Journal
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Volume 61, Issue 10, Pages 841-848Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0000000000001685
Keywords
obesity; firefighters; weight loss; nutrition; physical activity; intervention; web-based
Categories
Funding
- Assistance to Firefighters Grants (AFG) program [EMW-2013-FP-00983]
- National Institute for Occupational Safety and Health (NIOSH) Southwest Center for Occupational and Environmental Health Education and Research Center [5T42OH008421]
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Objective: The aim of this study was to determine the efficacy of an occupationally tailored, web-based health and wellness program, The First Twenty (R) (TF20), for weight change among volunteer firefighters. Methods: The impact of TF20 on firefighters' 6-month weight change was tested in a cluster, randomized controlled trial, using a crossover design of firefighters in 10 departments. TF20 has web-based nutrition, physical activity, and behavioral health components. Results: An adjusted treatment-induced weight loss from 1.7 to 2.8 lb was observed for all participants and 2.3 to 3.1 lb among overweight and obese participants. An average weight gain was observed among firefighters in the control condition and weight loss for those in the treatment condition. Conclusions: TF20 supports firefighters' weight loss. Firefighters need wellness interventions to improve nutrition and physical activity given their high prevalence of obesity.
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