Civilians Have Higher Adherence and More Improvements in Health With a Mediterranean Diet and Circuit Training Program Compared With Firefighters.
Journal
Journal of occupational and environmental medicine
ISSN: 1536-5948
Titre abrégé: J Occup Environ Med
Pays: United States
ID NLM: 9504688
Informations de publication
Date de publication:
01 06 2022
01 06 2022
Historique:
pubmed:
6
1
2022
medline:
30
6
2022
entrez:
5
1
2022
Statut:
ppublish
Résumé
To examine the relationship between diet adherence and cardiovascular disease (CVD) risk-reduction between civilians and firefighters with a 6-week Mediterranean diet and tactical training intervention. Forty firefighters and 30 civilians participated. Blood pressure, body composition, lipid levels, vascular measures, and aerobic capacity were measured pre- and post-intervention. Diet was self-report based on number of servings consumed. Weekly diet-scores were calculated. Both groups had improvements in blood pressure and body composition. Civilians had improved lipid levels, higher overall adherence, a relationship between total Med-diet score and cholesterol (R = 0.68), and higher servings consumed in foods typical of Mediterranean-dietary pattern ( P < 0.05). This is the first exercise and diet intervention comparing firefighters to civilians. Adherence to a Mediterranean-dietary pattern coupled with exercise is effective at improving cardiac health. These findings substantiate the need for wellness interventions in firefighters.
Identifiants
pubmed: 34985026
doi: 10.1097/JOM.0000000000002478
pii: 00043764-202206000-00007
doi:
Substances chimiques
Cholesterol
97C5T2UQ7J
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
488-494Informations de copyright
Copyright © 2022 American College of Occupational and Environmental Medicine.
Déclaration de conflit d'intérêts
Conflict of Interest: None declared.
Références
Smith DL, Fehling PC, Frisch A, Haller JM, Winke M, Dailey MW. The prevalence of cardiovascular disease risk factors and obesity in firefighters. J Obes . 2012;2012:1–9.
Martin ZT, Schlaff RA, Hemenway JK, et al. Cardiovascular disease risk factors and physical fitness in volunteer firefighters. Int J Exerc Sci . 2019;12:764–776.
Kales SN, Soteriades ES, Christoudias SG, Christiani DC. Firefighters and on-duty deaths from coronary heart disease: a case control study. Environ Health . 2003;2:14.
Lovejoy S, Gillespie GL, Christianson J. Exploring physical health in a sample of firefighters. Workplace Health Saf . 2015;63:253–258.
Kales SN, Tsismenakis AJ, Zhang C, Soteriades ES. Blood pressure in firefighters, police officers, and other emergency responders. Am J Hypertens . 2009;22:11–20.
Lan F-Y, Fernandez-Montero A, Yiannakou I, et al. A Mediterranean lifestyle is associated with lower hypertension prevalence and better aerobic capacity among New England firefighter recruits. J Occup Environ Med . 2020;62:466–471.
Gibson A, Sainsbury A. Strategies to improve adherence to dietary weight loss interventions in research and real-world settings. Behav Sci . 2017;7:44.
Soteriades ES, Smith DL, Tsismenakis AJ, Baur DM, Kales SN. Cardiovascular disease in US firefighters: a systematic review. Cardiol Rev . 2011;19:202–215.
Bucher Della Torre S, Wild P, Dorribo V, Amati F, Danuser B. Eating habits of professional firefighters: comparison with national guidelines and impact healthy eating promotion program. J Occup Environ Med . 2019;61:e183–e190.
Yang J, Farioli A, Korre M, Kales SN. Dietary preferences and nutritional information needs among career firefighters in the United States. Glob Adv Health Med . 2015;4:16–23.
Estruch R, Ros E, Salas-Salvadó J, et al. Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. N Engl J Med . 2018;378:e34.
Barnard ND, Alwarith J, Rembert E, et al. A Mediterranean diet and low-fat vegan diet to improve body weight and cardiometabolic risk factors: a randomized, cross-over trial. J Am Coll Nutr . 2021;1–13. doi:10.1080/07315724.2020.1869625.
doi: 10.1080/07315724.2020.1869625
Alissa EM, Ferns GA. Dietary fruits and vegetables and cardiovascular diseases risk. Crit Rev Food Sci Nutr . 2015;57:1950–1962.
Aune D, Giovannucci E, Boffetta P, et al. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality – a systematic review and dose-response meta-analysis of prospective studies. Int J Epidemiol . 2017;46:1029–1056.
Mohan D, Mente A, Dehghan M, et al. Associations of fish consumption with risk of cardiovascular disease and mortality among individuals with or without vascular disease from 58 countries. JAMA Intern Med . 2021;181:631–649.
Al-Shaar L, Satija A, Wang DD, et al. Red meat intake and risk of coronary heart disease amongUSmen: prospective cohort study. BMJ . 2020;371:m4141.
Swaminathan S, Dehghan M, Raj JM, et al. Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study: prospective cohort study. BMJ . 2021;372:m4948.
Whelton PK, Carey RM, Aronow WS, et al. 2017ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. JAm Coll Cardiol . 2018;71:e127–e248.
Crilly M, Coch C, Bruce M, Clark H, Williams D. Indices of cardiovascular function derived from peripheral pulse wave analysis using radial applanation tonometry: a measurement repeatability study. Vasc Med . 2007;12:189–197.
Roman MJ, Devereux RB, Kizer JR, et al. Central pressure more strongly relates to vascular disease and outcome than does brachial pressure. Hypertension . 2007;50:197–203.
Nürnberger J, Keflioglu-Scheiber A, Opazo Saez AM, Wenzel RR, Philipp T, Schäfers RF. Augmentation index is associated with cardiovascular risk. J Hypertens . 2002;20:2407–2414.
Tsiachris D, Tsioufis C, Syrseloudis D, et al. Subendocardial viability ratio as an index of impaired coronary flow reserve in hypertensives without significant coronary artery stenoses. J Hum Hypertens . 2012;26:64–70.
Harris RA, Nishiyama SK, Wray DW, Richardson RS. Ultrasound assessment of flow-mediated dilation. Hypertension . 2010;55:1075–1085.
Corretti MC, Anderson TJ, Benjamin EJ, et al. Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery. J Am Coll Cardiol . 2002;39:257–265.
Feairheller DL, Diaz KM, Kashem MA, et al. Effects of moderate aerobic exercise training on vascular health and blood pressure in African Americans. J Clin Hypertens . 2014;16:504–510.
Perk J, De Backer G, Gohlke H, et al. Fifth Joint Task Force of the European Society of C, Other Societies on Cardiovascular Disease Prevention in Clinical P, European Association for Cardiovascular P, and Rehabilitation. European Guidelines on cardiovascular disease prevention in clinical practice. Atherosclerosis . 2012;223:1–68.
National Fire Protection Association, NFPA 1583. Standard on Health-Related Fitness Programs for Firefighters . Quincy, MA; 2008.
McLaughlin KC, Perez AN, Donahue S, Feairheller DL. Tactical circuit training improves blood pressure and vascular health more than resistance training. Int J Ex Sci . 2021;14:1320–1333.
Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis . 2006;16:559–568.
Monteagudo C, Mariscal-Arcas M, Rivas A, Lorenzo-Tovar ML, Tur JA, Olea-Serrano F. Proposal of a Mediterranean diet serving score. PLoS One . 2015;10:e0128594.
Poston WS, Haddock CK, Jahnke SA, Jitnarin N, Tuley BC, Kales SN. The prevalence of overweight, obesity, and substandard fitness in a population based firefighter cohort. J Occup Environ Med . 2011;53:266–273.
Romanidou M, Tripsianis G, Hershey MS, et al. Association of the modified Mediterranean diet score (mMDS) with anthropometric and biochemical indices in US career firefighters. Nutrients . 2020;12:3693.
Yang J, Farioli A, Korre M, Kales SN. Modified Mediterranean diet score and cardiovascular risk in a North American working population. PLoS One . 2014;9:e87539.
Romaguera D, Norat T, Mouw T, et al. Adherence to the Mediterranean diet is associated with lower abdominal adiposity in European men and women. J Nutr . 2009;139:1728–1737.
Roberts MA, O?Dea J, Boyce A, Mannix ET. Fitness levels of firefighter recruits before and after a supervised exercise training program. J Strength Cond Res . 2002;16:271–277.
Tang G-Y, Meng X, Li Y, Zhao C-N, Liu Q, Li H-B. Effects of vegetables on cardiovascular diseases and related mechanisms. Nutrients . 2017;9:857.
McRae MP. Dietary fiber is beneficial for the prevention of cardiovascular disease: an umbrella review of meta-analyses. J Chiropr Med . 2017;16:289–299.
Aune D, Keum NN, Giovannucci E, et al. Whole grain consumption and risk of cardiovascular disease, cancer, and all cause and cause specific mortality: systematic review and dose-response meta-analysis of prospective studies. BMJ . 2016;353:i2716.
Bowen KJ, Harris WS, Kris-Etherton PM. Omega-3 fatty acids and cardiovascular disease: are there benefits? Curr Treat Options Cardiovasc Med . 2016;18:69.
Pan A, Sun Q, Bernstein AM, et al. Red meat consumption and mortality: results from two prospective cohort studies. Arch Intern Med . 2012;172:555–563.