Association between Cardiovascular and Musculoskeletal Health in Firefighters

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

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Objective The aim of the study is to determine the association between cardiovascular health (CVH) and musculoskeletal health in firefighters. Methods This cross-sectional study involved 309 full-time firefighters aged 20 to 65 years. Cardiovascular health encompassed cardiovascular disease risk factors, risk scores, CVH metrics, and heart rate variability. Musculoskeletal health was assessed using two validated questionnaires. Results Increasing age (P = 0.004), body mass index (P < 0.001), body fat percentage (P < 0.001), diastolic blood pressure (P = 0.003), total cholesterol (P = 0.006), and Framingham risk score (P = 0.011) increased the risk of reporting musculoskeletal injuries (MSIs). Obesity (P = 0.018), hypertension (P = 0.034), and dyslipidemia (P = 0.005) increased the risk of reporting MSIs. Musculoskeletal discomfort was associated with total cholesterol (P = 0.0.34) and low-density lipoprotein (P = 0.014). Conclusions Adverse cardiovascular disease risk profile was associated with MSIs and musculoskeletal discomfort in firefighters. Firefighters should maintain an ideal CVH profile, especially as they age.

Original languageEnglish
Pages (from-to)E496-E505
JournalJournal of Occupational and Environmental Medicine
Issue number7
Publication statusPublished - Jul 1 2023
Externally publishedYes


  • cardiovascular disease risk factors
  • cardiovascular health index
  • firefighters
  • musculoskeletal discomfort
  • musculoskeletal injuries
  • risk factor

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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