title: Obesity and incident injury among career firefighters in the central United States.
abstract: OBJECTIVE
  Firefighting is a dangerous profession with high injury rates, particularly musculoskeletal (MS), but limited longitudinal data is available to examine predictors of MS injuries in this population.
  
  
  METHODS
  The relationship between personal individual, nonoccupational factors (e.g., demographic characteristics, body composition, fitness, and health behaviors) and incident injury and incident MS injury in a prospective cohort of 347 firefighters from the central United States was examined.
  
  
  RESULTS
  Baseline weight status was a significant predictor of incident MS injury, with obese (BMI ≥ 30 kg m(-2)) firefighters 5.2 times more likely (95% CI = 1.1-23.4) to experience a MS injury than their normal weight (BMI = 18.5-24.9 kg m(-2)) colleagues over the course of the study. Similarly, firefighters who were obese based on WC (>102.0 cm) were almost three times as likely (OR = 2.8, 95% CI = 1.2-6.4) to have a MS injury at follow-up.
  
  
  CONCLUSIONS
  Findings highlight the importance of focusing on firefighters' body composition, nutrition and fitness as a means of decreasing risk for injury.
authors.affiliation: Center for Fire Rescue and EMS Health Research, Institute for Biobehavioral Health Research, National Development and Research Institutes, Kansas, USA. jahnke@ndri.org
authors.forename: S A
authors.initials: SA
authors.lastname: Jahnke
authors.forename: W S C
authors.initials: WS
authors.lastname: Poston
authors.forename: C K
authors.initials: CK
authors.lastname: Haddock
authors.forename: N
authors.initials: N
authors.lastname: Jitnarin
mesh_terms: D000328:Adult; D001823:Body Composition; D015992:Body Mass Index; D005260:Female; D061388:Firefighters; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009140:Musculoskeletal Diseases / Q000150:complications / Q000453:epidemiology*; D009765:Obesity / Q000150:complications / Q000453:epidemiology*; D060051:Occupational Injuries / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D055105:Waist Circumference