Blood Pressure, Cardiovascular Risk Factor, Diet Modification, Exercise, Health Promotion
Conditions
Keywords
Cardiovascular Disease, Mediterranean Diet, Exercise Training, Blood Pressure
Brief summary
The study will explore the capacity for a lifestyle modification in firefighters to improve blood pressure, blood vessel stiffness, inflammation, and reduce oxidative stress. The study will be a pre- post-testing controlled trial with three groups. The intervention will be a weekly circuit workout program and a Mediterranean (high fruit/vegetable) diet. The groups will be firefighters with \>10yrs experience, firefighters with \<10yrs experience, and control Non-firefighters.
Detailed description
Recent statistics from the American Heart Association (AHA) have reported that \>92% of adults in the U.S. meet at least 1 metric for cardiovascular disease risk factors. In firefighters, this increased risk is especially concerning. The National Fire Protection Agency (NFPA) estimates there are around 1.3 million firefighters in the United States, 70% of which are volunteer. The prevalence of impaired cardiovascular health is higher in firefighters than in the general population and the leading line-of-duty death (LODD) cause is cardiac related. It is known that exercise and diet mitigate cardiovascular disease risk. Meeting the physical activity guidelines remains a target of ideal cardiovascular health and a major public health concern. However, the NFPA does not require volunteer fire companies to have a fitness program for their crew, and sadly less than a third of the stations actually do. And importantly, cardiovascular-related LODD remains a major issue in the firefighter population. The results could guide clinical treatment for firefighters and may therefore reduce cardiac-related LODD.
Interventions
BEHAVIORALCircuit Training exercise & Modified Mediterranean diet
Participants will receive circuit training program and a modified Mediterranean diet program. Educational sessions, serving size training, and portion containers will be provided. Participants will also receive individualized support throughout the 6 week intervention.
Sponsors
American Heart Association
California State University, San Marcos
University of New Hampshire
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Adult * Able to Exercise
Exclusion criteria
* More than one anti-hypertensive medication * More than one cholesterol medication * Diabetic * Prior Cardiac incident
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in blood pressure | Pre-Intervention (Week 0), Post-Intervention (Week 6) | Blood pressure surge response to alarm will be measured by ambulatory blood pressure monitor |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in vascular stiffness | Pre-Intervention (Week 0), Post-Intervention (Week 6) | Stiffness will be measured by pulse wave velocity |
| Change in cardiopulmonary fitness | Pre-Intervention (Week 0), Post-Intervention (Week 6) | Fitness will be measured by treadmill test |
| Change in body composition | Pre-Intervention (Week 0), Post-Intervention (Week 6) | Body composition will be measured by bioelectrical impedance |
| Change in inflammation | Pre-Intervention (Week 0), Post-Intervention (Week 6) | Inflammation will be measured by assay of circulating bio-markers through blood draw. |
| Change in oxidative stress | Pre-Intervention (Week 0), Post-Intervention (Week 6) | Oxidative stress will be measured by assay of circulating antioxidant bio-markers through blood draw. |
Countries
United States
Outcome results
None listed