4.3 Article

Correlates of atherosclerotic cardiovascular disease risk in older Colorado firefighters

Journal

OCCUPATIONAL MEDICINE-OXFORD
Volume 68, Issue 1, Pages 51-55

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/occmed/kqx192

Keywords

Atherosclerotic cardiovascular disease; firefighters; per cent body fat; physical fitness

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It has been documented that cardiovascular disease is the leading cause of mortality in on-duty firefighters and little is known about the association between cardiorespiratory fitness and 10-year risk of atherosclerotic cardiovascular disease (ASCVD). To estimate the probability of 10-year ASCVD risk and its association with per cent body fat (%BF), metabolic syndrome (MetS) and physical fitness in Colorado firefighters. Ten-year ASCVD risk was calculated using the newly developed pooled cohort equations in firefighters. Logistic regression was conducted to examine the association of 10-year ASCVD risk (< 5 versus a parts per thousand 5%) with estimated maximum volume of oxygen (VO2 max), %BF and MetS. Out of 294 firefighters, 9% had a 10-year ASCVD risk > 5%. In the unadjusted models, %BF (odds ratio [OR] = 1.13, P < 0.01), VO2 max (OR = 2.87, P < 0.05) and MetS (OR = 2.66, P < 0.05) were significantly associated with 10-year ASCVD risk. In the adjusted model, only %BF (OR = 1.17, P < 0.01) was significantly associated with 10-year ASCVD risk. Among Colorado firefighters, %BF, but not cardiorespiratory fitness, was independently associated with 10-year ASCVD.

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