Effects of Cardiovascular Disease Risk Factors, Musculoskeletal Health, and Physical Fitness on Occupational Performance in Firefighters—A Systematic Review and Meta-Analysis

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

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: Firefighting is a strenuous occupation, which necessitates that firefighters stay in good physical condition and maintain adequate cardiovascular and musculoskeletal fitness to perform their duties with minimal health and safety risks. The aim of this review is to determine the effects of cardiovascular disease risk factors, musculoskeletal health, and physical fitness on the occupational performance of firefighters. Methods: PubMed/Medline, SCOPUS, Web of Science, EBSCOHost, and ScienceDirect were searched without time-restriction. The appraisal tool for cross-sectional studies and the Critical Appraisal Skills Programme toolkit were used to conduct the methodological assessment. Data were analyzed using Review Manager 5.3, and MedCalc® statistical software. Results: Age had a moderate effect on occupational performance (Z = 5.15, p < 0.001), whereas gender had a large effect size on occupational performance (Z = 4.24, p < 0.001). A significant moderate negative correlation was found between cardiorespiratory fitness and occupational performance (R = −0.584, p < 0.001). Significant low negative correlations were found between upper body endurance (R = −0.344, p < 0.001), abdominal endurance (R = −0.308, p < 0.001), grip strength (R = −0.421, p < 0.001), upper body strength (R = −0.318, p < 0.001), and lower body strength (R = −0.216, p = 0.020) and occupational performance. Conclusions: Aged firefighters with poor body composition and lower levels of physical fitness performed worse on all occupational performance tasks.

Original languageEnglish
Article number11946
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number19
DOIs
Publication statusPublished - Oct 2022
Externally publishedYes

Keywords

  • cardiovascular health
  • firefighters
  • musculoskeletal health
  • occupational performance
  • physical fitness
  • risk factors

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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