Cardiorespiratory Fitness of Firefighters: Initial Results of a Multi-Phased Study.

McKinney, Zeke J; Bovard, Ralph S; Starchook-Moore, Maria N; Ronneberg, Kevin; Xi, Min; Bredeson, Dani M; Schwartz, Erin C; Thelen, Sandra L et al. · J Occup Environ Med · 2021

cross_sectional · Level IV

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Abstract

To address which body composition (BC) measures best correlate with cardiorespiratory fitness (CRF) in firefighters and develop a model for accurate CRF estimation compared with traditional methods. Career firefighters had body mass index (BMI) and waist circumference (WC) measured in addition to body fat percentage (FM%) by dual-energy x-ray absorptiometry (DXA). CRF as maximum oxygen uptake (VO2max) was estimated by rowing machine and measured by indirect calorimetry in a treadmill exercise test. Fifty two firefighters participated (92.3% men). Univariate correlations with BMI were best with WC. Univariate correlations with VO2max were best with FM%. Obesity classifications by BC measures agreed weakly at best. Multivariate analysis of several variables yielded an improved VO2max estimate (R2 = 0.70). Fire departments may benefit from more sophisticated measures of BC and CRF to evaluate firefighter fitness.

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