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Open Access 01-12-2024 | Research

Evaluation of the relationship between occupational-specific task performance and measures of physical fitness, cardiovascular and musculoskeletal health in firefighters

Authors: Jaron Ras, Elpidoforos S. Soteriades, Denise L. Smith, Andre P. Kengne, Lloyd Leach

Published in: BMC Public Health | Issue 1/2024

Abstract

Introduction

Firefighters are required to perform physically strenuous tasks such as hose drags, victim rescues, forcible entries and stair climbs to complete their public safety mission. Occupational-specific tasks are often used to evaluate the ability of firefighters to adequately/safely perform their duties. Depending on the regions, occupational-specific tasks include six to eight individual tasks, which emphasize distinct aspects of their physical fitness, while also requiring different levels of cardiovascular (CVH) and musculoskeletal health (MSH). Therefore, the aim of this study was to evaluate the relationship between specific occupational task performance and measures of physical fitness, cardiovascular and musculoskeletal health.

Methods

Using a cross-sectional design, 282 full-time male and female firefighters were recruited. A researcher-generated questionnaire and physical measures were used to collect data on sociodemographic characteristics, CVH, MSH and weekly physical activity habits. Physical measures were used to collect data on physical fitness and occupational-specific task performance.

Results

Absolute cardiorespiratory fitness (abV̇O2max), grip strength, leg strength, push-ups, sit-ups and lean body mass (all p < 0.001) had an inverse association with completion times on all occupational-specific tasks. Age was positively related to the performance of all tasks (all p < 0.05). Higher heart rate variability (HRV) was associated with better performance on all tasks (all p < 0.05). Bodyfat percentage (BF%) and diastolic blood pressure were positively associated with the step-up task (p < 0.05). Lower back musculoskeletal injury (LoBMSI), musculoskeletal discomfort (MSD), and lower limb MSD were associated with a decreased odds of passing the step-up. Upper body MSIs (UBMSI), LoBMSIs and Lower back MSD were associated with decreased odds of passing the rescue drag.

Conclusion

Firefighters that were taller, leaner, stronger and fitter with a more favourable CVH profile, higher HRV and less musculoskeletal discomfort performed best on all occupational-specific tasks.

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Smith DL, Barr DA, Kales SN. Extreme sacrifice: sudden cardiac death in the US fire service. Extrem Physiol Med. 2013;2:1–9. https://doi.org/10.1186/2046-7648-2-6.CrossRef

Smith DL, DeBlois JP, Kales SN, Horn GP. Cardiovascular strain of firefighting and the risk of sudden cardiac events. Exerc Sport Sci Rev. 2016;44:90–7. https://doi.org/10.1249/JES.0000000000000081.CrossRefPubMed

Chizewski A, Box A, Kesler R, Petruzzello SJ. Fitness fights fires: Exploring the relationship between physical fitness and firefighter ability. Int J Environ Res Public Health. 2021;18:11733. https://doi.org/10.3390/ijerph182211733.CrossRefPubMedPubMedCentral

Smith DL, Haller JM, Korre M, Sampani K, Porto LGG, Fehling PC, et al. The relation of emergency duties to cardiac death among US firefighters. Am J Cardiol. 2019;123:736–41. https://doi.org/10.1016/j.amjcard.2018.11.049.CrossRefPubMed

Williford HN, Duey WJ, Olson MS, Howard R, Wang N. Relationship between fire fighting suppression tasks and physical fitness. Ergonomics. 1999;42:1179–86. https://doi.org/10.1080/001401399185063.CrossRefPubMed

Rhea MR, Alvar BA, Gray R. Physical fitness and job performance of firefighters. J Strength Cond Res. 2004;18:348–52. https://doi.org/10.1519/r-12812.1.CrossRefPubMed

Soteriades ES, Smith DL, Tsismenakis AJ, Baur DM, Kales SN. Cardiovascular disease in US firefighters: a systematic review. Cardiol Rev. 2011;19:202–15. https://doi.org/10.1097/CRD.0b013e318215c105.CrossRefPubMed

Ras J, Leach L. Prevalence of coronary artery disease risk factors in firefighters in the city of Cape Town fire and rescue service – a descriptive study. J Public Health Res. 2000;2021:10. https://doi.org/10.4081/jphr.2021.2000.CrossRef

Risavi BL, Staszko J. Prevalence of risk factors for coronary artery disease in Pennsylvania (USA) firefighters. Prehosp Disaster Med. 2015;31:102–7. https://doi.org/10.1017/S1049023X15005415.CrossRefPubMed

10.

Martin ZT, Schlaff RA, Hemenway JK, Coulter JR, Knous JL, Lowry JE, et al. cardiovascular disease risk factors and physical fitness in volunteer firefighters. Int J Exerc Sci. 2019;12:764–76.PubMedPubMedCentral

11.

Smith DL, Graham E, Stewart D, Mathias KC. Cardiovascular disease risk factor changes over 5 years among male and female US firefighters. J Occup Environ Med. 2020;62:398–402. https://doi.org/10.1097/JOM.0000000000001846.CrossRefPubMed

12.

Mathias KC, Bode ED, Stewart DF, Smith DL. Changes in firefighter weight and cardiovascular disease risk factors over five years. Med Sci Sports Exerc. 2020;52:2476–82. https://doi.org/10.1249/MSS.0000000000002398.CrossRefPubMedPubMedCentral

13.

Vicente MM, Herrero DC, Prieto JP. Cardiorespiratory fitness in Spanish firefighters. J Occup Environ Med. 2021;63:e318–22. https://doi.org/10.1097/JOM.0000000000002199.CrossRefPubMed

14.

Donovan R, Nelson T, Peel J, Lipsey T, Voyles W, Israel RG. Cardiorespiratory fitness and the metabolic syndrome in firefighters. Occup Med (Chic Ill). 2009;59:487–92. https://doi.org/10.1093/occmed/kqp095.CrossRef

15.

Li K, Lipsey T, Leach HJ, Nelson TL. Cardiac health and fitness of Colorado male/female firefighters. Occup Med (Chic Ill). 2017;67:268–73. https://doi.org/10.1093/occmed/kqx033.CrossRef

16.

Baur DM, Christophi CA, Tsismenakis AJ, Cook EF, Kales SN. Cardiorespiratory fitness predicts cardiovascular risk profiles in career firefighters. J Occup Environ Med. 2011;53:1155–60. https://doi.org/10.1097/JOM.0b013e31822c9e47.CrossRefPubMed

17.

Phillips DB, Scarlett MP, Petersen SR. The influence of body mass on physical fitness test performance in male firefighter applicants. J Occup Environ Med. 2017;59:1101–8. https://doi.org/10.1097/JOM.0000000000001145.CrossRefPubMed

18.

Skinner TL, Kelly VG, Boytar AN, Peeters GG, Rynne SB. Aviation rescue firefighters physical fitness and predictors of task performance. J Sci Med Sport. 2020;23:1228–33. https://doi.org/10.1016/j.jsams.2020.05.013.CrossRefPubMed

19.

Feairheller DL. Blood pressure and heart rate responses in volunteer firefighters while wearing personal protective equipment. Blood Press Monit. 2015;20:194–8. https://doi.org/10.1097/MBP.0000000000000120.CrossRefPubMed

20.

Lin G-M, Tsai K-Z, Lin C-S, Han C-L. Physical fitness and long-term blood pressure variability in young male military personnel. Curr Hypertens Rev. 2019;16:156–60. https://doi.org/10.2174/1573402115666191023111351.CrossRef

21.

Fahs CA, Smith DL, Horn GP, Agiovlasitis S, Rossow LM, Echols G, et al. Impact of excess body weight on arterial structure, function, and blood pressure in firefighters. AJC. 2009;104:1441–5. https://doi.org/10.1016/j.amjcard.2009.07.009.CrossRef

22.

Durand G, Tsismenakis AJ, Jahnke SA, Baur DM, Christophi CA, Kales SN. Firefighters’ physical activity: relation to fitness and cardiovascular disease risk. Med Sci Sports Exerc. 2011;43:1752–9. https://doi.org/10.1249/MSS.0b013e318215cf25.CrossRefPubMed

23.

Yu CCW, Au CT, Lee FYF, So RCH, Wong JPS, Mak GYK, et al. Association between leisure time physical activity, cardiopulmonary fitness, cardiovascular risk factors, and cardiovascular workload at work in firefighters. Saf Health Work. 2015;6:192–9. https://doi.org/10.1016/j.shaw.2015.02.004.CrossRefPubMedPubMedCentral

24.

Poplin GS, Roe DJ, Peate W, Harris RB, Burgess JL. The association of aerobic fitness with injuries in the fire service. Am J Epidemiol. 2014;179:149–55. https://doi.org/10.1093/aje/kwt213.CrossRefPubMed

25.

Vaulerin J, d’Arripe-Longueville F, Emile M, Colson SS. Physical exercise and burnout facets predict injuries in a population-based sample of French career firefighters. Appl Ergon. 2016;54:131–5. https://doi.org/10.1016/j.apergo.2015.12.007.CrossRefPubMed

26.

Nazari G, Osifeso TA, MacDermid JC. Distribution of number, location of pain and comorbidities, and determinants of work limitations among firefighters. Rehabil Res Pract. 2020;2020:1942513. https://doi.org/10.1155/2020/1942513.CrossRefPubMedPubMedCentral

27.

MacDermid JC, Tang K, Sinden KE, D’Amico R. Work functioning among firefighters: a comparison between self-reported limitations and functional task performance. J Occup Rehabil. 2019;29:194–204. https://doi.org/10.1007/s10926-018-9778-6.CrossRefPubMed

28.

Park K, Rosengren KS, Horn GP, Smith DL, Hsiao-Wecksler ET. Assessing gait changes in firefighters due to fatigue and protective clothing. Saf Sci. 2011;49:719–26. https://doi.org/10.1016/j.ssci.2011.01.012.CrossRef

29.

Park K, Sy JF, Horn GP, Kesler RM, Petrucci MN, Rosengren KS, et al. Assessing gait changes in firefighters after firefighting activities and while carrying asymmetric loads. Appl Ergon. 2018;70:44–50. https://doi.org/10.1016/j.apergo.2018.01.016.CrossRefPubMed

30.

Azmi NLAM, Masuri MG. Work-related musculoskeletal disorder (WMSDs) and functional status of firefighters in Klang Valley. Healthscope: The official research book of faculty of health sciences. UiTM. 2019;2:287–353.

31.

Kodom-Wiredu JK. The relationship between firefighters’ work demand and work-related musculoskeletal disorders: the moderating role of task characteristics. Saf Health Work. 2019;10:61–6. https://doi.org/10.1016/j.shaw.2018.05.004.CrossRefPubMed

32.

Stevenson RDM, Siddall AG, Turner PFJ, Bilzon JLJ. Implementation of physical employment standards for physically demanding occupations. J Occup Environ Med. 2020;62:647–53. https://doi.org/10.1097/JOM.0000000000001921.CrossRefPubMed

33.

Sothmann MS, Gebhardt DL, Baker TA, Kastellos GM, Sheppard VA. Performance requirements of physically strenuous occupations: validating minimum standards for muscular strength and endurance. Ergonomics. 2004;47:864–75. https://doi.org/10.1080/00140130410001670372.CrossRefPubMed

34.

Davis PO, Dotson CO, Santa Maria DL. Relationship between simulated fire fighting tasks and physical performance measures. Med Sci Sports Exerc. 1982;14:65.CrossRefPubMed

35.

Ras J, Smith DL, Soteriades ES, Kengne AP, Leach L. A pilot study on the relationship between cardiovascular health, musculoskeletal health, physical fitness and occupational performance in firefighters. Eur J Investig Health Psychol Educ. 2022;12:1703–18. https://doi.org/10.3390/ejihpe12110120.CrossRefPubMedPubMedCentral

36.

Liguori G, Medicine AC of S, Fountaine CJ. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Wolters Kluwer; 2021.

37.

Rexhepi AM, Brestovci B. Prediction of VO2max based on age, body mass, and resting heart rate. Hum Movement. 2014;15:56–9. https://doi.org/10.2478/humo-2014-0003.CrossRef

38.

Ras J, Smith DL, Soteriades ES, Kengne AP, Leach L. Association between physical fitness and cardiovascular health in firefighters. Int J Environ Res Public Health. 2023;20:5930. https://doi.org/10.3390/ijerph20115930.CrossRefPubMedPubMedCentral

39.

von Heimburg ED, Rasmussen AKR, Medbø JI. Physiological responses of firefighters and performance predictors during a simulated rescue of hospital patients. Ergonomics. 2006;49:111–26. https://doi.org/10.1080/00140130500435793.CrossRef

40.

DeFina LF, Haskell WL, Willis BL, Barlow CE, Finley CE, Levine BD, et al. Physical Activity Versus Cardiorespiratory Fitness: Two (Partly) distinct components of cardiovascular health? Prog Cardiovasc Dis. 2015;57:324–9. https://doi.org/10.1016/j.pcad.2014.09.008.CrossRefPubMed

41.

Khan A, Van Iterson EH, Laffin LJ. The obesity paradox in heart failure: what is the role of cardiorespiratory fitness? Cleve Clin J Med. 2021;88:449–58. https://doi.org/10.3949/ccjm.88a.20098.CrossRefPubMed

42.

Sun Q, Chen S, Wang Y, Zhang J, Lavie C, Sui X. Cross-validation of non-exercise estimated cardiorespiratory fitness: the NHANES study. J Surg Res Pract. 2022;3:1–19. https://doi.org/10.46889/jcmr.2022.31009.CrossRef

43.

D’Agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care. Circulation. 2008;117:743–53. https://doi.org/10.1161/CIRCULATIONAHA.107.699579.CrossRefPubMed

44.

Lloyd-Jones DM, Leip EP, Larson MG, D’Agostino RB, Beiser A, Wilson PWF, et al. Prediction of lifetime risk for cardiovascular disease by risk factor burden at 50 years of age. Circulation. 2006;113:791–8. https://doi.org/10.1161/CIRCULATIONAHA.105.548206.CrossRefPubMed

45.

Lloyd-Jones DM, Braun LT, Ndumele CE, Smith SC, Sperling LS, Virani SS, et al. Use of risk assessment tools to guide decision-making in the primary prevention of atherosclerotic cardiovascular disease: a special report from the American heart association and American college of cardiology. Circulation. 2019;139:e1162–77. https://doi.org/10.1161/CIR.0000000000000638.CrossRefPubMed

46.

Schwerdtfeger AR, Dick K. Episodes of momentary resilience in daily life are associated with HRV reductions to stressful operations in firefighters: an ambulatory assessment approach using bayesian multilevel modeling. J Positive Psychol. 2019;14:593–602. https://doi.org/10.1080/17439760.2018.1497689.CrossRef

47.

Acharya UR, Joseph KP, Kannathal N, Lim CM, Suri JS. Heart rate variability: a review. Med Biol Eng Comput. 2006;44:1031–51. https://doi.org/10.1007/s11517-006-0119-0.CrossRef

48.

Ras J, Soteriades ES, Smith DL, Kengne AP, Leach L. Association between cardiovascular and musculoskeletal health in firefighters. J Occup Environ Med. 2023;65(7):496–505. https://doi.org/10.1097/jom.0000000000002872.

49.

Hedge A, Morimoto S, Mccrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999;42:1333–49. https://doi.org/10.1080/001401399184983.CrossRefPubMed

50.

Streiner DL. Figuring out factors: the use and misuse of factor analysis. Can J Psychiatry. 1994;39:135–40. https://doi.org/10.1177/070674379403900303.CrossRefPubMed

51.

Templeton GF. A two-step approach for transforming continuous variables to normal: implications and recommendations for IS research. Commun Assoc Informa Syst. 2011;28:41–58. https://doi.org/10.17705/1cais.02804.CrossRef

52.

Ras J, Kengne AP, Smith DL, Soteriades ES, November RV, Leach L. Effects of cardiovascular disease risk factors, musculoskeletal health, and physical fitness on occupational performance in firefighters— a systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19:11946. https://doi.org/10.3390/ijerph191911946.CrossRefPubMedPubMedCentral

53.

Strauss M, Foshag P, Jehn U, Brzęk A, Littwitz H, Leischik R. Higher cardiorespiratory fitness is strongly associated with lower cardiovascular risk factors in firefighters : a cross - sectional study in a German fire brigade. Sci Rep. 2021;11:1–7. https://doi.org/10.1038/s41598-021-81921-1.CrossRef

54.

Seyedmehdi SM, Attarchi M, Cherati AS, Hajsadeghi S, Tofighi R, Jamaati H. Relationship of aerobic fitness with cardiovascular risk factors in firefighters. Work. 2016;55:155–61. https://doi.org/10.3233/WOR-162375.CrossRefPubMed

55.

Espinoza F, Delgado-Floody P, Martínez-Salazar C, Jerez-Mayorga D, Guzmán-Guzmán IP, Caamaño-Navarrete F, et al. The influence of cardiometabolic risk factors on cardiorespiratory fitness in volunteer Chilean firefighters. Am J Hum Biol. 2019;31:e23280. https://doi.org/10.1002/ajhb.23280.CrossRefPubMed

56.

Schonfeld BR, Doerr DF, Convertino VA. An Occupational Performance Test Validation Program for Fire Fighters at the Kennedy Space Center. J Occup Environ Med. 1990;32:638.CrossRef

57.

Perroni F, Guidetti L, Cignitti L, Baldari C. Absolute vs weight-related maximum oxygen uptake in firefighters: Fitness evaluation with and without protective clothing and self-contained breathing apparatus among age group. PLos One. 2015;10:e0119757. https://doi.org/10.1371/journal.pone.0119757.CrossRefPubMedPubMedCentral

58.

Henderson N, Berry M, Matic T. Field measures of strength and fitness predict firefighter performance on physically demanding tasks. Pers Psychol. 2007;60:431–73. https://doi.org/10.1111/j.1744-6570.2007.00079.x.CrossRef

59.

Lee J, Zhang XL. Physiological determinants of VO2max and the methods to evaluate it: a critical review. Sci Sports. 2021;36:259–71. https://doi.org/10.1016/j.scispo.2020.11.006.CrossRef

60.

Michaelides MA, Parpa KM, Thompson J, Brown B. Predicting performance on a firefghter’s ability test from fitness parameters. Res Q Exerc Sport. 2008;79:468–75. https://doi.org/10.1080/02701367.2008.10599513.CrossRefPubMed

61.

Michaelides MA, Parpa KM, Henry LJ, Thompson GB, Brown BS. Assessment of physical fitness aspects and their relationship to firefighters’ job abilities. J Strength Condition Res. 2011;25:956.CrossRef

62.

von Heimburg E, Medbø JI, Sandsund M, Reinertsen RE. Performance on a work-simulating firefighter test versus approved laboratory tests for firefighters and applicants. Int J Occup Saf Ergon. 2013;19:227–43. https://doi.org/10.1080/10803548.2013.11076981.CrossRef

63.

Walker A, Driller M, Argus C, Cooke J, Rattray B. The ageing Australian firefighter: an argument for age-based recruitment and fitness standards for urban fire services. Ergonomics. 2014;57:612–21. https://doi.org/10.1080/00140139.2014.887790.CrossRefPubMed

64.

Findley BW, Brown LE, Whitehurst M, Gilbert R, Apold SA. Age-group performance and physical fitness in male firefighters. J Strength Condition Res. 1995;9:259.

65.

Perroni F, Guidetti L, Cignitti L, Baldari C. Age-related changes in upper body strength and lower limb power of professional Italian firefighters. Sport Sci Health. 2015;11:279–85. https://doi.org/10.1007/s11332-015-0236-y.CrossRef

66.

Saari AI, Renz G, Davis P, Abel MG. The influence of age on firefighter combat challenge performance and exercise training habits. J Strength Condition Res. 2020;34:2500.CrossRef

67.

Ebersole KT, Tesch CS, Flees RJ, Haischer MH, Smith EK, Cornell DJ, et al. Physical factors associated with tower stair climbing in firefighter recruits. Med Sci Sports Exerc. 2018;50(5S):500.

68.

Cornell DJ, Gnacinski SL, Zamzow A, Mims J, Ebersole KT. Influence of body mass index on movement efficiency among firefighter recruits. Work. 2016;54:679–87. https://doi.org/10.3233/WOR-162306.CrossRefPubMed

69.

Crawford K, Fleishman K, Abt JP, Sell TC, Lovalekar M, Nagai T, et al. Less body fat improves physical and physiological performance in army soldiers. Mil Med. 2011;176:35–43. https://doi.org/10.7205/MILMED-D-10-00003.CrossRefPubMed

70.

Mazic S, Suzic Lazic J, Dekleva M, Antic M, Soldatovic I, Djelic M, et al. The impact of elevated blood pressure on exercise capacity in elite athletes. Int J Cardiol. 2015;180:171–7. https://doi.org/10.1016/j.ijcard.2014.11.125.CrossRefPubMed

71.

Lesniak AY, Sell KM, Morris C, Abel MG. Relationship between heart rate variability Vs. Occupational performance, physical activity and fitness measures in structural firefighters. J Sport Human Perform. 2022;10:56–72. https://doi.org/10.12922/jshp.v10i1.169.CrossRef

72.

Porto LGG, Schmidt ACB, De Souza JM, Nogueira RM, Fontana KE, Molina GE, et al. Firefighters’ basal cardiac autonomic function and its associations with cardiorespiratory fitness. Work. 2019;62:485–95. https://doi.org/10.3233/WOR-192883.CrossRefPubMed

73.

Marcel-Millet P, Ravier G, Esco MR, Groslambert A. Does firefighters’ physical fitness influence their cardiac parasympathetic reactivation? Analysis with post-exercise heart rate variability and ultra-short-term measures. International Journal of Occupational Safety and Ergonomics 2020:1–9. https://doi.org/10.1080/10803548.2020.1738689.

74.

Jeklin AT, Perrotta AS, Davies HW, Bredin SSD, Paul DA, Warburton DER. The association between heart rate variability, reaction time, and indicators of workplace fatigue in wildland firefighters. Int Arch Occup Environ Health. 2021. https://doi.org/10.1007/s00420-020-01641-3.CrossRefPubMed

75.

Yook YS. Firefighters’ occupational stress and its correlations with cardiorespiratory fitness, arterial stiffness, heart rate variability, and sleep quality. PLos One. 2019;14:1–9. https://doi.org/10.1371/journal.pone.0226739.CrossRef

76.

Ras J, Leach L. Use of mobile technology in assessing occupational performance and stress in firefighters. In: Mentor D, editor. Handbook of research on new media, training, and skill development for the modern workforce,. Hershey, PA, USA: IGI Global; 2022. p. 150–86 4018/978–1–6684–3996–8.ch008.CrossRef

77.

Bugajska J, Zużewicz K, Szmauz-Dybko M, Konarska M. Cardiovascular stress, energy expenditure and subjective perceived ratings of fire fighters during typical fire suppression and rescue tasks. Int J Occup Saf Ergon. 2007;13:323–31. https://doi.org/10.1080/10803548.2007.11076730.CrossRefPubMed

78.

Rodrigues S, Dias D, Paiva JS, Cunha JPS. Psychophysiological Stress Assessment Among On-Duty Firefighters. 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2018, p. 4335–8. https://doi.org/10.1109/EMBC.2018.8513250.

79.

Almeida-Santos MA, Barreto-Filho JA, Oliveira JLM, Reis FP, da Cunha Oliveira CC, Sousa ACS. Aging, heart rate variability and patterns of autonomic regulation of the heart. Arch Gerontol Geriatr. 2016;63:1–8. https://doi.org/10.1016/j.archger.2015.11.011.CrossRefPubMed

80.

Shin JH, Lee JY, Yang SH, Lee MY, Chung IS. Factors related to heart rate variability among firefighters. Ann Occup Environ Med. 2016;28:1–9. https://doi.org/10.1186/s40557-016-0111-6.CrossRef

81.

Misner JE, Plowman SA, Boileau RA. Performance differences between males and females on simulated firefighting tasks. J Occup Med. 1987;29:801–5. http://www.jstor.org/stable/45006617.

82.

Nazari G, Osifeso TA, Macdermid JC. Distribution of number, location of pain and comorbidities, and determinants of work limitations among firefighters. Rehabil Res Pract. 2020;2020:9. https://doi.org/10.1155/2020/1942513.

83.

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. https://doi.org/10.1155/2022/7346408.CrossRefPubMedPubMedCentral

Title: Evaluation of the relationship between occupational-specific task performance and measures of physical fitness, cardiovascular and musculoskeletal health in firefighters
Authors: Jaron Ras
Elpidoforos S. Soteriades
Denise L. Smith
Andre P. Kengne
Lloyd Leach
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-023-17487-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation of the relationship between occupational-specific task performance and measures of physical fitness, cardiovascular and musculoskeletal health in firefighters

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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