet were self-reported. Diet was tracked with diet scores based on number of servings.

RESULTS

Twenty five firefighters (43.4 ± 13.9 years) participated. We found changes in the magnitude of BP surge with alarm (SBP surge from16.7 ± 12.9 to 10.5 ± 11.7 mmHg, P < 0.05; DBP surge from 8.2 ± 10.8 to 4.9 ± 5.6 mmHg, P > 0.05) after intervention. We confirm that clinical (127.6 ± 9.1 to 120 ± 8.2 mmHg) and central (122.7 ± 11.3 to 118.2 ± 10.7 mmHg) SBP levels improve with exercise and diet. We report for the first time in firefighters that oxidative stress markers superoxide dismutase (9.1 ± 1.5 to 11.2 ± 2.2 U/ml) and nitric oxide (40.4 ± 7 to 48.9 ± 16.9 μmol/l) levels improve with an exercise and diet intervention.

CONCLUSION

These findings have implications toward the benefit that short-term lifestyle changes make toward reducing the alarm stress response in first responders.

Optimal Training Sequences to Develop Lower Body Force, Velocity, Power, and Jump Height: A Systematic Review with Meta-Analysis

BACKGROUND

Resistance training has been used to enhance a range of athletic abilities through correct manipulation of several variables such as training load, training volume, set configuration, and rest period.

OBJECTIVE

The aim of this systematic review and meta-analysis was to compare the acute and chronic responses of lower body cluster, contrast, complex, and traditional training across a range of athletic performance outcomes (1-repetition maximum squat strength, jump height, peak power, peak force, peak velocity, and sprint time).

METHODS

A database search was completed (SPORTDiscus, Medline and CINAHL) followed by a quality scoring system, which concluded with 41 studies being used in the meta-analysis. Effect sizes were calculated for acute and training intervention changes compared to baseline. For acute cluster training, effect sizes were used to represent differences between equated traditional and cluster sets.

RESULTS

Acutely, contrast and cluster training can be implemented to enhance and maintain velocity. Complex training does not acutely show a performance-enhancing effect on jump performance.

CONCLUSION

When looking to develop exercise-specific force, the exercise should be completed closer to set failure with fewer repetitions still able to be completed, which can be achieved using complex or high-volume contrast training to pre-fatigue the lighter exercise. When the objective is to improve velocity for the target exercise, it can be combined with a heavier contrast pair to create a postactivation performance enhancing effect. Alternatively, cluster set designs can be used to maintain high velocities and reduce drop-off. Finally, traditional training is most effective for increasing squat 1-repetition maximum.