UK FRS Fitness Standards Research Project. Philip Turner

Transcription

1 UK FRS Fitness Standards Research Project Philip Turner

2 Funding and cooperation Funding Academic rigour On-going cooperation Funding Equipment / facilities

3 Requirement To investigate the physical demands of firefighting Health and Lifestyle Factors Physical Fitness Standard Enhance safety & health of UK FRS employees

4 Health & lifestyle - background Smoking Hypertension Diabetes Abdominal obesity Abnormal lipids Fruit/veg intake Physical activity levels Psychosocial factors Risk of MI 3 X 2 X 2.5 X 1.12 X 3.25 X 0.7 X 0.86 X 2.67 X Clustering Yusuf S et al, (2004)

5 Background firefighter populations 45% of on-duty deaths due to heart disease Over 60% when responding, attending, returning from emergency call Kales et al,(2007) 30% deaths probably attributable to heart disease Labour Research department, (2008)

6 Aim The aim of the survey is to gather information on the health and lifestyle choices made by the employees of the UK Fire and Rescue Service. It is anticipated that this information will enable a more complete understanding of the effect that lifestyle choices have on the health and wellbeing of Fire and Rescue employees.

7 Method UK FRS Health & Lifestyle Survey 6 months January 2012 to July 2012 Target audience All UK FRS employees SurveyMonkey Webhost Communication CFOA circulars (Feb/Apr 2013) Access - FireFit website CFOA website FRS intranet

8 UK FRS Health & Lifestyle Survey General information Lifestyle information Psychological wellbeing Sleep quality Further tests Sex Age Fire service Salary scale Duty system Postcode area Height/weight/w aist size Medical history International Activity Questionnaire (IPAQ) Rapid eating and assessment for patients (REAP) Alcohol use disorders identification test (AUDIT) Cigarette dependency scale (CDS) Depression anxiety stress scale (DASS) Positive/negativ e affect scale (PANAS) Basic psychological needs scale (BPNS) Satisfaction with life scale (SWLS) Pittsburgh sleep quality index (PSQI) Epworth sleepiness scale (ESS) Fitness assessment Anthropometric measures Blood analysis

9 Results operational respondents Descriptive Group n Age (y) Height (m) Mass (kg) BMI Waist (m) Length Service (Y) All FRS (±9) 1.76(±0.09) 82.5(±14.8) 26.7(±4) 0.86(±0.09) 19(±16) Male (±8) 1.79(±0.06) 87.4(±12.1) 27.2(±3) 0.88(±0.07) 20(±16) Female (±10) 1.65(±0.07) 68.9(13.1) 25.3(±5) 0.79(±0.11) 13(±14) Operational (±7) 1.79(±0.07) 85.8(±12.6) 26.8(±3) 0.87(±0.08) 20±(15) Male (±8) 1.80(±0.06) 87.2(±11.6) 27.0(±3) 0.88(±0.07) 21(±15) Female (±8) 1.69(±0.06) 67.3(±9.9) 23.7(±3) 0.77(±0.09) 14(±13) Retained (±11) 1.77(±0.08) 83.5(±14) 27(±4) 0.87(±9) 23(±25) Male (±11) 1.78(±0.06) 86(±13) 27(±4) 0.88(±8) 22(±23) Female 37 40(±11) 1.65(±0.06) 67(±7) 25(±3) 0.79(±9) 30(±35) denotes significance at p<0.05. denotes significance at p<0.001.

10 Results CVD risk factors Age > 45 y BMI > 30 (obese) WC (male > 102cm, female >88cm) Hypertension (>139/89) Low physical activity (<1000 METmin/week) Proportion of respondents with one or more observable risk factors for CVD according to FRS role and sex. n (%) FRS role All respondents Male Female All staff 1947 (62) 1407 (61) 540 (65) Operational 1146 (56) 1096(58) 50 (34) Control 131 (72) 28 (68) 103 (73) Support 670 (73) 283 (76) 387 (72)

11 Results - operational respondents Hypertensive vs normotensive Characteristic Hypertensive Normotensive Age (y) 49.2(±7) 42.5(±9) Waist (m) 0.91(±11) 0.85(±0.09) BMI (kg/m 2 ) 29(±4) 26.4(±3.7) Self-rated health 2.2(±0.6) 1.9(±0.6) SWLS 17.1(±8) 18.1(±7) Denotes p<0.05. Denotes p<0.001.

12 Results - operational respondents Hypertension and BMI % >29.9 BMI classification Denotes p<0.05

13 Results - operational respondents Markers of psychological wellbeing and hypertension 10 8 Score Depression Anxiety Stress High Denotes p<0.05 Depression Anxiety Stress Normal

14 Results - operational respondents Reported physical activity according to blood pressure group METmins/week Hypertensive Normotensive Blood pressure group Denotes p<0.05

15 Results - operational respondents Alcohol score (smoking vs non smoking) Alcohol score Problematic drinking Combined effects of alcohol and smoking exacerbate negative effects on health 1 Hagger-Johnson et al, (2013) 0 Smokers Non smokers

16 Results - operational respondents Age & physical activity levels 5400 METmins/week y Age <45 y

17 Results - operational respondents Age & psychological wellbeing Score Depression Anxiety Stress Denotes p< y <45 y

18 Results - operational respondents Age & time spent sitting Sitting time (min) Denotes p< y < 45 y Age

19 Conclusions so far.. Increasing physical activity levels would lower CVD risk and improve psychological well being. In this population, majority of respondents reported one or more observable risk factors for CVD - physical health of UK FRS is similar to the general population. Sedentary behaviour increases with age among operational respondents.

20 Recommendations Individuals / groups, identified to be at increased CVD risk should receive additional support (targeted intervention). Physical activity participation should be increased and positively encouraged. Perceived barriers to exercise should be identified and addressed (equipment, facilities, expertise, age).

21 Thank you for listening, any questions