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Occupationally Tailored, Web-based, Nutrition and Physical Activity Program for Firefighters

Cluster Randomized Trial and Weight Outcome

Day, R. Sue MS, PhD; Jahnke, Sara A. PhD; Haddock, C. Keith PhD; Kaipust, Christopher M. MPH, PhD; Jitnarin, Nattinee PhD; Poston, Walker S.C. PhD, MPH

Journal of Occupational and Environmental Medicine: July 24, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/JOM.0000000000001685
Original Article: PDF Only
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Objective: To determine the efficacy of an occupationally tailored, web-based health and wellness program, The First Twenty® (TF20), for weight change among volunteer firefighters.

Methods: The impact of TF20 on firefighters’ 6-month weight change was tested in a cluster, randomized controlled trial, using a crossover design of firefighters in 10 departments. TF20 has web-based nutrition, physical activity and behavioral health components.

Results: An adjusted treatment induced weight loss from 1.7 to 2.8 lbs was observed for all participants and 2.3 to 3.1 lbs among overweight and obese participants. An average weight gain was observed among firefighters in the control condition and weight loss for those in the treatment condition.

Conclusions: TF20 supports firefightersweight loss. Firefighters need wellness interventions to improve nutrition and physical activity given their high prevalence of obesity.

The University of Texas Health Science Center at Houston (UTHealth) School of Public Health Division of Epidemiology, Human Genetics, & Environmental Sciences Southwest Center for Occupational and Environmental Health, Michael & Susan Dell Center for Healthy Living, 1200 Pressler Street, E1027, Houston, TX 77030 (R. Sue Day); National Development and Research Institutes, Inc. Center for Fire, Rescue & EMS Health Research, Institute for Biobehavioral Health Research, Lee's Summit, MO (Sara A. Jahnke, C. Keith Haddock, Nattinee Jitnarin, Walker S.C. Poston); National Development and Research Institutes, Inc. Center for Fire, Rescue & EMS Health Research, Institute for Biobehavioral Health ResearchLee's Summit, MO (Christopher M. Kaipust).

Address correspondence to: R. Sue Day, MS, PhD, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Division of Epidemiology, Human Genetics, & Environmental Sciences, Southwest Center for Occupational and Environmental Health, Michael & Susan Dell Center for Healthy Living, 1200 Pressler Street, E1027, Houston, TX 77030 (Rena.S.Day@uth.tmc.edu).

Funding: Assistance to Firefighters Grants (AFG) program managed by the Federal Emergency Agency (FEMA) in the Department of Homeland Security (DHS) EMW-2013-FP-00983; National Institute for Occupational Safety and Health (NIOSH) Southwest Center for Occupational and Environmental Health Education and Research Center Grant No. 5T42OH008421.

Conflicts of Interest: None Declared.

Copyright © 2019 by the American College of Occupational and Environmental Medicine