Smith Denise L, Fehling Patricia C, Frisch Adam, Haller Jeannie M, Winke Molly, Dailey Michael W
First Responder Health and Safety Laboratory, Health and Exercise Sciences Department, Skidmore College, Saratoga Springs, NY 12866, USA.
J Obes. 2012;2012:908267. doi: 10.1155/2012/908267. Epub 2012 Jul 22.
Obesity is associated with increased risk of cardiovascular disease (CVD) mortality. CVD is the leading cause of duty-related death among firefighters, and the prevalence of obesity is a growing concern in the Fire Service. Methods. Traditional CVD risk factors, novel measures of cardiovascular health and a measurement of CVD were described and compared between nonobese and obese career firefighters who volunteered to participate in this cross-sectional study. Results. In the group of 116 men (mean age 43 ± 8 yrs), the prevalence of obesity was 51.7%. There were no differences among traditional CVD risk factors or the coronary artery calcium (CAC) score (criterion measure) between obese and nonobese men. However, significant differences in novel markers, including CRP, subendocardial viability ratio, and the ejection duration index, were detected. Conclusions. No differences in the prevalence of traditional CVD risk factors between obese and nonobese men were found. Additionally, CAC was similar between groups. However, there were differences in several novel risk factors, which warrant further investigation. Improved CVD risk identification among firefighters has important implications for both individual health and public safety.
肥胖与心血管疾病（CVD）死亡率升高相关。心血管疾病是消防员因公殉职的首要原因，而肥胖患病率在消防部门日益受到关注。方法。对自愿参与这项横断面研究的非肥胖和肥胖职业消防员的传统心血管疾病危险因素、心血管健康新指标以及心血管疾病测量方法进行了描述和比较。结果。在116名男性（平均年龄43±8岁）组中，肥胖患病率为51.7%。肥胖和非肥胖男性在传统心血管疾病危险因素或冠状动脉钙化（CAC）评分（标准测量指标）方面没有差异。然而，在包括CRP、心内膜下活力比值和射血持续时间指数等新指标上检测到了显著差异。结论。未发现肥胖和非肥胖男性在传统心血管疾病危险因素患病率上存在差异。此外，两组之间的冠状动脉钙化情况相似。然而，在几个新的危险因素上存在差异，这值得进一步研究。改善消防员心血管疾病风险识别对个人健康和公共安全都具有重要意义。
