The Consideration of Body Mass Index in Conjunction With VO 2 max Is Essential When Evaluating the Health and Wellness of Frontline Fire Suppression Personnel.

Yavelberg, Loren; Hubbard, Cody; Hancock, Ryan; Gledhill, Scott; Gledhill, Norman; Jamnik, Veronica · J Occup Environ Med · 2025

cross_sectional · Level IV

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Abstract

. The purpose of this investigation was to examine the Physical Employment Standards Pass Rates (PR) among different BMI and job-related aerobic fitness (VO 2 max) categories. Researchers examined the relationship between BMI, job-related maximum oxygen consumption (VO 2 max), and PES PR among 1,992 male and female frontline fire suppression (FFS) candidates who completed the Physical Employment Standards assessment, which qualifies as a bona fide occupational requirement. No relationship between BMI and PR was observed; however, there was a significant relationship between VO 2 max and %PR and between BMI coupled with VO 2 max and %PR. This suggests that BMI should be considered in conjunction with VO 2 max when evaluating the health and wellness of FFS workers. Wellness and training programs for FFS workers should prioritize VO 2 max, musculoskeletal fitness, and maintaining or improving lean mass. This applies to various emergency-related, physically demanding occupations.

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