). The total weekly duration of aerobic exercise as well as the duration of weight lifting sessions both had significant impacts on age-related decline. We conclude that firefighters are more likely to maintain the high levels of CRF needed to safely perform their duties if they engage in frequent exercise and maintain healthy weights.">
老年性心肺功能下降在职业消防员:修改通过身体活动和肥胖</gydF4y2Batitle>
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no-repeat 6px;background-position:center;padding:16px 0 16px 0;min-width:62px;max-width:62px;} @media (min-width:768px){.gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption .caption-partial-url{padding:16px 0 17px 0;min-width:52px;max-width:52px;}} @media (min-width:992px){.gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption .caption-partial-url{padding:15px 0 17px 0;min-width:60px;max-width:60px;}} .gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption .caption-partial-url:hover{-webkit-text-decoration:none;text-decoration:none;} .gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption-text{font-size:14px;padding:0px 18px 17px 22px;} @media (min-width:768px){.gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption-text{padding:0px 15px 15px 18px;}} @media (min-width:992px){.gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption-text{padding:0px 18px 19px 21px;}} .gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption-text figcaption{margin:0;padding:0;} .gtIExW .floats-partial-section .floats-partial-footer .floats-partial-caption-text svg{max-width:100%;} .gtIExW ol{font-size:16px;padding-left:32px;font-family:STIXGeneral-Regular;line-height:24px;margin:15px 0;} .gtIExW ol li{margin:10px 0;padding-left:10px;word-break:normal;} .gtIExW ol li a{word-break:break-all;} .gtIExW ol li .reflinks{display:block;} .gtIExW ol li .reflinks a{color:#4D8A17;-webkit-text-decoration:none;text-decoration:none;cursor:pointer;} .gtIExW ol li .reflinks a:hover{-webkit-text-decoration:underline;text-decoration:underline;} .gtIExW ol li .reflinks .sep{color:#000000;} .gtIExW .table-wrapper{width:auto;overflow-x:auto;} .gtIExW .table-wrapper::-webkit-scrollbar{-webkit-appearance:none;width:5px;height:5px;} .gtIExW .table-wrapper::-webkit-scrollbar-thumb{border-radius:5px;background-color:rgba(0,0,0,.5);-webkit-box-shadow:0 0 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<p>在这一页上</gydF4y2Bap>
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<span class="sc-cooIXK gQxyld">特殊的问题</gydF4y2Baspan>
<h2 class="sc-fcdeBU bVtmCk">身体活动对肥胖和健康的影响</gydF4y2Bah2>
<a class="sc-htpNat bUhGXt link sc-gmeYpB hSHJbi" href="//www.newsama.com/journals/jobe/si/345041/" aria-label="">把这个特殊的问题</一个>
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<p class="sc-kZmsYB bkiEfx article_type">研究文章|<gydF4y2Ba!-- -->开放获取</gydF4y2Bap>
<div class="sc-RcBXQ ztvYg article_citation">
体积<gydF4y2Ba!-- -->
<!-- -->2012年<gydF4y2Ba!-- -->
<span class="sc-fZwumE cUsFHx">|</gydF4y2Baspan>文章的ID<gydF4y2Ba!-- -->
<!-- -->710903年<gydF4y2Ba!-- -->
<span class="sc-fZwumE cUsFHx">|</gydF4y2Baspan>
<a class="sc-htpNat bUhGXt link sc-fQejPQ duuwge" href="https://doi.org/10.1155/2012/710903" aria-label="Doi-link">https://doi.org/10.1155/2012/710903</一个>
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<p>多罗斯·m·鲍尔科斯塔斯a . Christophi e·弗朗西斯·库克,Stefanos羽衣甘蓝<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->
<!-- -->”<gydF4y2Baspan class="adjust-article-svg-size">老年性心肺功能下降在职业消防员:修改通过身体活动和肥胖</gydF4y2Baspan>”,<gydF4y2Ba!-- --><i>肥胖杂志</我>,<gydF4y2Ba!-- -->
<!-- -->卷。<gydF4y2Ba!-- -->2012年<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->
<!-- -->文章的ID<gydF4y2Ba!-- -->710903年<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->
<!-- -->6<gydF4y2Ba!-- -->
<!-- -->
<!-- -->
<!-- -->页面<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->
<!-- -->2012年<gydF4y2Ba!-- -->。<gydF4y2Ba!-- -->
<!-- -->https://doi.org/10.1155/2012/710903</gydF4y2Bap>
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<h1 class="sc-iRbamj jZOxOO sc-iSDuPN jVSHWt article_title adjust-article-svg-size heading-title">老年性心肺功能下降在职业消防员:修改通过身体活动和肥胖</gydF4y2Bah1>
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<span class="">多罗斯·m·鲍尔<gydF4y2Ba!-- -->,<gydF4y2Basup>1<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->2</gydF4y2Basup></span>
<span class="">科斯塔斯a Christophi<gydF4y2Ba!-- -->,<gydF4y2Basup>1<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->3</gydF4y2Basup></span>
<span class="">e·弗朗西斯·库克<gydF4y2Ba!-- -->,<gydF4y2Basup>4</gydF4y2Basup>
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<span class=""><b>塞浦路斯n羽衣甘蓝</gydF4y2Bab><a class="sc-htpNat bUhGXt link" href="mailto:" aria-label="Mail Option"><span class="sc-htoDjs kNoiZu sc-hjRWVT irNWJI icon-colored _2zt-1j0LmaF8UjTQAM413G icon-themeable" title="" font-size="16"></span></a><sup>1<gydF4y2Ba!-- -->,<gydF4y2Ba!-- -->2</gydF4y2Basup></span>
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<p><sup>1</gydF4y2Basup><span>环境与职业医学和流行病学(EOME),环境卫生,哈佛大学公共卫生学院,波士顿,MA 02115,美国</gydF4y2Baspan></p>
<p><sup>2</gydF4y2Basup><span>员工健康和工业医学,哈佛医学院和剑桥健康联盟,Macht 427年,剑桥,剑桥街1493号马02139,美国</gydF4y2Baspan></p>
<p><sup>3</gydF4y2Basup><span>塞浦路斯国际环境和公共卫生研究所与哈佛公共卫生学院的协会,塞浦路斯科技大学,3036年利马索尔,塞浦路斯</gydF4y2Baspan></p>
<p><sup>4</gydF4y2Basup><span>普通内科医学分工和初级保健,医学系,布莱根妇女医院和哈佛医学院波士顿,MA 02115,美国</gydF4y2Baspan></p>
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<b>学术编辑器:</gydF4y2Bab>Panagiota背板Klentrou</gydF4y2Badiv>
<div class="articleContent__PublicationTimeLineWrapper-sc-2yl9jy-4 fjviok">
<div class="articleContent__PublcationCol-sc-2yl9jy-5 hgKieC notPublished">
<span class="articleContent__PublicationField-sc-2yl9jy-6 cIribm">收到了</gydF4y2Baspan>
<span class="articleContent__PublicationValue-sc-2yl9jy-7 khHUcu">2012年1月10</gydF4y2Baspan>
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<div class="articleContent__PublcationCol-sc-2yl9jy-5 hgKieC notPublished">
<span class="articleContent__PublicationField-sc-2yl9jy-6 cIribm">接受</gydF4y2Baspan>
<span class="articleContent__PublicationValue-sc-2yl9jy-7 khHUcu">2012年3月09</gydF4y2Baspan>
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<div class="articleContent__PublcationCol-sc-2yl9jy-5 hgKieC isPublished">
<span class="articleContent__PublicationField-sc-2yl9jy-6 cIribm">发表</gydF4y2Baspan>
<span class="articleContent__PublicationValue-sc-2yl9jy-7 khHUcu">2012年5月14日</gydF4y2Baspan>
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<h4 class="header" id="abstract">文摘</gydF4y2Bah4>
<p>消防是一个很危险的职业,和艰苦的消防职责需要高水平的身体健康。一般成年人,心肺功能与老化(CRF)下降。我们试图调查的影响增加男性职业消防员以及年龄对CRF的修改影响身体活动和肥胖。我们调查了804名男性进行横向分析职业消防员从两个中西部各州。CRF决心从symptom-limited最大跑步机锻炼测试代谢当量(大都会)后,布鲁斯协议。身体活动自我报告被从响应中提取一个健康和生活方式的问卷调查。我们发现按预期CRF与年龄的下降;然而,下降大大减毒在精简消防队员报告更多的身体活动。此外,在线性回归模型中包括年龄、BMI,和变量描述身体活动行为,我们可以预测CRF (<gydF4y2Basvg height="13.9875" id="M1" style="vertical-align:-0.17555pt;width:80.150002px;" version="1.1" viewbox="0 0 80.150002 13.9875" width="80.150002" xmlns="http://www.w3.org/2000/svg">
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</svg>)。每周的总持续时间的有氧运动和举重两会期间,都有重大的影响与年龄相关的下降。我们得出结论,消防队员更有可能保持所需的高水平的CRF安全地履行职责,如果他们从事经常锻炼和保持健康的体重。</gydF4y2Bap>
<span class="end-abs"></span>
<h4 id="introduction">1。介绍</gydF4y2Bah4>
<p>心肺适能与老化(CRF)下降。签证官的衰减<gydF4y2Basub>2</gydF4y2Basub>马克斯(毫升/公斤/分钟)每年约1.6%的男性和女性被描述(<一个href="#B1">1</一个>]。</gydF4y2Bap>
<p>同样,在未经训练的个体,签证官峰值下降<gydF4y2Basub>2</gydF4y2Basub>5 - 10%的每十年的生活已经观察到(<一个href="#B2">2</一个>]。低CRF的发展是一个重要的风险因素肥胖、高血压和其他心血管疾病的风险因素以及冠心病,中风,丧失独立性,过早死亡率(<一个href="#B1">1</一个>,<一个href="#B3">3</一个>- - - - - -<一个href="#B6">6</一个>),所有随着年龄的增加。</gydF4y2Bap>
<p>消防是一个危险的职业,需要有很好的体力。然而,身体活动不足使消防队员容易增加肥胖和代谢综合征。肥胖的消防队员更容易体重进一步增加(<一个href="#B7">7</一个>和与健康状况下降<一个href="#B7">7</一个>,<一个href="#B8">8</一个>]。我们先前已经表明,低身体活动与CRF与不利的心血管疾病风险概况以及代谢综合征患病率较高(MetSyn) [<一个href="#B9">9</一个>- - - - - -<一个href="#B11">11</一个>]。</gydF4y2Bap>
<p>许多美国消防员收到医疗——和体能测试的开始他们的职业生涯,没有后续的正式评估20-30-year工作跨度(<一个href="#B12">12</一个>]。尽管如此,老消防员预计能够执行相同的基本工作职能作为年轻的新兵。模拟消防任务的研究表明,最低有氧能力以耗氧量(签证官<gydF4y2Basub>2</gydF4y2Basub>)必须安全地履行消防职责范围从33.9到45毫升/公斤/分钟(9.7 - -12.8大都会;1遇到= 2.5毫升/公斤/分钟)(<一个href="#B13">13</一个>,<一个href="#B14">14</一个>]。因此,所有消防队员应继续需要相对较高的有氧能力为了安全地履行职责,不管他们的年龄。因此,本研究侧重于描述CRF不同年龄类别专业活动中职业消防员。此外,我们试图确定影响改性的身体活动和BMI水平在不同的年龄群体。我们假设更精简、更积极的消防员将更有可能保持更高的有氧能力,不管他们的年龄。</gydF4y2Bap>
<h4 id="methods">2。方法</gydF4y2Bah4>
<h5 id="sec2.1">2.1。研究人群</gydF4y2Bah5>
<p>合格的男性职业消防员,在18岁至59岁之间是从10消防部门招募两个中西部各州。入选标准包括已完成一个极限运动测试过程中火资助医学检查,在检查没有工作限制,完成调查问卷。排除受试者未能满足一个或多个上述标准或经历了索引运动测试评估症状,退休养老金,残疾,和/或退出考试。这项研究是通过哈佛大学公共卫生学院的IRB和当地IRB合适,和所有参与者签署知情同意。</gydF4y2Bap>
<h5 id="sec2.2">2.2。心血管风险因素的评估</gydF4y2Bah5>
<p>高度测量站的位置与一个诊所测距仪。体重测量光着脚,在光衣服刻度尺。身体质量指数(BMI)计算是用体重(公斤)除以身高(米的平方。BMI值也分类根据世界卫生组织(世卫组织)分类。</gydF4y2Bap>
<h5 id="sec2.3">2.3。心肺适能</gydF4y2Bah5>
<p>CRF决心从symptom-limited最大跑步机运动检测与心电图监测后,布鲁斯协议。参与者被鼓励继续练习直到意志疲惫,即使超过85%的最大心率预测定义为220减去年龄。因此,队列平均达到97.9%(标准差6.6)的最大age-predicted心率在这些测试。在演习中测试,总跑步机时间被记录在分钟和秒,然后由除以60秒被转换为分分钟(例如,8分钟30秒= 8.50分钟)。CRF当时估计签证官根据一种广泛使用的公式<gydF4y2Basub>2</gydF4y2Basub>马克斯估计和布鲁斯协议:<gydF4y2Baspan class="equation" id="eq1">
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<h5 id="sec2.4">2.4。评估的身体活动(PA)</gydF4y2Bah5>
<p>自我报告的PA从响应中提取的健康和生活方式问卷(如前所述)我们组(<一个href="#B11">11</一个>]。短暂,同意研究参与者有标准化的书面指示完成多项选择题的调查关于饮食,健康,运动,睡眠,和工作习惯诚实和尽可能最好的。他们还告知完成的问卷调查将是保密的,不会成为他们的消防部门或医疗记录的一部分。四个选择的多项选择题的答案问题参与体育和运动进行了分析:(1)“最周,我锻炼<gydF4y2Basvg height="1.8625" id="M4" style="vertical-align:-0.13794pt;width:18.362499px;" version="1.1" viewbox="0 0 18.362499 1.8625" width="18.362499" xmlns="http://www.w3.org/2000/svg">
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</g>
</g>
</svg>。(包括家庭/工作/健身房和其他地方)”;(2)“大多数时候,我做有氧运动或有氧运动(如慢跑、快步走、骑自行车、跑步机,等等),我平均每个会话…”;(3)“大多数时候,我举重或做力量训练,我…平均每个会话”;(4)“我锻炼次数最多,我汗…平均每个会话”。此外,如前面所描述的一个额外的变量计算评估PA频率和PA的有氧或cardiosession总持续时间每周一次的有氧运动。每个六最初选择的频率和有氧会话持续时间维度问题收到了数值相当于每个响应的范围选择的中间点。因此,每周一个值的2.5倍被分配到每周2 - 3次的频率响应,3.5每周3 - 4次,等等。同样的方法应用于反应持续时间:22.5分钟被分配了15到30分钟,37.5分钟30到45分钟的时间,等等。随后,由此产生的频率和持续时间值相乘来估计总每周锻炼每周在几分钟内。</p>
<h5 id="sec2.5">2.5。统计分析</gydF4y2Bah5>
<p>基线特征描述使用均值(SD)的定量变量和频率的分类变量。组比较用方差分析计算。线性模型和逻辑回归模型被用来调整为其他变量。</gydF4y2Bap>
<p>CRF的预测模型是由将整个数据集随机分成“训练”(或分析)(<gydF4y2Basvg height="11.1" id="M5" style="vertical-align:-0.17555pt;width:50.724998px;" version="1.1" viewbox="0 0 50.724998 11.1" width="50.724998" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,11.1)">
<g transform="translate(72,-63.12)">
<text transform="matrix(1,0,0,-1,-71.95,63.35)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="9.6773224" y="0">
=</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="21.71771" y="0">
4</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="27.969212" y="0">
0</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="34.220711" y="0">
5</gydF4y2Batspan>
</text>
</g>
</g>
</svg>子群和“测试”(或验证)(<gydF4y2Basvg height="11.0375" id="M6" style="vertical-align:-0.27588pt;width:50.724998px;" version="1.1" viewbox="0 0 50.724998 11.0375" width="50.724998" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,11.0375)">
<g transform="translate(72,-63.17)">
<text transform="matrix(1,0,0,-1,-71.95,63.5)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="9.6773224" y="0">
=</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="21.71771" y="0">
3</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="27.969212" y="0">
9</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="34.220711" y="0">
9</gydF4y2Batspan>
</text>
</g>
</g>
</svg>子群。一个线性回归模型被用来评估包括变量的系数训练子集。保证线性结果和协变量之间的相关性,反是都还包括另外的平方变量。后向后消除无意义的平方只变量的平方项总每周锻炼时间留在最后的模型。</gydF4y2Bap>
<p>最终的模型来自训练集是用于测试数据集来预测CRF,比较实际峰值CRF值测量在诊所。皮尔森相关系数和散点图被用来比较模型的预测值与实际观测值的测试数据集。</gydF4y2Bap>
<p>分析使用SAS 9.2 (SAS研究所Inc .卡里,数控,美国)。所有的测试提出了两面,a<gydF4y2Basvg height="10.325" id="M7" style="vertical-align:-0.0pt;width:11.75px;" version="1.1" viewbox="0 0 11.75 10.325" width="11.75" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,10.325)">
<g transform="translate(72,-63.74)">
<text transform="matrix(1,0,0,-1,-71.95,63.79)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
</text>
</g>
</g>
</svg>值< 0.05被认为是重要的。</gydF4y2Bap>
<h4 id="results">3所示。结果</gydF4y2Bah4>
<p>表<一个href="//www.newsama.com/journals/jobe/2012/710903/tab1/" target="_blank">1</一个>描述了基线健身和PA的特点我们群组(表<一个href="//www.newsama.com/journals/jobe/2012/710903/tab1/" target="_blank">1</一个>)。大部分的消防员是40岁以下,40%年龄在30岁至39岁。将近一半的人口研究超重(<gydF4y2Basvg height="12.4875" id="M8" style="vertical-align:-1.29163pt;width:99.6875px;" version="1.1" viewbox="0 0 99.6875 12.4875" width="99.6875" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,12.4875)">
<g transform="translate(72,-62.01)">
<text transform="matrix(1,0,0,-1,-71.95,63.35)">
<tspan style="font-size: 12.50px; " x="0" y="0">
2</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="6.2515001" y="0">
5</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="15.966331" y="0">
≤</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="28.00672" y="0">
B</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="36.346222" y="0">
米</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="47.461388" y="0">
我</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="55.100719" y="0">
<</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="67.141113" y="0">
3</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="73.392609" y="0">
0</gydF4y2Batspan>
</text>
</g>
</g>
</svg>),36%是肥胖(<gydF4y2Basvg height="12.3" id="M9" style="vertical-align:-1.29163pt;width:64.662498px;" version="1.1" viewbox="0 0 64.662498 12.3" width="64.662498" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,12.3)">
<g transform="translate(72,-62.16)">
<text transform="matrix(1,0,0,-1,-71.95,63.5)">
<tspan style="font-size: 12.50px; " x="0" y="0">
B</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="8.3395014" y="0">
米</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="19.454668" y="0">
我</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="27.081497" y="0">
≥</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="39.121887" y="0">
3</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="45.373386" y="0">
0</gydF4y2Batspan>
</text>
</g>
</g>
</svg>)。估计总每周锻炼时间的队列(SD 86.9)(表102.5分钟<一个href="//www.newsama.com/journals/jobe/2012/710903/tab1/" target="_blank">1</一个>)。</gydF4y2Bap>
<div class="floats-partial-section partial-other-wrapper" data-section="tab1">
<div class="floats-partial-content fig-content-tab1">
<table class="table-group" id="tab1">
<tbody>
<tr>
<td>
<table class="table">
<tbody>
<tr>
<td class="thead-hr" colspan="2">
<hr></td>
</tr>
<tr>
<td align="left">年龄意味着(SD)</gydF4y2Batd>
<td align="center">37.4 (8.4)</gydF4y2Batd>
</tr>
<tr>
<td align="left">BMI均值(SD)</gydF4y2Batd>
<td align="center">29.3 (4.4)</gydF4y2Batd>
</tr>
<tr>
<td align="left">CRF(最大大都会)意味着(SD)</gydF4y2Batd>
<td align="center">10.7 (2.0)</gydF4y2Batd>
</tr>
<tr>
<td align="left" colspan="2">
<hr></td>
</tr>
<tr>
<td align="left">有氧运动锻炼每个会话<我>n</我>(%)</gydF4y2Batd>
<td align="center"></td>
</tr>
<tr>
<td align="left">没有一个</gydF4y2Batd>
<td align="center">44 (5.5)</gydF4y2Batd>
</tr>
<tr>
<td align="left">< 15分钟</gydF4y2Batd>
<td align="center">74 (9.3)</gydF4y2Batd>
</tr>
<tr>
<td align="left">15 - 30分钟</gydF4y2Batd>
<td align="center">340 (42.8)</gydF4y2Batd>
</tr>
<tr>
<td align="left">30 - 45分钟</gydF4y2Batd>
<td align="center">228 (28.7)</gydF4y2Batd>
</tr>
<tr>
<td align="left">45 - 60分钟</gydF4y2Batd>
<td align="center">67 (8.4)</gydF4y2Batd>
</tr>
<tr>
<td align="left">> 60分钟</gydF4y2Batd>
<td align="center">41 (5.2)</gydF4y2Batd>
</tr>
<tr>
<td align="left">分钟的举重训练每个会话<我>n</我>(%)</gydF4y2Batd>
<td align="center"></td>
</tr>
<tr>
<td align="left">没有一个</gydF4y2Batd>
<td align="center">88 (11.0)</gydF4y2Batd>
</tr>
<tr>
<td align="left">< 15分钟</gydF4y2Batd>
<td align="center">106 (13.3)</gydF4y2Batd>
</tr>
<tr>
<td align="left">15 - 30分钟</gydF4y2Batd>
<td align="center">228 (28.6)</gydF4y2Batd>
</tr>
<tr>
<td align="left">30 - 45分钟</gydF4y2Batd>
<td align="center">178 (22.3)</gydF4y2Batd>
</tr>
<tr>
<td align="left">45 - 60分钟</gydF4y2Batd>
<td align="center">106 (13.3)</gydF4y2Batd>
</tr>
<tr>
<td align="left">> 60分钟</gydF4y2Batd>
<td align="center">91 (11.4)</gydF4y2Batd>
</tr>
<tr>
<td align="left">强度的训练<我>n</我>(%)</gydF4y2Batd>
<td align="center"></td>
</tr>
<tr>
<td align="left">不经常锻炼</gydF4y2Batd>
<td align="center">28日(3.5)</gydF4y2Batd>
</tr>
<tr>
<td align="left">光汗</gydF4y2Batd>
<td align="center">146 (18.4)</gydF4y2Batd>
</tr>
<tr>
<td align="left">温和的汗水</gydF4y2Batd>
<td align="center">445 (56.0)</gydF4y2Batd>
</tr>
<tr>
<td align="left">沉重的汗水</gydF4y2Batd>
<td align="center">176 (22.1)</gydF4y2Batd>
</tr>
<tr>
<td align="left">每周锻炼频率<我>n</我>(%)</gydF4y2Batd>
<td align="center"></td>
</tr>
<tr>
<td align="left">从来没有</gydF4y2Batd>
<td align="center">34 (4.3)</gydF4y2Batd>
</tr>
<tr>
<td align="left">1或更少</gydF4y2Batd>
<td align="center">96 (12.1)</gydF4y2Batd>
</tr>
<tr>
<td align="left">2 - 3</gydF4y2Batd>
<td align="center">244 (30.6)</gydF4y2Batd>
</tr>
<tr>
<td align="left">3 - 4</gydF4y2Batd>
<td align="center">246 (30.9)</gydF4y2Batd>
</tr>
<tr>
<td align="left">5 - 6</gydF4y2Batd>
<td align="center">132 (16.6)</gydF4y2Batd>
</tr>
<tr>
<td align="left">每一天</gydF4y2Batd>
<td align="center">44 (5.5)</gydF4y2Batd>
</tr>
<tr>
<td align="left">每周估计总持续时间意味着(SD)(分钟)</gydF4y2Batd>
<td align="center"></td>
</tr>
<tr>
<td align="left">Tertile一</gydF4y2Batd>
<td align="center">30.7 (23.2)</gydF4y2Batd>
</tr>
<tr>
<td align="left">Tertile两</gydF4y2Batd>
<td align="center">94.6 (18.7)</gydF4y2Batd>
</tr>
<tr>
<td align="left">Tertile三</gydF4y2Batd>
<td align="center">195.2 (81.3)</gydF4y2Batd>
</tr>
<tr>
<td align="left">估计总每周锻炼时间意味着(SD)</gydF4y2Batd>
<td align="center">102.5 (86.9)</gydF4y2Batd>
</tr>
<tr class="table-tr">
<td colspan="2">
<hr class="tbody-hr"></td>
</tr>
</tbody>
</table></td>
</tr>
<tr class="table-fn">
<td>BMI(身体质量指数),CRF(心肺适应性),SD(标准差)。<gydF4y2Babr></td>
</tr>
</tbody>
</table>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">表1</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/tab1/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
基线特征(<gydF4y2Basvg height="10.9125" id="M10" style="vertical-align:-0.17555pt" version="1.1" viewbox="0 0 50.724998 10.9125" width="50.724998" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,10.9125)">
<g transform="translate(72,-63.27)">
<text transform="matrix(1,0,0,-1,-71.95,63.5)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="9.6773224" y="0">
=</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="21.71771" y="0">
8</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="27.969212" y="0">
0</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="34.220711" y="0">
4</gydF4y2Batspan>
</text>
</g>
</g>
</svg>)。</gydF4y2Badiv>
</div>
</div>
<p>最大达到METS-across由不同BMI增加年龄和分层分类呈现在图<一个href="//www.newsama.com/journals/jobe/2012/710903/fig1/" target="_blank">1</一个>。CRF拒绝在不同年龄类别的BMI组,尽管三个BMI组明显分离的线与正常BMI组展示最高CRF和肥胖组展示CRF最低。CRF之间的相似关系,BMI,估计每周锻炼时间和不同年龄类别如图<一个href="//www.newsama.com/journals/jobe/2012/710903/fig2/" target="_blank">2</一个>。CRF的轨迹在消防员肥胖和运动小开始和结束相比要低得多瘦同事多锻炼。</gydF4y2Bap>
<div class="floats-partial-section partial-carousel-wrapper" data-section="fig1">
<div class="floats-partial-content fig-content-fig1">
<div class="partial-carousel--single-image">
<img alt="" name="710903.fig.001" src="https://static-01.hindawi.com/articles/jobe/volume-2012/710903/figures/710903.fig.001.jpg">
<br>
<strong></strong>
</div>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">图1</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/fig1/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
<table>
心肺适能在不同的年龄由BMI类别分类和分层。</gydF4y2Batable>
</div>
</div>
</div>
<div class="floats-partial-section partial-carousel-wrapper" data-section="fig2">
<div class="floats-partial-content fig-content-fig2">
<div class="partial-carousel--single-image">
<img alt="" name="710903.fig.002" src="https://static-01.hindawi.com/articles/jobe/volume-2012/710903/figures/710903.fig.002.jpg">
<br>
<strong></strong>
</div>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">图2</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/fig2/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
<table>
心肺适能在不同的年龄分类和分层BMI /估计每周锻炼时间。</gydF4y2Batable>
</div>
</div>
</div>
<p>预测CRF的职业跨度之间的关系取决于不同BMI类别和每周锻炼时间模式如图<一个href="//www.newsama.com/journals/jobe/2012/710903/fig3/" target="_blank">3</一个>。即使在两个假想的BMI相同的情况下,消防队员锻炼消耗更少健康水平。</gydF4y2Bap>
<div class="floats-partial-section partial-carousel-wrapper" data-section="fig3">
<div class="floats-partial-content fig-content-fig3">
<div class="partial-carousel--single-image">
<img alt="" name="710903.fig.003" src="https://static-01.hindawi.com/articles/jobe/volume-2012/710903/figures/710903.fig.003.jpg">
<br>
<strong></strong>
</div>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">图3</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/fig3/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
<table>
预测最大心肺适应性(CRF)的年龄跨度与训练集模型计算。</gydF4y2Batable>
</div>
</div>
</div>
<p>训练集的线性回归模型预测CRF的群体提出了表<一个href="//www.newsama.com/journals/jobe/2012/710903/tab2/" target="_blank">2</一个>。年龄、体重指数、总周有氧(单数和的平方),持续时间和持续时间的举重每周生产的统计学意义<gydF4y2Basvg height="10.325" id="M11" style="vertical-align:-0.0pt;width:11.75px;" version="1.1" viewbox="0 0 11.75 10.325" width="11.75" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,10.325)">
<g transform="translate(72,-63.74)">
<text transform="matrix(1,0,0,-1,-71.95,63.79)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
</text>
</g>
</g>
</svg>值来估计最大达到健康。每单位年龄的增加会导致下降的大都会−0.05886倍年龄调整后的所有其他因素模型。</gydF4y2Bap>
<div class="floats-partial-section partial-other-wrapper" data-section="tab2">
<div class="floats-partial-content fig-content-tab2">
<table class="table-group" id="tab2">
<tbody>
<tr>
<td>
<table class="table">
<tbody>
<tr>
<td class="thead-hr" colspan="4">
<hr></td>
</tr>
<tr class="thead">
<td align="left">变量</gydF4y2Batd>
<td align="center">参数估计</gydF4y2Batd>
<td align="center">标准错误</gydF4y2Batd>
<td align="center">
<svg height="10.325" id="M13" style="vertical-align:-0.0pt" version="1.1" viewbox="0 0 11.75 10.325" width="11.75" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,10.325)">
<g transform="translate(72,-63.74)">
<text transform="matrix(1,0,0,-1,-71.95,63.79)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
</text>
</g>
</g>
</svg>价值</gydF4y2Batd>
</tr>
<tr>
<td class="thead-hr" colspan="4">
<hr></td>
</tr>
<tr>
<td align="left">年龄</gydF4y2Batd>
<td align="center">−0.05886</gydF4y2Batd>
<td align="center">0.01031</gydF4y2Batd>
<td align="center">< 0.0001</gydF4y2Batd>
</tr>
<tr>
<td align="left">身体质量指数</gydF4y2Batd>
<td align="center">−0.21131</gydF4y2Batd>
<td align="center">0.01994</gydF4y2Batd>
<td align="center">< 0.0001</gydF4y2Batd>
</tr>
<tr>
<td align="left">每周总持续时间</gydF4y2Batd>
<td align="center">0.00845</gydF4y2Batd>
<td align="center">0.00232</gydF4y2Batd>
<td align="center">0.0003</gydF4y2Batd>
</tr>
<tr>
<td align="left">每周总时间的平方</gydF4y2Batd>
<td align="center">−0.00001297</gydF4y2Batd>
<td align="center">0.000000569</gydF4y2Batd>
<td align="center">0.0233</gydF4y2Batd>
</tr>
<tr>
<td align="left">举重的持续时间</gydF4y2Batd>
<td align="center">0.18937</gydF4y2Batd>
<td align="center">0.06393</gydF4y2Batd>
<td align="center">0.0032</gydF4y2Batd>
</tr>
<tr>
<td align="left">强度的锻炼</gydF4y2Batd>
<td align="center">0.21331</gydF4y2Batd>
<td align="center">0.12362</gydF4y2Batd>
<td align="center">0.0878</gydF4y2Batd>
</tr>
<tr class="table-tr">
<td colspan="4">
<hr class="tbody-hr"></td>
</tr>
</tbody>
</table></td>
</tr>
</tbody>
</table>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">表2</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/tab2/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
线性回归模型描述心肺适能在随机分配(最大实现大都会)(训练集<gydF4y2Basvg height="11.1" id="M12" style="vertical-align:-0.17555pt" version="1.1" viewbox="0 0 50.724998 11.1" width="50.724998" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,11.1)">
<g transform="translate(72,-63.12)">
<text transform="matrix(1,0,0,-1,-71.95,63.35)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="9.6773224" y="0">
=</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="21.71771" y="0">
4</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="27.969212" y="0">
0</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="34.220711" y="0">
5</gydF4y2Batspan>
</text>
</g>
</g>
</svg>)。</gydF4y2Badiv>
</div>
</div>
<p>计算估算被评估在一个测试集,计算和皮尔森相关系数是0.6286。之间的相关性估计和实际CRF散点图(图中显示<一个href="//www.newsama.com/journals/jobe/2012/710903/fig4/" target="_blank">4</一个>)。平均、最大、最小值的实际观察到的大都会和大都会基于模型预测如表所示<一个href="//www.newsama.com/journals/jobe/2012/710903/tab3/" target="_blank">3</一个>。</gydF4y2Bap>
<div class="floats-partial-section partial-other-wrapper" data-section="tab3">
<div class="floats-partial-content fig-content-tab3">
<table class="table-group" id="tab3">
<tbody>
<tr>
<td>
<table class="table">
<tbody>
<tr>
<td class="thead-hr" colspan="5">
<hr></td>
</tr>
<tr class="thead">
<td align="left"></td>
<td align="center"><i>n</我></td>
<td align="center">意思是(SD)</gydF4y2Batd>
<td align="center">最低</gydF4y2Batd>
<td align="center">最大</gydF4y2Batd>
</tr>
<tr>
<td class="thead-hr" colspan="5">
<hr></td>
</tr>
<tr>
<td align="left">Max。大都会</gydF4y2Batd>
<td align="center">386年</gydF4y2Batd>
<td align="center">10.56363 (1.87003)</gydF4y2Batd>
<td align="center">3.90317</gydF4y2Batd>
<td align="center">19.01499</gydF4y2Batd>
</tr>
<tr>
<td align="left">估计马克斯。大都会</gydF4y2Batd>
<td align="center">384年</gydF4y2Batd>
<td align="center">10.59689 (1.37406)</gydF4y2Batd>
<td align="center">6.39852</gydF4y2Batd>
<td align="center">13.84193</gydF4y2Batd>
</tr>
<tr class="table-tr">
<td colspan="5">
<hr class="tbody-hr"></td>
</tr>
</tbody>
</table></td>
</tr>
</tbody>
</table>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">表3</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/tab3/" title="" target="_blank"></a>
</div>
<div class="floats-partial-caption-text">
估计心肺适应性(最大实现大都会)和实际最大大都会在测试集(<gydF4y2Basvg height="11.0375" id="M14" style="vertical-align:-0.27588pt" version="1.1" viewbox="0 0 50.724998 11.0375" width="50.724998" xmlns="http://www.w3.org/2000/svg">
<g transform="matrix(1.25,0,0,-1.25,0,11.0375)">
<g transform="translate(72,-63.17)">
<text transform="matrix(1,0,0,-1,-71.95,63.5)">
<tspan style="font-size: 12.50px; " x="0" y="0">
</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="9.6773224" y="0">
=</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="21.71771" y="0">
3</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="27.969212" y="0">
9</gydF4y2Batspan>
<tspan style="font-size: 12.50px; " x="34.220711" y="0">
9</gydF4y2Batspan>
</text>
</g>
</g>
</svg>)。</gydF4y2Badiv>
</div>
</div>
<div class="floats-partial-section partial-carousel-wrapper" data-section="fig4">
<div class="floats-partial-content fig-content-fig4">
<div class="partial-carousel--single-image">
<img alt="" name="710903.fig.004" src="https://static-01.hindawi.com/articles/jobe/volume-2012/710903/figures/710903.fig.004.jpg">
<br>
<strong></strong>
</div>
</div>
<div class="floats-partial-footer">
<div class="floats-partial-caption">
<span class="caption-text">图4</gydF4y2Baspan>
<a aria-label="full view" class="caption-partial-url" href="//www.newsama.com/journals/jobe/2012/710903/fig4/" title="" target="_blank"></a>
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<table>
散点图预测心肺适能比实际值的测试集。</gydF4y2Batable>
</div>
</div>
</div>
<h4 id="discussion">4所示。讨论</gydF4y2Bah4>
<p>如预期我们发现CRF的年龄群男性职业消防员。</gydF4y2Bap>
<p>然而,开始、中间和最终点CRF整个职业跨度明显不同根据firefighters-measured BMI和自我报告的体育活动。而肥胖的消防员CRF值较低在年龄谱比正常体重的受试者(图<一个href="//www.newsama.com/journals/jobe/2012/710903/fig1/" target="_blank">1</一个>(图),体育锻炼变弱的下降<一个href="//www.newsama.com/journals/jobe/2012/710903/fig2/" target="_blank">2</一个>)。另外我们已经表明CRF可以预测相关系数高的,包括年龄、体重指数和变量在模型中描述身体健康的习惯。</gydF4y2Bap>
<p>根据我们的结果,尽管横断面,许多老年CRF下降可能是预防通过维持高水平的身体活动和健康的体重指数。修改衰老相关的能力下降,CRF尤为重要在消防队员是如此依赖于它们的最大耗氧量为了安全地履行职责,作为一个职业,心血管事件的值班死亡的主要原因。</gydF4y2Bap>
<p>不可预知的剧烈活动,否则久坐不动的人一个已知的前兆或急性冠脉事件(<一个href="#B16">16</一个>),以及一段情绪压力(<一个href="#B17">17</一个>]。消防队员更可能经历心血管疾病(CVD)事件期间的灭火/主动消防报警响应比在其他职责消防队(<一个href="#B18">18</一个>]。</gydF4y2Bap>
<p>在普通人群中纵向峰值最大耗氧量下降不是线性的跨年龄跨度但明显加速尤其是男人<一个href="#B2">2</一个>]。这个非线性下降加速特别是在45岁<一个href="#B19">19</一个>]。在我们的群体中,尤其是在消防队员在高年龄组中,CRF的横断面与年龄相关的下降似乎更加突出。</gydF4y2Bap>
<h5 id="sec4.1">4.1。本研究的力量</gydF4y2Bah5>
<p>本研究特定的力量是大样本大小,允许适当的调整了混杂因素和力量。体重指数计算测量体重和身高的赤脚,光衣服在体检期间,避免自我报告的偏见对低级别和高高度和其他错误分类。</gydF4y2Bap>
<h5 id="sec4.2">4.2。本研究的局限性</gydF4y2Bah5>
<p>我们的研究有一定的局限性,包括横断面设计,不允许我们建立因果关系。因为数量非常小的女性职业生涯的消防队员,我们有限的调查男性消防员。我们通过问卷调查评估身体活动,从而导致潜在活动水平的高估。然而,在我们的调查结果在更保守的结果,也就是说,将倾向于高估PA在那些较低的健康和降低PA对CRF的影响。未成年限制方面最大的使用跑步机测试没有过期的气体使用峰值大都会作为结果估计真正的签证官<gydF4y2Basub>2</gydF4y2Basub>马克斯,而测量签证官<gydF4y2Basub>2</gydF4y2Basub>马克斯,使用过期的气体,会被认为是“黄金标准”。此外,该预测模型来源于我们的队列研究在其他军团必须测试。</gydF4y2Bap>
<h4 id="conclusion">5。结论</gydF4y2Bah4>
<p>CRF的职业男性消防员是随着年龄的增长而显著降低。老年CRF衰减,高度依赖于消防员的BMI和体育锻炼习惯。消防员钳工和精简CRF有较高的基线和减毒CRF的精神性。我们的调查支持测量CRF的重要性,身体活动和身体成分和心血管健康的参数输入和以固定时间点一名消防员的职业生涯。这很可能是一个有价值的工具在预防上述描述CRF过度下降,随着年龄增长个人的消防员。此外,特别是在职业健康水平高的保护势在必行消防员在以及公共safety-fire部门应该强调身体活动频繁的维护以及保持健康的体重。</gydF4y2Bap>
<h4 id="disclosure">信息披露</gydF4y2Bah4>
<p>s . n .羽衣甘蓝一直是专家证人在法医学的案件消防员和工作合同修改心脏病手动国际协会的消防员。其他作者的报告没有利益冲突。</gydF4y2Bap>
<h4 id="acknowledgments">确认</gydF4y2Bah4>
<p>作者要感谢所有参与的消防队员,消防部门,工作人员和临床领导检查了消防队员的诊所,女士Brianne Tuley,莉莉Ramphal博士博士和已故的威廉·帕特森的潜在贡献的研究项目。本文得到了联邦应急管理署(FEMA)协助消防员格兰特(二自由度陀螺仪)项目的奖项emw - 2006 - fp - 01493(π:S.N.博士羽衣甘蓝),emw - 2009 - fp - 00835(π:S.N.羽衣甘蓝博士)。</gydF4y2Bap>
</div>
<div class="xml-content">
<h4 class="references" id="references">引用</gydF4y2Bah4>
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<li id="B11">g·a·j·Tsismenakis勾勒出美国a·杨克d·m·鲍尔c . a . Christophi和羽衣甘蓝、“消防队员的体力活动:与健身和心血管疾病的风险,”<我>医学和科学在体育及运动</我>,43卷,不。9日,第1759 - 1752页,2011年。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1249/MSS.0b013e318215cf25">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Firefighters'%20physical%20activity:%20relation%20to%20fitness%20and%20cardiovascular%20disease%20risk&author=G. Durand&author=A. J. Tsismenakis&author=S. A. Jahnke&author=D. M. Baur&author=C. A. Christophi&author=&author=S. N. Kales&publication_year=2011" target="_blank">谷歌学术搜索</一个></span></li>
<li id="B12">e . s . Soteriades d·l·史密斯,a . j . Tsismenakis d·m·鲍尔和羽衣甘蓝、“心血管疾病在美国消防队员:系统回顾,“<我>心脏病在审查</我>,19卷,不。4、202 - 215年,2011页。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1097/CRD.0b013e318215c105">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Cardiovascular%20disease%20in%20US%20firefighters:%20a%20systematic%20review&author=E. S. Soteriades&author=D. L. Smith&author=A. J. Tsismenakis&author=D. M. Baur&author=&author=S. N. Kales&publication_year=2011" target="_blank">谷歌学术搜索</一个></span></li>
<li id="B13">Elsner k·l·f·w·Kolkhorst,“代谢模拟消防任务的要求,”<我>人体工程学</我>,51卷,不。9日,第1425 - 1418页,2008年。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1080/00140130802120259">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Metabolic%20demands%20of%20simulated%20firefighting%20tasks&author=K. L. Elsner &author=F. W. Kolkhorst&publication_year=2008" target="_blank">谷歌学术搜索</一个></span></li>
<li id="B14">即霍尔默和d . Gavhed代谢和呼吸要求分类与极端的工作负载,消防活动”<我>应用人体工程学</我>,38卷,不。1,45-52,2007页。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1016/j.apergo.2006.01.004">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Classification%20of%20metabolic%20and%20respiratory%20demands%20in%20fire%20fighting%20activity%20with%20extreme%20workloads&author=I. Holmér &author=D. Gavhed&publication_year=2007" target="_blank">谷歌学术搜索</一个></span></li>
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<li id="B16">m·a·米特·m·Maclure和g·h·Tofler”,引发急性心肌梗塞的重体力劳动。防止引发正常发挥。心肌梗死发生的决定因素研究调查”,<我>《新英格兰医学杂志》上</我>,卷329,不。23日,第1683 - 1677页,1993年。<gydF4y2Baspan class="reflinks">视图:<一个href="https://scholar.google.com/scholar_lookup?title=Triggering%20of%20acute%20myocardial%20infarction%20by%20heavy%20physical%20exertion.%20Protection%20against%20triggering%20by%20regular%20exertion.%20Determinants%20of%20Myocardial%20Infarction%20Onset%20Study%20Investigators&author=M. A. Mittleman&author=M. Maclure&author=&author=G. H. Tofler&publication_year=1993" target="_blank">谷歌学术搜索</一个></span></li>
<li id="B17">•威尔伯特-拉姆彭,d·莱斯特那美国Greven et al .,“世界杯期间心血管事件,”<我>《新英格兰医学杂志》上</我>,卷358,不。5,475 - 483年,2008页。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1056/NEJMoa0707427">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Cardiovascular%20events%20during%20World%20Cup%20Soccer&author=U. Wilbert-Lampen&author=D. Leistner&author=S. Greven et al.&publication_year=2008" target="_blank">谷歌学术搜索</一个></span></li>
<li id="B18">羽衣甘蓝、e . s . Soteriades c . a . Christophi和d . c . Christiani“应急职责和死于心脏病在消防队员在美国,“<我>《新英格兰医学杂志》上</我>,卷356,不。12日,第1215 - 1207页,2007年。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1056/NEJMoa060357">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Emergency%20duties%20and%20deaths%20from%20heart%20disease%20among%20firefighters%20in%20the%20United%20States&author=S. N. Kales&author=E. S. Soteriades&author=C. A. Christophi&author=&author=D. C. Christiani&publication_year=2007" target="_blank">谷歌学术搜索</一个></span></li>
<li id="B19">a . s .杰克逊x隋,j·r·赫伯特t . s .教堂,和s . n .布莱尔”角色的生活方式和老化的纵向变化心肺适能,”<我>内科医学档案</我>,卷169,不。19日,1781 - 1787年,2009页。<gydF4y2Baspan class="reflinks">视图:<一个href="https://doi.org/10.1001/archinternmed.2009.312">出版商的网站</一个><span class="sep">|</gydF4y2Baspan><a href="https://scholar.google.com/scholar_lookup?title=Role%20of%20lifestyle%20and%20aging%20on%20the%20longitudinal%20change%20in%20cardiorespiratory%20fitness&author=A. S. Jackson&author=X. Sui&author=J. R. Hébert&author=T. S. Church&author=&author=S. N. Blair&publication_year=2009" target="_blank">谷歌学术搜索</一个></span></li>
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的观点<gydF4y2Baspan>4586年</gydF4y2Baspan>
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下载<gydF4y2Baspan>2312年</gydF4y2Baspan>
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<span class="__dimensions_badge_embed__" data-doi="10.1155/2012/710903" data-style="small_circle"></span>引用</gydF4y2Badiv>
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