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Obesity and incident injury among career firefighters in the central United States
Author(s) -
Jahnke S.A.,
Poston W.S.C.,
Haddock C.K.,
Jitnarin N.
Publication year - 2013
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.20436
Subject(s) - medicine , obesity , injury prevention , occupational safety and health , cohort , musculoskeletal injury , population , cohort study , poison control , physical therapy , prospective cohort study , demography , body mass index , longitudinal study , gerontology , medical emergency , environmental health , alternative medicine , pathology , sociology
Objective Firefighting is a dangerous profession with high injury rates, particularly musculoskeletal (MS), but limited longitudinal data is available to examine predictors of MS injuries in this population. Design and Methods The relationship between personal individual, nonoccupational factors (e.g., demographic characteristics, body composition, fitness, and health behaviors) and incident injury and incident MS injury in a prospective cohort of 347 firefighters from the central United States was examined. Results Baseline weight status was a significant predictor of incident MS injury, with obese (BMI ≥ 30 kg m −2 ) firefighters 5.2 times more likely (95% CI = 1.1‐23.4) to experience a MS injury than their normal weight (BMI = 18.5‐24.9 kg m −2 ) colleagues over the course of the study. Similarly, firefighters who were obese based on WC (>102.0 cm) were almost three times as likely (OR = 2.8, 95% CI = 1.2‐6.4) to have a MS injury at follow‐up. Conclusions Findings highlight the importance of focusing on firefighters' body composition, nutrition and fitness as a means of decreasing risk for injury.