Sex differences in muscle quality of firefighter recruits: a new exploratory approach to evaluation

Background Firefighting is a hazardous occupation that requires optimal fitness levels as it put tremendous strain on the cardiovascular system. Poor body composition could contribute to the increased risk of cardiac events and reduced functional capacity. Objective The aims of this study were (1) to analyze the body composition of Italian firefighters, comparing males and females; and (2) to investigate if fitness values could be predictive of Muscle Quality (MQ) in male and female firefighters. Methods Anthropometric (weight, height, body mass index, and BIA) and fitness (handgrip, upper and lower body strength, and VO2max) parameters of 23 firefighters' recruits (female = 11; male = 12; age: 36.70 +/- 4.68 years; weight: 69.14 +/- 12.19 kg; height: 169.30 +/- 6.93 cm; BMI: 23.97 +/- 2.77 kg/m(2)) were analyzed. An independent t test was used to evaluate sex differences, and multiple linear regression with backward stepwise elimination was considered to evaluate the muscle quality index (MQI) dependence on anthropometric and fitness variables. Results Statistical differences (p < 0.05) between sex groups emerged in all anthropometric and fitness parameters and MQI. Only three variables were found significant (F-(3,F- 19) = 4012.20, p < 0.001; R-2 adjusted = 0.998). MQI values were strongly positively associated with the Handgrip test (t = 45.55; p < 0.001), and negatively associated with the Bench press test (t = -2.14; p = 0.045) and female status (t = -1.88; p = 0.075). Conclusions Our results confirm that sex and fitness parameters could be predictive of MQ values in recruits' firefighters, and the easy evaluation of this parameter could provide helpful information for developing specific interventions for healthy lifestyle promotion in firefighters.

Automated summary

This study analyzed the body composition of Italian firefighters and found that poor body composition may increase the risk of cardiac events and reduce functional capacity. The study also found that fitness values could predict muscle quality in firefighters, which is important for promoting a healthy lifestyle among firefighters.