ArticleInternational archives of occupational and environmental health2016
Fire fit: assessing comprehensive fitness and injury risk in the fire service.
Article in International archives of occupational and environmental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 58 citations in OpenAlex.
- Emergency medical technicians with impaired functional movement patterns have poorer dynamic balance and muscle flexibility: a cross-sectional study.BMC emergency medicine · 2026Article
- Resting Metabolic Rate Prediction Equation Accuracy in Structural Firefighters.International journal of exercise science · 2026Article
- A cross-sectional assessment of the individual- and fire department-level factors affecting volunteer firefighter cardiorespiratory fitness.Fire (Basel, Switzerland) · 2025Article
- Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders.Discover public health · 2025Article
- The impact of fire drills on firefighters' performance.Jamba (Potchefstroom, South Africa) · 2025Article
- Impact of acute exercise on performance and physiological stress during simulated firefighter occupational tasks.Scientific reports · 2024Article
- Relationship between Simulated Fire Suppression Activities and Acute Cardiac and Respiratory Events in Firefighters.Journal of functional morphology and kinesiology · 2024Article
- Posture Evaluation of Firefighters During Simulated Fire Suppression Tasks.Workplace health & safety · 2023Article
- The Impact of Gloves and Occupational Tasks on Handgrip Strength in Structural Firefighters.International journal of exercise science · 2023Article
- Association between physical fitness and musculoskeletal health in firefighters.Frontiers in physiology · 2023Article
- Body Composition and Fitness Characteristics of Firefighters Participating in a Health and Wellness Program: Relationships and Descriptive Data.International journal of environmental research and public health · 2022Article
- Exercise and Occupational Stress among Firefighters.International journal of environmental research and public health · 2022Article
- Cardiovascular Disease Risk Factors, Musculoskeletal Health, Physical Fitness, and Occupational Performance in Firefighters: A Narrative Review.Journal of environmental and public health · 2022Review
- Effect of 12 weeks of complex training on occupational activities, strength, and power in professional firefighters.Frontiers in physiology · 2022Article
- High Intensity Functional Training (HIFT) Improves Fitness in Recruit Firefighters.International journal of environmental research and public health · 2021Article
- Fitness Fights Fires: Exploring the Relationship between Physical Fitness and Firefighter Ability.International journal of environmental research and public health · 2021Article
- Functional Movement Screen as a Predictor of Occupational Injury Among Denver Firefighters.Safety and health at work · 2020Article
- Heart Rate Responses during Simulated Fire Ground Scenarios among Full-Time Firefighters.International journal of exercise science · 2020Article
- Triple Hop for Distance as a Predictor of Lower Extremity Performance in Firefighter Equipment.International journal of exercise science · 2019Article
- Examining a novel firefighter exercise training program on simulated fire ground test performance, cardiorespiratory endurance, and strength: a pilot investigation.Journal of occupational medicine and toxicology (London, England) · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
purposeThis study sought to develop a comprehensive measure of fitness that is predictive of injury risk and can be used in the fire service to assess individual-level health and fit-for-duty status.
methodsA retrospective occupational cohort of 799 career fire service employees was observed over the years 2005-2009. An equally weighted score for comprehensive fitness was calculated based on cardiovascular fitness, muscular strength, endurance, flexibility, and body composition. Repeated measures survival analyses were used to estimate the risk of any injury, sprain or strain, and exercise-related injuries in relation to comprehensive fitness.
resultsA well-distributed comprehensive fitness score was developed to distinguish three tiers of overall fitness status. Intraclass correlations identified flexibility, total grip strength, percent body fat, and resting heart rate as the most reliable fitness metrics, while push-ups, sit-ups, and aerobic capacity demonstrated poor reliability. In general, individuals with a lower comprehensive fitness status had an increased injury risk of injury as compared to the most fit individuals. The risk of any injury was 1.82 (95% CI 1.06-3.11) times as likely for the least fit individuals, as compared to individuals in the top fire fitness category, increasing to 2.90 (95% CI 1.48-5.66) when restricted to sprains and strains.
conclusionsThis 5-year analysis of clinical occupational health assessments enabled the development of a relevant metric for relating comprehensive fitness with the risk of injury. Results were consistent with previous studies focused on cardiorespiratory fitness, but also less susceptible to inter-individual variability of discrete measurements.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.