野外消防员工作史与心血管健康的临床指标。
Wildland Firefighter Work History and Clinical Indicators of Cardiovascular Health.
机构信息
From the Center for Population Health Research, School of Public and Community Health Sciences, University of Montana, Missoula, MT (M.Z.H., E.O.S., C.W.N.); and Department of the Interior, Office of Wildland Fire, Boise, ID (K.N.D.B., L.K.M.C.).
出版信息
J Occup Environ Med. 2024 Sep 1;66(9):e418-e422. doi: 10.1097/JOM.0000000000003172. Epub 2024 Jul 1.
OBJECTIVE
To determine the association between the occupational history as a wildland firefighter (WFF) and clinical indicators of cardiovascular health.
METHODS
Among 2862 WFFs, we evaluated associations between the number of total days assigned on fire and high-risk categories of three clinically measured cardiovascular indicators.
RESULTS
Almost one-third (32%) of WFFs had one or more clinical measures that would place them in high-risk categories for body mass index, blood pressure, and total cholesterol. WFF work history was associated with some of these measures: odds ratio (and 95% confidence interval) for highest versus lowest tertile of days on fire were 1.4 (1.2, 1.8) and 1.2 (1.0, 1.5) for high-risk categories of body mass index and cholesterol, respectively.
CONCLUSION
More frequent screening and targeted health promotion programs for WFFs are warranted to increase awareness of cardiovascular risk and prevention strategies.
目的
确定作为野外消防员（WFF）的职业经历与心血管健康临床指标之间的关联。
方法
在 2862 名 WFF 中，我们评估了总出勤天数与三种临床测量心血管指标的高风险类别之间的关系。
结果
近三分之一（32%）的 WFF 有一个或多个临床指标，使他们处于身体质量指数、血压和总胆固醇的高风险类别。WFF 的工作经历与其中一些指标有关：与最低 tertile 相比，最高 tertile 的出勤天数的比值比（95%置信区间）分别为 1.4（1.2，1.8）和 1.2（1.0，1.5），用于身体质量指数和胆固醇的高风险类别。
结论
需要对 WFF 进行更频繁的筛查和有针对性的健康促进计划，以提高对心血管风险和预防策略的认识。
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