RESUMEN
Limited cardiovascular risk data are available for firefighters. This cross sectional study of data collected during annual physical examinations described the prevalence of cardiovascular risk factors among firefighters (N = 200) and examined relationships between body mass index (BMI) and other cardiovascular risk factors. Evidence based guidelines were used to determine prevalence of cardiovascular risk factors and Framingham risk scoring was used to estimate probability of coronary heart disease (CHD). Firefighters ranged in age from 22 to 64 with a mean of 41. The prevalence of obesity, elevated total cholesterol, and elevated blood pressure in firefighters exceeded Healthy People 2010 targets. In addition, their prevalence of obesity, low high density lipoprotein (HDL), high low density lipoprotein (LDL), and high total cholesterol levels was higher relative to the general population. Elevated body mass index (BMI) values had positive significant (p < or = .01) associations with elevated blood pressures, triglycerides, and glucose levels, and a negative significant (p < .05) association with lower HDL cholesterol levels. Fire department worksite health and fitness policies and programs should proactively target firefighters' cardiovascular risks. Future firefighter related intervention research will benefit from considering not only the individual determinants of cardiovascular disease, but also the ecological framework that includes the influences of workplace and external environmental factors.
Asunto(s)
Enfermedades Cardiovasculares/etiología , Incendios , Enfermedades Profesionales/etiología , Enfermería del Trabajo/métodos , Adulto , Índice de Masa Corporal , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/prevención & control , Estudios Transversales , Femenino , Incendios/prevención & control , Humanos , Hipercolesterolemia/complicaciones , Hipertensión/complicaciones , Hipertrigliceridemia/complicaciones , Illinois/epidemiología , Masculino , Persona de Mediana Edad , Análisis Multivariante , Rol de la Enfermera , Obesidad/complicaciones , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/prevención & control , Salud Laboral , Prevalencia , Medición de Riesgo , Factores de RiesgoRESUMEN
Concept analysis is a useful tool in providing clarity to an abstract idea as well as an objective basis for developing wellness program products, goals, and outcomes. To plan for and develop successful wellness programs, it is critical for occupational health nurses to clearly understand a program concept as applied to a particular community or population. Occupational health nurses can use the outcome measures resulting from the concept analysis process to help demonstrate the business value of their wellness programs. This concept analysis demonstrates a predominance of the performance related attributes of fitness in the scientific literature.