RESUMEN
OBJECTIVES: This study aimed to identify specific health and well-being issues that women firefighters may experience as part of their daily working practices. Issues identified from this under-represented population can drive future research, education, and strategy to guide safety and health practices. METHODS: A total of 840 women firefighters from 14 separate countries (255 United Kingdom and Ireland, 320 North America, 177 Australasia, and 88 mainland Europe) completed the survey over a 4-month period. Questions related to general health and well-being and role-specific health concerns, gender-related issues, and available exercise facilities. RESULTS: Women firefighters in North America reported a higher prevalence of lower back (49%) and lower limb (51%) injuries than all other groups. North American respondents reported more heat illnesses (45%) than respondents from other places (36%). Although many participants did not respond, of those who did, 39% thought the menstrual cycle (199/512) or menopause (55/151) affected their work, and 36% were concerned for their ability to meet future job demands. Sixteen percent felt confident they could complete the role after 60 years of age. Women firefighters identified a lack of strength and conditioning support (50%) or lack of gym access (21%). There appears to be poor availability of female-specific personal protective equipment, with availability greatest in the United Kingdom (66%) compared with the sample as a whole (42%). CONCLUSIONS: There is a need for female-specific strength and conditioning support and facilities to decrease injury and illness risk and improve longevity. Research and education into gynecological issues, heat exposure, and their effects on women firefighters' fertility and cancer risk is required.
Asunto(s)
Accidentes de Trabajo/estadística & datos numéricos , Bomberos/psicología , Bomberos/estadística & datos numéricos , Enfermedades Profesionales/epidemiología , Salud Laboral/estadística & datos numéricos , Calidad de Vida/psicología , Salud de la Mujer , Adulto , Australasia , Europa (Continente) , Ejercicio Físico/fisiología , Femenino , Humanos , Dolor de la Región Lumbar/epidemiología , Masculino , Persona de Mediana Edad , América del Norte , Aptitud Física , Prevalencia , Encuestas y Cuestionarios , Lugar de Trabajo , Heridas y Lesiones/epidemiologíaRESUMEN
This study examined the effect of active pre-warming on speed and quality of performance during simulated firefighting exercise. Twelve male firefighters performed two trials in counterbalanced order. They were either pre-warmed by 20-min cycling at 1.5 Watt kg(-)(1) body mass (WARM) or remained thermoneutral (CON) prior to a simulated firefighting activity. After the pre-warming, gastrointestinal temperature (P < 0.001), skin temperature (P = 0.002), and heart rate (P < 0.001) were higher in WARM than in CON. During the firefighting activity, rating of perceived exertion, thermal sensation and discomfort were higher for WARM than for CON. Finish time of the firefighting activity was similar, but the last task of the activity was completed slower in WARM than in CON (P = 0.04). In WARM, self-reported performance quality was lower than in CON (P = 0.04). It is concluded that pre-warming reduces the speed during the last part of simulated firefighting activity and reduces self-reported quality of performance.
Asunto(s)
Regulación de la Temperatura Corporal , Bomberos , Esfuerzo Físico/fisiología , Análisis y Desempeño de Tareas , Adulto , Frecuencia Cardíaca/fisiología , Trastornos de Estrés por Calor/etiología , Trastornos de Estrés por Calor/prevención & control , Calor , Humanos , Masculino , Ropa de Protección , Temperatura CutáneaRESUMEN
Manual handling of plasterboards in order to construct interior building walls is a risk factor for musculoskeletal complaints. Unfortunately, mechanical lifting aids to reduce the physical workload are impractical for this task. Therefore, the effect of smaller plasterboards on productivity, work demands and workload was evaluated in an exploratory study among experienced construction workers (n=4-8) at the worksite. The dimensions and weight of the conventional and smaller plasterboards (PB) were: PB120 (2440 x 1200 x 15 mm; 33 kg) and PB90 (2440 x 900 x 12.5 mm; 20 kg), respectively. Productivity was defined as meters of plasterboard mounted. Work demands were assessed by means of real time observations of tasks and activities. Workload was determined using continuous heart rate monitoring and subjective judgments of perceived workload. Productivity and total work time per working day did not differ between PB120 and PB90. Duration of mounting (29% increase) and anchoring (26% increase) were longer for PB90 than PB120. Duration of lifting, carrying and turning over plasterboards, and percentage of heart rate reserve showed no difference between PB120 and PB90. A majority of the workers preferred PB90. For the last two reasons and because PB90 weighs approximately 40% less than PB120, PB90 seems preferable. The workload in both conditions, however, was considered high.
Asunto(s)
Materiales de Construcción , Eficiencia , Arquitectura y Construcción de Instituciones de Salud , Enfermedades Musculoesqueléticas/prevención & control , Exposición Profesional , Humanos , Monitoreo AmbulatorioRESUMEN
OBJECTIVES: The purpose of the present study was threefold: (1) to compare the work demands on firefighters (FFs) and office workers (OWs), (2) to compare the prevalence of health complaints and disabilities in the work situation in these two groups, and (3) to explore the effect of work demands on the risk of health complaints. METHODS: Self-reported information was gathered from 1,624 FFs (55% response) and 630 OWs (80% response), at the same fire departments in different regions of the Netherlands, on work demands ('sitting', and biomechanically and energetically demanding activities and 24-h shifts), health complaints and disabilities. First, we compared the work demands and prevalence rates of health complaints and related disabilities in the two groups, then we explored the risk of health complaints in workers with high and low exposure to work demands. RESULTS: Compared with office workers, FFs reported: (1) less exposure to 'sitting' and more to biomechanically and energetically demanding activities, (2) more knee (OWs 14% vs FFs 20%) and ankle (3% vs 10%) complaints and disabilities resulting from back complaints (30% vs 47%), and (3) less hypertension (7% vs 5%), stomach (13% vs 7%), heart (6% vs 2%), neck (26% vs 16%), shoulder (16% vs 14%) and arm (14% vs 6%) complaints. A higher risk of subjective fatigue was found in workers highly exposed to 'energetically demanding activities', and of neck, shoulder and arm complaints in workers highly exposed to 'sitting'. CONCLUSIONS: Firefighters reported higher physical demands (with the exception of 'sitting') than office workers did. The prevalence rate of certain complaints or disabilities among FFs was higher (knee and ankle complaints and disabilities related to back complaints) or lower (hypertension, stomach, heart, neck, shoulder and arm complaints) than among OWs. The results suggest that exposure to highly biomechanically demanding activities might cause an increased risk of knee and ankle complaints and that exposure to highly energetically demanding activities might increase the risk of subjective fatigue.
Asunto(s)
Incendios/prevención & control , Enfermedades Profesionales/epidemiología , Administración de Consultorio , Adulto , Traumatismos del Tobillo/epidemiología , Personas con Discapacidad/estadística & datos numéricos , Femenino , Humanos , Traumatismos de la Rodilla/epidemiología , Modelos Logísticos , Masculino , Persona de Mediana Edad , Países Bajos/epidemiología , Enfermedades Profesionales/clasificación , Prevalencia , Factores de Riesgo , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Carga de Trabajo/psicologíaRESUMEN
The aim of this study was to assess the tasks and activities that make physical demands on Dutch fire-fighters and to compare them with a guideline related to the development of excessive fatigue. The occupational physical demands on Dutch fire-fighters were assessed by conducting a task analysis during 85 24-h shifts. While workplace observations on the duration and frequency of physical tasks and activities were recorded, the heart rate was measured. This was then used to calculate the heart rate reserve percentage (%HRR) for predefined working periods, tasks and activities during 24-h shifts. The findings indicate that actual fire-fighting during 24-h shifts is characterised by a low frequency of incidents, a short 'turn-out' time, short tasks, and activities with a moderate to occasionally high energetic workload. Two tasks which sometimes occur in actual fire-fighting exceeded the guideline on energetic workload. The conclusion was that, though the number of incidents and the occupational demands are low during 24-h shifts, the peak loads for these two tasks are energetically high and could lead to excessive fatigue. Consequently, attention may need to be paid to health surveillance for persons exposed to such energetic peak loads, the development of physical and medical selection procedures, training, and workplace adjustments.