Aerobic Capacity Assessment in Firefighters
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Abstract
Sudden cardiac death is a major cause of death among on-duty firefighters. Pre-employment and annual medical examinations, especially regarding aerobic capacity, are important in reducing this risk. However, in Thailand, these practices are not widely implemented due to various limitations. The purpose of this article is to review research related to aerobic capacity assessment in firefighters. Based on studies, the aerobic capacity assessments in firefighters include direct and indirect methods using maximal and submaximal exercise tests. The author suggests that a laboratory submaximal exercise test, such as a treadmill stress test, is the most effective method, as recommended by international standard. However, organizations with limited resources may conduct a cardiovascular risk assessment for each firefighter and prioritize the laboratory test based on the risk. For organizations with minimal resources, the author suggests a run test or a step test as an alternative, as these tests are convenient and can be conducted with minimal resources.
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