ArticleInternational archives of occupational and environmental health2016
Twenty-four-hour work shifts, increased job demands, and elevated blood pressure in professional firefighters.
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 17 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Association between Cardiovascular Disease Risk Factors and Cardiorespiratory Fitness in Firefighters: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Health outcomes of psychosocial stress within firefighters: A systematic review of the research landscape.Journal of occupational health · 2021Pooled it
- Prevention of atherosclerotic coronary artery disease in tactical athletes.American journal of preventive cardiology · 2026Review
- Association of shift work with body weight, stress, sleep, and dietary intake in prison officers and firefighters.European journal of nutrition · 2026Article
- When Chronic Risk Meets Acute Strain: Sudden Cardiac Death and Cardiovascular Vulnerability in Firefighters.Clinical Medicine Insights. Cardiology · 2026Review
- Review
- Cardiorespiratory Fitness Is Not Associated with Cardiovascular Disease Risk in Firefighters: A Cross-Sectional Study in South African Firefighters.International journal of environmental research and public health · 2024Article
- Association of the Length of Service of 24/48 Firefighters with the Quality of Their Diet and Selected Anthropometric Parameters.Nutrients · 2023Article
- The allostatic load model: a framework to understand the cumulative multi-system impact of work-related psychosocial stress exposure among firefighters.Health psychology and behavioral medicine · 2023Review
- End-stage renal disease incidence in a cohort of US firefighters from San Francisco, Chicago, and Philadelphia.American journal of industrial medicine · 2022Article
- A Pilot Study on the Relationship between Cardiovascular Health, Musculoskeletal Health, Physical Fitness and Occupational Performance in Firefighters.European journal of investigation in health, psychology and education · 2022Article
- Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research.American journal of industrial medicine · 2022Article
- Job Demands and Exhaustion in Firefighters: The Moderating Role of Work Meaning. A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Prevalence of coronary artery disease risk factors in firefighters in the city of Cape Town fire and rescue service - A descriptive study.Journal of public health research · 2021Article
- Shifted Firefighter Health Investigation by Personal Health Insurance Record in Taiwan.Risk management and healthcare policy · 2021Article
- Developing a Job Exposure Matrix of Work Organization Hazards in the United States: A Review on Methodological Issues and Research Protocol.Safety and health at work · 2020Review
- A socioecological framework for research on work and obesity in diverse urban transit operators based on gender, race, and ethnicity.Annals of occupational and environmental medicine · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo investigate whether working conditions (number of 24-h shifts, number of calls, sedentary work, job strain, effort-reward imbalance, and physical demands) are associated with elevated blood pressure and hypertension among professional firefighters.
methodsA total of 330 (321 males and 9 females) firefighters were chosen for this study among the Southern California firefighters who participated in a work and obesity project. Working conditions were measured with a firefighter-specific occupational health questionnaire. Blood pressure was clinically assessed, and hypertension was defined according to the contemporary standard classification.
resultsAbout 11 % of the firefighters had hypertension. Fifty percent of the hypertensive firefighters (mostly mild hypertensive) had uncontrolled high blood pressure. Hypertension was more prevalent in male, older, and high-rank firefighters and firefighter who reported low numbers of daily calls. In male firefighters who were normotensive or hypertensive without taking anti-hypertensive medication, additional 24-h shifts in the past month increased the risk of elevated diastolic blood pressure (DBP) than those who reported a standard work schedule (eight to eleven 24-h shifts). Particularly, firefighters who reported sixteen 24-h shifts had 5.0 mmHg higher DBP (p < 0.01). Body mass index attenuated the association between number of shifts and blood pressure to some extent. Firefighters who reported "increased job demands over the past years" had 3.0 mmHg (p = 0.06) higher systolic blood pressure. Other working conditions were not associated with elevated blood pressure and hypertension.
conclusionsMany additional 24-h shifts and increased job demands were risk factors for elevated blood pressure in male firefighters. Optimal collective and individual workload and improved hypertension management are warranted for enhancing the cardiovascular health of firefighters.
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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.