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Title: A Mediterranean Lifestyle Is Associated With Lower Hypertension Prevalence and Better Aerobic Capacity Among New England Firefighter Recruits
Authors: Lan, Fan Yun 
Fernandez-Montero, Alejandro 
Yiannakou, Ioanna 
Marinos-Iatrides, Orestes 
Ankeny, Jacob T. 
Kiser, Jeffrey 
Christophi, Costas A. 
Christiani, David C. 
Sotos-Prieto, Mercedes 
Kales, Stefanos N. 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: Aerobic capacity;Cardiovascular disease;Fire academy;Healthy lifestyle;Hypertension
Issue Date: Jul-2020
Source: Journal of Occupational and Environmental Medicine, 2020, vol. 62, no. 7, pp. 466-471
Volume: 62
Issue: 7
Start page: 466
End page: 471
Journal: Journal of Occupational and Environmental Medicine 
Abstract: Objective: Examine the association between healthy Mediterranean lifestyle practices and cardiovascular disease (CVD) risk factors among New England firefighter recruits. Methods: A MEDI-Lifestyle score was used to measure adherence to a Mediterranean lifestyle (not smoking, increased physical activity, high adherence to Mediterranean diet, non-obese body mass index, decreased screen time, adequate nightly sleep, and napping) among the recruits. MEDI-Lifestyle scores were cross-sectionally analyzed with blood pressure, aerobic capacity, and other CVD risk factors. Results: Among 92 recruits, high adherence to MEDI-Lifestyle was significantly associated with a decreased risk of prevalent hypertension (odds ratio [OR] = 0.14 [0.03-0.71]) and a greater probability of high aerobic capacity (OR = 5.80 [1.05-32.05]) as compared with low adherence in age- and sex-adjusted analyses. Conclusions: Increased adherence to MEDI-Lifestyle is associated with a better CVD risk profile in firefighter recruits.
DOI: 10.1097/JOM.0000000000001868
Rights: © Lippincott Williams
Type: Article
Affiliation : Harvard University 
National Cheng Kung University 
National Cheng Kung University Hospital 
Instituto de Investigación Sanitaria de Navarra 
Boston University 
University of Southern California 
Navy and Marine Corps Public Health Center 
Robins Air Force Base 
Cyprus University of Technology 
Universidad Autónoma de Madrid 
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