@article{ref1,
title="Wildland firefighting: adverse influence on indices of metabolic and cardiovascular health",
journal="Journal of Occupational and Environmental Medicine",
year="2019",
author="Coker, Robert H. and Murphy, Carl J. and Johannsen, Michelle and Galvin, Grant and Ruby, Brent C.",
volume="61",
number="3",
pages="e91-e94",
abstract="OBJECTIVE: The purpose of this study was to evaluate pre- and post-season measures of body composition, skeletal muscle, and blood parameters/liver lipid in wildland firefighters (WLFF) over the fire season. <br><br>METHODS: Alaskan WLFF (N = 27) crews were evaluated pre and post wildfire season, which included 63 ± 10 operational days. Body composition, thigh muscle area and liver lipid were quantified using dual energy x-ray absorptiometry and MRI, respectively. Blood metabolic and lipid panels were also collected and analyzed. <br><br>RESULTS: Total body, fat, and visceral fat mass increased from pre to post season (p < 0.05). Total cholesterol, LDL and total globulin also increased (p < 0.05). There was a trend (p = 0.06) towards an increase in IHL. <br><br>CONCLUSIONS: The observed maladaptive changes in adipose tissue, blood lipids and hepatic function may reflect adaptations/consequences to occupational demands/conditions and warrant evaluation of appropriate countermeasures.<p /> <p>Language: en</p>",
language="en",
issn="1076-2752",
doi="10.1097/JOM.0000000000001535",
url="http://dx.doi.org/10.1097/JOM.0000000000001535"
}