Subclinical Measures of Cardiovascular Health Among Wildland Firefighters

Md Zahid Hasan, Erin O. Semmens, Kathleen Navarro Dubose, L. Kaili Mccray, Curtis W. Noonan

Research output: Contribution to journalArticlepeer-review


Objective The aim of the study is to compare subclinical measures of cardiovascular health among wildland firefighters (WFFs) to the US general population. Methods Our cross-sectional study compared body mass index, total cholesterol, and blood pressure in 11,051 WFFs aged 17 to 64 years using Department of the Interior Medical Screening Program clinical screening examinations between 2014-2018 to National Health and Nutrition Examination Survey of 2015-2016 cycle using adjusted logistic regression analyses. Results The logistic regression model shows significantly higher odds of hypertension and prehypertension in WFFs (2.84 times more with 95% CI: 2.28-3.53) than US general population. There were no consistent differences in body mass index or total cholesterol between the two population. Conclusions Hypertension and prehypertension were more prevalent in WFFs compared with the US general population, which suggests the need for actions for protecting against cardiovascular disease among WFFs.

Original languageEnglish
Pages (from-to)E116-E121
JournalJournal of Occupational and Environmental Medicine
Issue number3
StatePublished - Mar 1 2024


  • blood pressure
  • body mass index
  • hypertension
  • total cholesterol
  • wildland firefighters
  • Firefighters
  • Nutrition Surveys
  • Cross-Sectional Studies
  • Humans
  • Risk Factors
  • Cardiovascular Diseases/epidemiology
  • Prehypertension
  • Hypertension/epidemiology
  • Cholesterol


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