Shephard R J
School of Physical and Health Education, Faculty of Medicine, University of Toronto, Ontario, Canada.
Sports Med. 1991 Aug;12(2):94-109. doi: 10.2165/00007256-199112020-00003.
The issue of discrimination in physically demanding employment, such as police, firefighters, prison guards and military personnel, is contentious. In terms of oxygen transport, the 'action limit' (calling for personnel selection or task redesign) is a steady oxygen consumption of 0.7 L/min, while the maximum permissible limit is 2.1 L/min. Note is taken of the commonly expressed belief that public safety duties are physically demanding, calling for personnel with an aerobic power of at least 3 L/min, or 42 to 45 ml/kg/min. The actual demands of such work can be assessed on small samples by physiological measurements (using heart rate or oxygen consumption meters), but the periods sampled may not be typical of a normal day. A Gestalt can also be formed as to the heaviness of a given job, or a detailed task analysis can be performed; most such analyses of public safety work list distance running and other aerobic activities infrequently. An arbitrary requirement of 'above average fitness' is no longer accepted by courts, but a further approach is to examine the characteristics of those currently meeting the demands of public safety jobs satisfactorily. Young men commonly satisfy the 3 L/min standard, but this is not usually the case for women or older men; in the case of female employees, it also seems unreasonable that they should be expected to satisfy the same standards as men, since a lower body mass reduces the energy cost of most of the tasks that they must perform. A second criterion sometimes applied to physically demanding work (a low vulnerability to heart attacks) is examined critically. It is concluded that the chances that a symptom-free public safety officer will develop a heart attack during a critical solo mission are so low that cardiac risk should not be a condition of employment. Arbitrary age- and sex-related employment criteria are plainly discriminatory, since some women and 65-year-old men have higher levels of physical fitness than the average young man of 25 years. Neither laboratory nor field tests offer a satisfactory means of distinguishing such individuals, and the only equitable basis of selecting personnel for physically demanding work seems a probationary period of employment.
在诸如警察、消防员、狱警和军人等对体能要求较高的职业中,歧视问题颇具争议。就氧气输送而言,“行动限制”(要求人员选拔或任务重新设计)是稳定的氧气消耗量为0.7升/分钟,而最大允许限度是2.1升/分钟。需要注意的是,人们普遍认为公共安全职责对体能要求很高,需要有氧能力至少为3升/分钟或42至45毫升/千克/分钟的人员。此类工作的实际需求可通过生理测量(使用心率或氧气消耗测量仪)在小样本上进行评估,但所抽取的时间段可能并非正常工作日的典型情况。也可以对特定工作的繁重程度形成一种整体印象,或者进行详细的任务分析;大多数此类公共安全工作分析很少将长跑和其他有氧运动列入其中。法院不再接受“高于平均健康水平”这一随意要求,但另一种方法是考察目前能令人满意地满足公共安全工作要求的人员的特征。年轻男性通常能达到3升/分钟的标准,但女性或年长男性通常并非如此;就女性雇员而言,期望她们达到与男性相同的标准似乎也不合理,因为较低的体重降低了她们必须执行的大多数任务的能量消耗。对有时应用于体能要求较高工作的第二个标准(心脏病发作风险低)进行了批判性审视。得出的结论是,无症状的公共安全官员在关键的单独任务中突发心脏病的可能性极低,以至于心脏风险不应成为就业条件。与年龄和性别相关的随意就业标准显然具有歧视性,因为一些女性和65岁的男性的体能水平高于25岁的普通年轻男性。实验室测试和现场测试都无法提供令人满意的方法来区分这些人,而选拔体能要求较高工作的人员的唯一公平基础似乎是试用期。