Evidence map›Paper›PMID 36577282›Full record

ArticleInternational journal of hygiene and environmental health2023

Inflammatory profiles, gut microbiome, and kidney function are impacted after high-fidelity firefighter training.

Madelyn C Houser, Daniel J Smith, David Rhodes, Judith L Glick-Smith, Phillip Chovan, Erin Ferranti, Sandra B Dunbar, Malú G Tansey, Vicki Hertzberg, Valerie V Mac

Abstract read
In one paragraph

Article in International journal of hygiene and environmental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Madelyn C HouserNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: mcrawf4@emory.edu.
Daniel J SmithNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: daniel.j.smith@villanova.edu.
David RhodesGeorgia Smoke Diver Association, Dalton, GA, USA. Electronic address: Rhodesconsultants@gmail.com.
Judith L Glick-SmithMentorFactor, Inc., 2915 Brookwater Dr, Cumming, GA 30041, USA. Electronic address: judy@mentorfactorinc.com.
Phillip ChovanGeorgia Smoke Diver Association, Dalton, GA, USA. Electronic address: chovanp@bellsouth.net.
Erin FerrantiNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: epoe@emory.edu.
Sandra B DunbarNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: sbdunba@emory.edu.
Malú G TanseySchool of Medicine, Emory University, 615 Michael St, Atlanta, GA 30322, USA. Electronic address: mgtansey@ufl.edu.
Vicki HertzbergNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: vhertzb@emory.edu.
Valerie V MacNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: valerie.mac@emory.edu.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Metabolomics of the Physiologic Heat Stress Response in Latino Construction WorkersK23NR018485 · NINR · EMORY UNIVERSITY · PI MAC, VALERIE VI THIEN · 2019 to 2019
$153k
NCATS NIH HHS UL1 TR002378NCI NIH HHS P30 CA138292NINR NIH HHS K23 NR018485NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundFirefighters are frequently exposed to high temperatures, environmental toxicants, and strenuous physical demands. The health impacts of these occupational exposures on processes including inflammation and kidney function as well as on the gut microbiota are poorly understood. A firefighter training course may provide a controlled environment to assess these health risks.

methodsBasic health measures, stool, and blood samples were obtained from 24 firefighters participating in a one-week, heat-intensive training course. Indicators of inflammation, gut permeability, kidney health, and stool microbiota composition were measured before and after the training course in 18 participants. Urine specific gravity was measured before and after a heat-intensive training day to evaluate dehydration.

resultsThe majority of firefighters in this cohort were categorized as hypertensive and experienced multiple heat-related illness symptoms during the training week and dehydration after the heat-intensive training day. While plasma IL-1β, CXCL8, and NGAL decreased over the training week, other indicators of inflammation and acute kidney injury increased, and estimated kidney function declined. Microbiota composition shifted over the course of the training week, with changes in Peptostreptococcus anaerobius and Streptococcus.

conclusionsThis pilot study conducted in a controlled field setting suggests that the occupational environment of firefighters may increase their risk for systemic inflammation and kidney disease.

Indexed as

FirefightersGastrointestinal MicrobiomeDehydrationHumansInflammationKidneyPilot ProjectsDehydrationFirefighterHeat-related illnessInflammationKidney injuryMicrobiome

Identifiers

PMID36577282
PMCPMC9898220

What OpenQuestion holds

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Registered trials

None linked

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.