Document Detail


Lipid profile of firefighters over time: opportunities for prevention.
MedLine Citation:
PMID:  12227676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Heart disease is the primary cause of on-duty deaths in firefighters, but little is known about their lipid profile. We evaluated the lipid profile in relation to other cardiovascular disease risk factors in 321 firefighters at a baseline examination. Prospective comparisons were performed for 285 firefighters, who were enrolled in a statewide medical surveillance program, and had complete follow-up data for 4 years. The average cholesterol level in firefighters declined from 224 mg/dL at baseline (1996-1997) to 214 mg/dL at the follow-up examination (P < 0.0001). Conversely, both obesity (body mass index > or = 30; 34% versus 40%, P = 0.008) and triglycerides (> or = 200 mg/dL; 27% versus 35%, P = 0.047) increased over time. The proportion of firefighters taking lipid-lowering medications increased from 3% at baseline to 12% at follow-up (P < 0.0001). Cholesterol levels declined significantly, and treatment rates for elevated cholesterol increased over time. Despite repeated examinations, a considerable number of firefighters had persistently elevated cholesterol, and only a minority were receiving adequate treatment.
Authors:
Elpidoforos S Soteriades; Stefanos N Kales; Dimitrios Liarokapis; Stavros G Christoudias; Scott A Tucker; David C Christiani
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine     Volume:  44     ISSN:  1076-2752     ISO Abbreviation:  J. Occup. Environ. Med.     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-13     Completed Date:  2003-02-06     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9504688     Medline TA:  J Occup Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  840-6     Citation Subset:  IM    
Affiliation:
Cambridge Hospital, Harvard Medical School, Massachusetts 02139, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiovascular Diseases / prevention & control*
Female
Follow-Up Studies
Humans
Hypercholesterolemia / drug therapy,  epidemiology,  prevention & control*
Hypertriglyceridemia / drug therapy,  epidemiology,  prevention & control*
Male
Mass Screening*
Massachusetts / epidemiology
Middle Aged
Occupational Health Services*
Risk Factors
Grant Support
ID/Acronym/Agency:
ES00002/ES/NIEHS NIH HHS; OH03729/OH/NIOSH CDC HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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