Risk of health complaints and disabilities among Dutch firefighters.
OBJECTIVE
The purpose of the present study was threefold: (1) to compare the work demands on firefighters (FFs) and office workers (OWs), (2) to compare the prevalence of health complaints and disabilities in the work situation in these two groups, and (3) to explore the effect of work demands on the risk of health complaints.


METHODS
Self-reported information was gathered from 1,624 FFs (55% response) and 630 OWs (80% response), at the same fire departments in different regions of the Netherlands, on work demands ('sitting', and biomechanically and energetically demanding activities and 24-h shifts), health complaints and disabilities. First, we compared the work demands and prevalence rates of health complaints and related disabilities in the two groups, then we explored the risk of health complaints in workers with high and low exposure to work demands.


RESULTS
Compared with office workers, FFs reported: (1) less exposure to 'sitting' and more to biomechanically and energetically demanding activities, (2) more knee (OWs 14% vs FFs 20%) and ankle (3% vs 10%) complaints and disabilities resulting from back complaints (30% vs 47%), and (3) less hypertension (7% vs 5%), stomach (13% vs 7%), heart (6% vs 2%), neck (26% vs 16%), shoulder (16% vs 14%) and arm (14% vs 6%) complaints. A higher risk of subjective fatigue was found in workers highly exposed to 'energetically demanding activities', and of neck, shoulder and arm complaints in workers highly exposed to 'sitting'.


CONCLUSIONS
Firefighters reported higher physical demands (with the exception of 'sitting') than office workers did. The prevalence rate of certain complaints or disabilities among FFs was higher (knee and ankle complaints and disabilities related to back complaints) or lower (hypertension, stomach, heart, neck, shoulder and arm complaints) than among OWs. The results suggest that exposure to highly biomechanically demanding activities might cause an increased risk of knee and ankle complaints and that exposure to highly energetically demanding activities might increase the risk of subjective fatigue.
Bos
Jurriaan
J
Coronel Institute for Occupational and Environmental Health, AmCOGG Amsterdam Centre for Research into Health and Health Care, Academic Medical Centre, University of Amsterdam, P.O. Box 22700, 1100 DE Amsterdam, The Netherlands.
Mol
Eric
E
Visser
Bart
B
Frings-Dresen
Monique
M
D000328:Adult; D016512:Ankle Injuries / Q000453:epidemiology; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D005260:Female; D005390:Fires / Q000517:prevention & control*; D006801:Humans; D007718:Knee Injuries / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D009784:Occupational Diseases / Q000145:classification / Q000453:epidemiology*; D009817:Office Management; D015995:Prevalence; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology