Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/28325
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dc.contributor.authorChristodoulou, Andria-
dc.contributor.authorChristophi, Costas A.-
dc.contributor.authorSotos-Prieto, Mercedes-
dc.contributor.authorMoffatt, Steven M.-
dc.contributor.authorKales, Stefanos N.-
dc.date.accessioned2023-03-17T11:00:08Z-
dc.date.available2023-03-17T11:00:08Z-
dc.date.issued2022-07-04-
dc.identifier.citationNutrients, 2022, vol.14, no.13en_US
dc.identifier.issn20726643-
dc.identifier.urihttps://hdl.handle.net/20.500.14279/28325-
dc.description.abstractCardiovascular disease is the leading cause of on-duty mortality among firefighters, with obesity as an important risk factor. However, little is known regarding the dietary patterns which are characteristic in this population and how these patterns relate to cardiometabolic outcomes. The aim of this study was to identify the dietary patterns of US firefighters and examine their association with cardiometabolic outcomes. The participants (n = 413) were from the Indianapolis Fire Department, and were recruited for a Federal Emergency Management Agency (FEMA)-sponsored Mediterranean diet intervention study. All of the participants underwent physical and medical examinations, routine laboratory tests, resting electrocardiograms, and maximal treadmill exercise testing. A comprehensive food frequency questionnaire was administered, and dietary patterns were derived using principal component analysis. The mean body mass index (BMI) was 30.0 ± 4.5 kg/m2 and the percentage of body fat was 28.1 ± 6.6%. Using principal component analysis, two dietary patterns were identified, namely a Mediterranean diet and a Standard American diet. Following the adjustment for gender, BMI, maximal oxygen consumption (VO2 max), max metabolic equivalents (METS), age, and body fat percent, the Mediterranean diet was positively associated with high-density lipoprotein (HDL) cholesterol (β = 1.20, p = 0.036) in linear regression models. The Standard American diet was associated with an increase in low-density lipoprotein (LDL) cholesterol (β = -3.76, p = 0.022). In conclusion, the Mediterranean diet was associated with more favorable cardiometabolic profiles, whereas the Standard American diet had an inverse association. These findings could help in providing adequate nutrition recommendations for US firefighters to improve their health.en_US
dc.language.isoenen_US
dc.relation.ispartofNutrientsen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectMediterranean diet; Mediterranean diet scores; cardiometabolic risk; dietary patternsen_US
dc.titleEating Habits among US Firefighters and Association with Cardiometabolic Outcomesen_US
dc.typeArticleen_US
dc.collaborationCyprus University of Technologyen_US
dc.collaborationCyprus International Institute for Environmental and Public Healthen_US
dc.collaborationHarvard Universityen_US
dc.collaborationUniversidad Autónoma de Madriden_US
dc.collaborationInstituto de Investigación Sanitaria Hospital Universitario La Paz (IdiPaz)en_US
dc.collaborationBiomedical Research Network Centre of Epidemiology and Public Health (CIBERESP)en_US
dc.collaborationIMDEA-Food Instituteen_US
dc.collaborationNational Institute for Public Safety Health, Indianapolisen_US
dc.collaborationHarvard Medical Schoolen_US
dc.subject.categoryHealth Sciencesen_US
dc.journalsOpen Accessen_US
dc.countryCyprusen_US
dc.countryUnited Statesen_US
dc.countrySpainen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.3390/nu14132762en_US
dc.identifier.pmid35807942-
dc.identifier.scopus2-s2.0-85133230588-
dc.identifier.urlhttps://api.elsevier.com/content/abstract/scopus_id/85133230588-
dc.relation.issue13en_US
dc.relation.volume14en_US
cut.common.academicyear2022-2023en_US
item.fulltextWith Fulltext-
item.languageiso639-1en-
item.grantfulltextopen-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.cerifentitytypePublications-
item.openairetypearticle-
crisitem.journal.journalissn2072-6643-
crisitem.journal.publisherMDPI-
crisitem.author.deptDepartment of Rehabilitation Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0003-0503-1538-
crisitem.author.parentorgFaculty of Health Sciences-
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