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İtfaiyecilerde Fiziksel Aktivite Düzeyleri ile Psikolojik İyi Oluş Arasındaki İlişkinin Sistematik Analizi

Year 2025, Volume: 9 Issue: 1, 114 - 128, 29.06.2025

Abstract

İtfaiyecilik, fiziksel ve psikolojik açıdan en zorlu mesleklerden biri olarak yaygın şekilde kabul edilmektedir. İtfaiyeciler, travmatik olaylarla karşılaştıkları, aşırı sıcaklıklara maruz kaldıkları, ağır koruyucu ekipmanlar kullandıkları, düzensiz vardiyalarda çalıştıkları ve zaman baskısı altında kararlar verdikleri yüksek riskli ortamlarda görev yapmaktadır. Bu zorluklar, personel arasında stres, tükenmişlik ve uzun vadeli sağlık sorunlarının artmasına neden olmaktadır. Bu bağlamda, fiziksel aktivitenin yalnızca operasyonel performansı artırmakla kalmayıp psikolojik yükü azaltmada da etkili bir mekanizma olarak rolü giderek daha fazla ilgi görmektedir.
Bu sistematik derleme, 2000 ile 2024 yılları arasında yayımlanmış 62 hakemli çalışmadan elde edilen verileri sentezlemektedir ve fiziksel aktivite ile itfaiyecilerin psikolojik iyilik halleri arasındaki ilişkiyi incelemektedir. Analiz, özellikle yüksek yoğunluklu fonksiyonel antrenman (HIFT) programlarının, hem fizyolojik hem de psikolojik sonuçların iyileştirilmesinde oldukça etkili olduğunu ortaya koymaktadır. Gerçek hayattaki itfaiyecilik görevlerini taklit eden HIFT programlarının, kardiyovasküler dayanıklılığı, kas gücünü ve çevikliği artırdığı gösterilmiştir. Daha da önemlisi, bu programların stres, anksiyete, depresyon ve tükenmişlik semptomlarını azaltmada önemli katkılar sağladığı bulunmuştur.
Genel olarak bulgular, bireyselleştirilmiş fiziksel aktivite programlarının hem zihinsel hem de fiziksel sağlığı geliştirmede temel bir rol oynadığını vurgulamaktadır. Derleme, itfaiye teşkilatlarında düzenli fitness değerlendirmeleri, kişiye özel egzersiz protokolleri ve ruh sağlığı kaynaklarına erişim gibi bileşenleri içeren çok yönlü sağlık programlarının uygulanmasını önermektedir. Ayrıca, bu tür müdahalelerin uzun vadeli etkilerini değerlendirmek amacıyla yaş, cinsiyet ve hizmet süresi gibi demografik değişkenleri dikkate alan ileriye dönük uzunlamasına araştırmalara ihtiyaç olduğu belirtilmektedir.
Sonuç olarak, fiziksel aktivite yalnızca destekleyici bir sağlık uygulaması değil, aynı zamanda itfaiyecilik mesleğinde mesleki dayanıklılığın ve uzun vadeli iyilik halinin kritik bir belirleyicisi olarak değerlendirilmelidir.

References

  • Ahn Achmat, G., Malema, M., Erasmus, C., Kanaley, J., & Leach, L. (2024). Perceptions, experiences, and challenges of physical activity among firefighters with coronary heart disease risk factors in the City of Cape Town Fire and Rescue Services. The Open Public Health Journal, 17(1).
  • Allison, P., Tiesman, H. M., Wong, I. S., Bernzweig, D., James, L., James, S. M., ... & Patterson, P. D. (2022). Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research. American Journal of Industrial Medicine, 65(11), 878–897. https://doi.org/10.1002/ajim.23413
  • Andrews, K. L., Gallagher, S., & Herring, M. P. (2019). The effects of exercise interventions on health and fitness of firefighters: A meta‐analysis. Scandinavian Journal of Medicine & Science in Sports, 29(6), 780–790. https://doi.org/10.1111/sms.13412
  • Antolini, M. R., Weston, Z. J., & Tiidus, P. M. (2015). Physical fitness characteristics of a front-line firefighter population. Acta Kinesiologiae Universitatis Tartuensis, 21, 61–74. https://doi.org/10.12697/akut.2015.21.06
  • Beitia, P., Stamatis, A., Amasay, T., & Papadakis, Z. (2022). Predicting firefighters’ physical ability test scores from anaerobic fitness parameters and mental toughness levels. International Journal of Environmental Research and Public Health, 19(22), 15253 https://doi.org/10.3390/ijerph192215253
  • Bond, C. W., Waletzko, S. P., Reed, V., Glasner, E., & Noonan, B. C. (2022). Retrospective longitudinal evaluation of male firefighters' body composition and cardiovascular health. Journal of Occupational and Environmental Medicine, 64(2), 123–130. https://doi.org/10.1097/JOM.0000000000002514
  • Brown, A. (2014). Weight loss advice, diet, physical activity, and obesity among firefighters (Doctoral dissertation). The University of Texas School of Public Health.
  • Calavalle, A. R., Sisti, D., Mennelli, G., Andolina, G., Del Sal, M., Rocchi, M. B., ... & Stocchi, V. (2013). A simple method to analyze overall individual physical fitness in firefighters. The Journal of Strength & Conditioning Research, 27(3), 769–775. https://doi.org/10.1519/JSC.0b013e31825bb4e2
  • Chizewski, A., Box, A., Kesler, R. M., & Petruzzello, S. J. (2021). High-intensity functional training (HIFT) improves fitness in recruit firefighters. International Journal of Environmental Research and Public Health, 18(24), 13400. https://doi.org/10.3390/ijerph182413400
  • Crombez–Bequet, N., & Legrand, F. (2024). Enhancing firefighters' mental health with exercise: Evaluating the effects of a 7-week long physical activity intervention on burnout and other well-being related constructs. Mental Health and Physical Activity, 27, 100617. https://doi.org/10.1016/j.mhpa.2023.100617
  • Darabont, D. C., Cioca, L. I., Bejinariu, C., Badea, D. O., Chivu, O. R., & Chiș, T. V. (2024). Impact of personal protective equipment use on stress and psychological well-being among firefighters: Systematic review and meta-analysis. Sustainability, 16(22), 9666. https://doi.org/10.3390/su16229666
  • Del Sal, M., Barbieri, E., Garbati, P., Sisti, D., Rocchi, M. B., & Stocchi, V. (2009). Physiologic responses of firefighter recruits during a supervised live-fire work performance test. The Journal of Strength & Conditioning Research, 23(8), 2396–2404. https://doi.org/10.1519/JSC.0b013e3181bb7381
  • D'Isabel, S., Berny, L. M., Frost, A., Thongphok, C., Jack, K., Chaudhry, S., ... & Smith, D. L. (2023). The effect of mild to moderate COVID-19 infection on the cardiorespiratory fitness of firefighters. Frontiers in Public Health, 11, 1308605. https://doi.org/10.3389/fpubh.2023.1308605
  • Farinha, V. M., Borba, E. F. D., Santos, P. P. D., Ulbrich, A. Z., Ribeiro Jr, E. J. F., & Tartaruga, M. P. (2024). Association of physical and emotional parameters with performance of firefighters: A systematic review. International Journal of Environmental Research and Public Health, 21(8), 1097. https://doi.org/10.3390/ijerph21081097
  • Frost, C., Toczko, M., Merrigan, J. J., & Martin, J. R. (2021). The effects of sleep on firefighter occupational performance and health: A systematic review and call for action. Sleep Epidemiology, 1, 100014. https://doi.org/10.1016/j.sleepe.2021.100014
  • Fyock-Martin, M. B., Erickson, E. K., Hautz, A. H., Sell, K. M., Turnbaugh, B. L., Caswell, S. V., & Martin, J. R. (2020). What do firefighting ability tests tell us about firefighter physical fitness? A systematic review of the current evidence. The Journal of Strength & Conditioning Research, 34(7), 2093–2103. https://doi.org/10.1519/JSC.0000000000002816
  • Games, K. E., Winkelmann, Z. K., McGinnis, K. D., McAdam, J. S., Pascoe, D. D., & Sefton, J. M. (2020). Functional performance of firefighters after exposure to environmental conditions and exercise. Journal of Athletic Training, 55(1), 71–79. https://doi.org/10.4085/1062-6050-418-18
  • Glasgow, T. E., Burch, J. B., Arcan, C., Reading, J. M., Theal, M., Cyrus, J. W., & Fuemmeler, B. F. (2024). A scoping review of firefighters' health behaviors and chronic diseases. American Journal of Health Behavior, 48(3), 174–193. https://doi.org/10.5993/AJHB.48.3.1
  • Gonzalez, D. E., Forbes, S. C., Zapp, A., Jagim, A., Luedke, J., Dickerson, B. L., ... & Kreider, R. B. (2024). Fueling the firefighter and tactical athlete with creatine: A narrative review of a key nutrient for public safety. Nutrients, 16(19), 3285. https://doi.org/10.3390/nu16193285
  • Gordon, R. A., Sokoloski, M. L., Zumbro, E. L., Irvine, C. J., Oldham, M., & Morgan, N. (2024). Skeletal muscle fitness and physiology as determinants of firefighter performance and safety: A narrative review. Ergonomics, 1–11. https://doi.org/10.1080/00140139.2024.1265678
  • Gross, S. L. (2021). Vaping, smoking, dual use, and stealth vaping/smoking among first responders: Law enforcement, firefighters, and paramedics/emergency medical technicians (EMT).
  • Guidotti, T. L. (1992). Human factors in firefighting: Ergonomic-, cardiopulmonary-, and psychogenic stress-related issues. International Archives of Occupational and Environmental Health, 64, 1–12. https://doi.org/10.1007/BF00381467
  • Gutiérrez-Arroyo, J., García-Heras, F., Carballo-Leyenda, B., Villa-Vicente, J. G., Rodríguez-Medina, J., & Rodríguez-Marroyo, J. A. (2023). Effect of a high-intensity circuit training program on the physical fitness of wildland firefighters. International Journal of Environmental Research and Public Health, 20(3), 2073. https://doi.org/10.3390/ijerph20032073
  • Haller, J. M., & Smith, D. L. (2019). Examination of strenuous activity preceding cardiac death during firefighting duties. Safety, 5(3), 50. https://doi.org/10.3390/safety5030050
  • Holland-Winkler, A. M., Greene, D. R., & Oberther, T. J. (2024). The cyclical battle of insomnia and mental health impairment in firefighters: A narrative review. Journal of Clinical Medicine, 13(8), 2169. https://doi.org/10.3390/jcm13082169
  • IPCC. (2021). Intergovernmental Panel on Climate Change. Sixth Assessment Report: Climate Change 2021 – The Physical Science Basis. Retrieved from https://www.ipcc.ch
  • Jitnarin, N., Poston, W. S., Haddock, C. K., & Jahnke, S. A. (2019). Tobacco use among women firefighters. Women's Health Issues, 29(5), 432–439. https://doi.org/10.1016/j.whi.2019.07.002
  • Kim, S., & Lee, J. Y. (2016). Development of firefighting performance test drills while wearing personal protective equipment. Fire Science and Engineering, 30(1), 138–148. https://doi.org/10.7731/KIFSE.2016.30.1.138
  • Klaperski, S., & Fuchs, R. (2021). Investigation of the stress-buffering effect of physical exercise and fitness on mental and physical health outcomes in insufficiently active men: A randomized controlled trial. Mental Health and Physical Activity, 21, 100408. https://doi.org/10.1016/j.mhpa.2021.100408
  • Lajoso-Silva, N., Bezerra, P., Silva, B., & Carral, J. M. C. (2021). Functional training in Portuguese firefighters: Impact of functional training with or without personal protective equipment. Journal of Occupational and Environmental Medicine, 63(4), e169–e176. https://doi.org/10.1097/JOM.0000000000002127
  • Lane, A. (2024). Mental health outcomes and psychosocial risk factors in wildland firefighters and support staff (Doctoral dissertation, University of Northern British Columbia).
  • Lee, N., Kim, J. H., Kim, J. Y., & Kim, S. S. (2018). Association between workplace discrimination and depressive symptoms among firefighters in South Korea. American Journal of Industrial Medicine, 61(9), 741–750. https://doi.org/10.1002/ajim.22907
  • Li, J., Zhu, W., Wang, Y., & Li, J. (2022). Efficacy of cooling garments on exertional heat strain recovery in firefighters: A systematic review and meta-analysis. Textile Research Journal, 92(21–22), 4521–4535. https://doi.org/10.1177/00405175221120180
  • Lindberg, A. S., Malm, C., Oksa, J., & Gavhed, D. (2014). Self-rated physical loads of work tasks among firefighters. International Journal of Occupational Safety and Ergonomics, 20(2), 309–321. https://doi.org/10.1080/10803548.2014.11077051
  • Lockie, R. G., Dulla, J. M., Higuera, D., Ross, K. A., Orr, R. M., Dawes, J. J., & Ruvalcaba, T. J. (2022). Body composition and fitness characteristics of firefighters participating in a health and wellness program: Relationships and descriptive data. International Journal of Environmental Research and Public Health, 19(23), 15758. https://doi.org/10.3390/ijerph192315758
  • Marcel-Millet, P., Cassirame, J., Eon, P., Williams-Bell, F. M., Gimenez, P., & Grosprêtre, S. (2023). Physiological demands and physical performance determinants of a new firefighting simulation test. Ergonomics, 66(12), 2012–2024. https://doi.org/10.1080/00140139.2023.2204516
  • Michaelides, M. A., Parpa, K. M., Henry, L. J., Thompson, G. B., & Brown, B. S. (2011). Assessment of physical fitness aspects and their relationship to firefighters' job abilities. The Journal of Strength & Conditioning Research, 25(4), 956–965. https://doi.org/10.1519/JSC.0b013e3181c7c6c6
  • Morris, C. E., & Chander, H. (2018). The impact of firefighter physical fitness on job performance: A review of the factors that influence fire suppression safety and success. Safety, 4(4), 60. https://doi.org/10.3390/safety4040060
  • Nazari, G., Lu, S., & MacDermid, J. C. (2021). Quantifying physiological responses during simulated tasks among Canadian firefighters: A systematic review and meta-analysis. Journal of Military, Veteran and Family Health, 7(1), 55–75. https://doi.org/10.3138/jmvfh-2021-0005
  • Noll, L. (2024). Assessing the physical readiness of UK firefighters to return to work following injury: Developing a return-to-work tool (Doctoral dissertation, University of Essex).
  • Nowak, A., Molik, B., Wójcik, A., Rutkowska, I., Nowacka-Dobosz, S., Kowalczyk, M., & Marszałek, J. (2018). Physical activity and injuries relating to physical fitness of professional firefighters. Advances in Rehabilitation, 32(2), 13–22. https://doi.org/10.5114/areh.2018.76993
  • UNDRR. (2022). United Nations Office for Disaster Risk Reduction. Global Assessment Report on Disaster Risk
  • Reduction (GAR 2022). Retrieved from https://www.undrr.org
  • Papadakis, Z., Stamatis, A., & Beitia, P. (2024). Personal protective equipment impacts firefighters’ anaerobic fitness. Occupational Medicine, 74(5), 342–347. https://doi.org/10.1093/occmed/kqad023
  • Pawlak, R., Clasey, J. L., Palmer, T., Symons, T. B., & Abel, M. G. (2015). The effect of a novel tactical training program on physical fitness and occupational performance in firefighters. The Journal of Strength & Conditioning Research, 29(3), 578–588. https://doi.org/10.1519/JSC.0000000000000650
  • Perroni, F., Cardinali, L., Cignitti, L., Gobbi, E., Grugni, F., Amatori, S., ... & Guidetti, L. (2021). Are there sex differences in physiological parameters and reaction time responses to overload in firefighters? PLoS ONE, 16(5), e0249559. https://doi.org/10.1371/journal.pone.0249559
  • Perroni, F., Guidetti, L., Cignitti, L., & Baldari, C. (2014). Psychophysiological responses of firefighters to emergencies: A review. Open Sports Sciences Journal, 7(1), 8–15. https://doi.org/10.2174/1875399X01407010008
  • Ramezanifar, S., Shakiba, Z., Pirposhteh, E. A., Poursadeghiyan, M., & Sahlabadi, A. S. (2023). The effects of personal protective equipment on heart rate, oxygen consumption, and body temperature of firefighters: A systematic review. Work, 76(1), 95–107. https://doi.org/10.3233/WOR-210935
  • Ras, J., Botha, J., Burger, Y., Ras, W., & Leach, L. (2024). Knowledge and behaviours regarding physical activity of firefighters in the City of Cape Town Fire and Rescue Service: A cross-sectional study. Physical Activity and Health, 8(1). https://doi.org/10.5334/paah.168
  • Ras, J., Kengne, A. P., Smith, D. L., Soteriades, E. S., November, R. V., & Leach, L. (2022). Effects of cardiovascular disease risk factors, musculoskeletal health, and physical fitness on occupational performance in firefighters: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(19), 11946. https://doi.org/10.3390/ijerph191911946
  • Ras, J., Smith, D. L., Kengne, A. P., Soteriades, E. S., & Leach, L. (2023). Physical fitness, cardiovascular and musculoskeletal health, and occupational performance in firefighters. Frontiers in Public Health, 11, 1241250. https://doi.org/10.3389/fpubh.2023.1241250
  • Ras, J., Smith, D. L., Soteriades, E. S., Kengne, A. P., & Leach, L. (2022). A pilot study on the relationship between cardiovascular health, musculoskeletal health, physical fitness, and occupational performance in firefighters. European Journal of Investigation in Health, Psychology and Education, 12(11), 1703–1718. https://doi.org/10.3390/ejihpe12110121
  • Ras, J., Soteriades, E. S., Smith, D. L., Kengne, A. P., & Leach, L. (2023). Association between physical fitness and musculoskeletal health in firefighters. Frontiers in Physiology, 14, 1210107. https://doi.org/10.3389/fphys.2023.1210107 Rosner, B. (2024). The impact of human performance initiatives in improving physical readiness and resiliency in firefighters. Ruby, B. C., Coker, R. H., Sol, J., Quindry, J., & Montain, S. J. (2023). Physiology of the wildland firefighter: Managing extreme energy demands in hostile, smoky, mountainous environments. Comprehensive Physiology, 13(2), 4587–4615. https://doi.org/10.1002/cphy.c220046
  • Schmit, M., & Debeliso, M. (2019). The relationship between firefighters’ physical performance characteristics and simulated firefighting demands. Turkish Journal of Kinesiology, 5(2), 63–75. https://doi.org/10.31459/turkjkin.540967
  • Serrano-Ibanez, E. R., Corras, T., Del Prado, M., Diz, J., & Varela, C. (2023). Psychological variables associated with post-traumatic stress disorder in firefighters: A systematic review. Trauma, Violence, & Abuse, 24(4), 2049–2066. https://doi.org/10.1177/15248380221105397
  • Sheaff, A. K., Bennett, A., Hanson, E. D., Kim, Y. S., Hsu, J., Shim, J. K., ... & Hurley, B. F. (2010). Physiological determinants of the candidate physical ability test in firefighters. The Journal of Strength & Conditioning Research, 24(11), 3112–3122. https://doi.org/10.1519/JSC.0b013e3181f7bba5
  • Skinner, T. L., Kelly, V. G., Boytar, A. N., Peeters, G. G., & Rynne, S. B. (2020). Aviation rescue firefighters’ physical fitness and predictors of task performance. Journal of Science and Medicine in Sport, 23(12), 1228–1233. https://doi.org/10.1016/j.jsams.2020.06.012
  • Soteriades, E. S., Smith, D. L., Tsismenakis, A. J., Baur, D. M., & Kales, S. N. (2011). Cardiovascular disease in US firefighters: A systematic review. Cardiology in Review, 19(4), 202–215. https://doi.org/10.1097/CRD.0b013e318215c105
  • Stone, B. L., Alvar, B. A., Orr, R. M., Lockie, R. G., Johnson, Q. R., Goatcher, J., & Dawes, J. J. (2020). Impact of an 11-week strength and conditioning program on firefighter trainee fitness. Sustainability, 12(16), 6541. https://doi.org/10.3390/su12166541
  • Taborri, J., Pasinetti, S., Cardinali, L., Perroni, F., & Rossi, S. (2021). Preventing and monitoring work-related diseases in firefighters: A literature review on sensor-based systems and future perspectives in robotic devices. International Journal of Environmental Research and Public Health, 18(18), 9723. https://doi.org/10.3390/ijerph18189723
  • Windisch, S., Seiberl, W., Schwirtz, A., & Hahn, D. (2017). Relationships between strength and endurance parameters and air depletion rates in professional firefighters. Scientific Reports, 7(1), 44590. https://doi.org/10.1038/srep44590
  • Wohlgemuth, K. J., Conner, M. J., Tinsley, G. M., Palmer, T. B., & Mota, J. A. (2024). Strategies for improving firefighter health on-shift: A review. Journal of Functional Morphology and Kinesiology, 9(2), 105. https://doi.org/10.3390/jfmk9020105
  • Xu, D., Song, Y., Meng, Y., István, B., & Gu, Y. (2020). Relationship between firefighter physical fitness and special ability performance: Predictive research based on machine learning algorithms. International Journal of Environmental Research and Public Health, 17(20), 7689. https://doi.org/10.3390/ijerph17207689
  • Xu, H., Zhang, L., Jin, Z., Cao, B., Wang, A., Liu, Z., & Wang, F. (2025). Physiological and perceptual responses of firefighters wearing protective clothing under various training environment and activity conditions. Building and Environment, 267, 112247. https://doi.org/10.1016/j.buildenv.2023.112247
  • Zare, S., Hemmatjo, R., Allahyari, T., Hajaghazadeh, M., Hajivandi, A., Aghabeigi, M., & Kazemi, R. (2018). Comparison of the effect of typical firefighting activities, live fire drills, and rescue operations at height on firefighters’ physiological responses and cognitive function. Ergonomics, 61(10), 1334–1344. https://doi.org/10.1080/00140139.2018.1474492

Systematic Analysis of the Relationship Between Physical Activity Levels and Psychological Well-Being in Firefighters

Year 2025, Volume: 9 Issue: 1, 114 - 128, 29.06.2025

Abstract

Firefighting is widely recognized as one of the most physically and psychologically demanding professions. Firefighters frequently operate in high-risk environments, facing traumatic events, extreme temperatures, heavy protective equipment, irregular shifts, and time-critical decisions. These challenges contribute to elevated rates of stress, burnout, and long-term health issues among personnel. Given this context, there is a growing interest in the role of physical activity as a mechanism not only for enhancing operational performance but also for mitigating psychological strain. This systematic review synthesizes data from 62 peer-reviewed studies published between 2000 and 2024, examining the relationship between physical activity and psychological well-being in firefighters. The analysis reveals that structured fitness interventions—particularly high-intensity functional training (HIFT)—are highly effective in improving both physiological and psychological outcomes. HIFT programs, which replicate real-life firefighting tasks, have been shown to enhance cardiovascular endurance, muscular strength, and agility. More importantly, they contribute significantly to reductions in stress, anxiety, depression, and symptoms of burnout. Overall, the findings underscore the essential role of individualized physical activity programs in enhancing both mental and physical health among firefighters. The review advocates for the implementation of multi-component wellness programs within fire departments, including regular fitness assessments, customized exercise protocols, and access to mental health resources. Moreover, the study identifies the need for future longitudinal research to assess the sustained impact of such interventions, particularly with respect to demographic variables such as age, gender, and years of service. In conclusion, physical activity should be considered not just a supportive health practice, but a critical determinant of occupational resilience and long-term well-being in the firefighting profession.

References

  • Ahn Achmat, G., Malema, M., Erasmus, C., Kanaley, J., & Leach, L. (2024). Perceptions, experiences, and challenges of physical activity among firefighters with coronary heart disease risk factors in the City of Cape Town Fire and Rescue Services. The Open Public Health Journal, 17(1).
  • Allison, P., Tiesman, H. M., Wong, I. S., Bernzweig, D., James, L., James, S. M., ... & Patterson, P. D. (2022). Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research. American Journal of Industrial Medicine, 65(11), 878–897. https://doi.org/10.1002/ajim.23413
  • Andrews, K. L., Gallagher, S., & Herring, M. P. (2019). The effects of exercise interventions on health and fitness of firefighters: A meta‐analysis. Scandinavian Journal of Medicine & Science in Sports, 29(6), 780–790. https://doi.org/10.1111/sms.13412
  • Antolini, M. R., Weston, Z. J., & Tiidus, P. M. (2015). Physical fitness characteristics of a front-line firefighter population. Acta Kinesiologiae Universitatis Tartuensis, 21, 61–74. https://doi.org/10.12697/akut.2015.21.06
  • Beitia, P., Stamatis, A., Amasay, T., & Papadakis, Z. (2022). Predicting firefighters’ physical ability test scores from anaerobic fitness parameters and mental toughness levels. International Journal of Environmental Research and Public Health, 19(22), 15253 https://doi.org/10.3390/ijerph192215253
  • Bond, C. W., Waletzko, S. P., Reed, V., Glasner, E., & Noonan, B. C. (2022). Retrospective longitudinal evaluation of male firefighters' body composition and cardiovascular health. Journal of Occupational and Environmental Medicine, 64(2), 123–130. https://doi.org/10.1097/JOM.0000000000002514
  • Brown, A. (2014). Weight loss advice, diet, physical activity, and obesity among firefighters (Doctoral dissertation). The University of Texas School of Public Health.
  • Calavalle, A. R., Sisti, D., Mennelli, G., Andolina, G., Del Sal, M., Rocchi, M. B., ... & Stocchi, V. (2013). A simple method to analyze overall individual physical fitness in firefighters. The Journal of Strength & Conditioning Research, 27(3), 769–775. https://doi.org/10.1519/JSC.0b013e31825bb4e2
  • Chizewski, A., Box, A., Kesler, R. M., & Petruzzello, S. J. (2021). High-intensity functional training (HIFT) improves fitness in recruit firefighters. International Journal of Environmental Research and Public Health, 18(24), 13400. https://doi.org/10.3390/ijerph182413400
  • Crombez–Bequet, N., & Legrand, F. (2024). Enhancing firefighters' mental health with exercise: Evaluating the effects of a 7-week long physical activity intervention on burnout and other well-being related constructs. Mental Health and Physical Activity, 27, 100617. https://doi.org/10.1016/j.mhpa.2023.100617
  • Darabont, D. C., Cioca, L. I., Bejinariu, C., Badea, D. O., Chivu, O. R., & Chiș, T. V. (2024). Impact of personal protective equipment use on stress and psychological well-being among firefighters: Systematic review and meta-analysis. Sustainability, 16(22), 9666. https://doi.org/10.3390/su16229666
  • Del Sal, M., Barbieri, E., Garbati, P., Sisti, D., Rocchi, M. B., & Stocchi, V. (2009). Physiologic responses of firefighter recruits during a supervised live-fire work performance test. The Journal of Strength & Conditioning Research, 23(8), 2396–2404. https://doi.org/10.1519/JSC.0b013e3181bb7381
  • D'Isabel, S., Berny, L. M., Frost, A., Thongphok, C., Jack, K., Chaudhry, S., ... & Smith, D. L. (2023). The effect of mild to moderate COVID-19 infection on the cardiorespiratory fitness of firefighters. Frontiers in Public Health, 11, 1308605. https://doi.org/10.3389/fpubh.2023.1308605
  • Farinha, V. M., Borba, E. F. D., Santos, P. P. D., Ulbrich, A. Z., Ribeiro Jr, E. J. F., & Tartaruga, M. P. (2024). Association of physical and emotional parameters with performance of firefighters: A systematic review. International Journal of Environmental Research and Public Health, 21(8), 1097. https://doi.org/10.3390/ijerph21081097
  • Frost, C., Toczko, M., Merrigan, J. J., & Martin, J. R. (2021). The effects of sleep on firefighter occupational performance and health: A systematic review and call for action. Sleep Epidemiology, 1, 100014. https://doi.org/10.1016/j.sleepe.2021.100014
  • Fyock-Martin, M. B., Erickson, E. K., Hautz, A. H., Sell, K. M., Turnbaugh, B. L., Caswell, S. V., & Martin, J. R. (2020). What do firefighting ability tests tell us about firefighter physical fitness? A systematic review of the current evidence. The Journal of Strength & Conditioning Research, 34(7), 2093–2103. https://doi.org/10.1519/JSC.0000000000002816
  • Games, K. E., Winkelmann, Z. K., McGinnis, K. D., McAdam, J. S., Pascoe, D. D., & Sefton, J. M. (2020). Functional performance of firefighters after exposure to environmental conditions and exercise. Journal of Athletic Training, 55(1), 71–79. https://doi.org/10.4085/1062-6050-418-18
  • Glasgow, T. E., Burch, J. B., Arcan, C., Reading, J. M., Theal, M., Cyrus, J. W., & Fuemmeler, B. F. (2024). A scoping review of firefighters' health behaviors and chronic diseases. American Journal of Health Behavior, 48(3), 174–193. https://doi.org/10.5993/AJHB.48.3.1
  • Gonzalez, D. E., Forbes, S. C., Zapp, A., Jagim, A., Luedke, J., Dickerson, B. L., ... & Kreider, R. B. (2024). Fueling the firefighter and tactical athlete with creatine: A narrative review of a key nutrient for public safety. Nutrients, 16(19), 3285. https://doi.org/10.3390/nu16193285
  • Gordon, R. A., Sokoloski, M. L., Zumbro, E. L., Irvine, C. J., Oldham, M., & Morgan, N. (2024). Skeletal muscle fitness and physiology as determinants of firefighter performance and safety: A narrative review. Ergonomics, 1–11. https://doi.org/10.1080/00140139.2024.1265678
  • Gross, S. L. (2021). Vaping, smoking, dual use, and stealth vaping/smoking among first responders: Law enforcement, firefighters, and paramedics/emergency medical technicians (EMT).
  • Guidotti, T. L. (1992). Human factors in firefighting: Ergonomic-, cardiopulmonary-, and psychogenic stress-related issues. International Archives of Occupational and Environmental Health, 64, 1–12. https://doi.org/10.1007/BF00381467
  • Gutiérrez-Arroyo, J., García-Heras, F., Carballo-Leyenda, B., Villa-Vicente, J. G., Rodríguez-Medina, J., & Rodríguez-Marroyo, J. A. (2023). Effect of a high-intensity circuit training program on the physical fitness of wildland firefighters. International Journal of Environmental Research and Public Health, 20(3), 2073. https://doi.org/10.3390/ijerph20032073
  • Haller, J. M., & Smith, D. L. (2019). Examination of strenuous activity preceding cardiac death during firefighting duties. Safety, 5(3), 50. https://doi.org/10.3390/safety5030050
  • Holland-Winkler, A. M., Greene, D. R., & Oberther, T. J. (2024). The cyclical battle of insomnia and mental health impairment in firefighters: A narrative review. Journal of Clinical Medicine, 13(8), 2169. https://doi.org/10.3390/jcm13082169
  • IPCC. (2021). Intergovernmental Panel on Climate Change. Sixth Assessment Report: Climate Change 2021 – The Physical Science Basis. Retrieved from https://www.ipcc.ch
  • Jitnarin, N., Poston, W. S., Haddock, C. K., & Jahnke, S. A. (2019). Tobacco use among women firefighters. Women's Health Issues, 29(5), 432–439. https://doi.org/10.1016/j.whi.2019.07.002
  • Kim, S., & Lee, J. Y. (2016). Development of firefighting performance test drills while wearing personal protective equipment. Fire Science and Engineering, 30(1), 138–148. https://doi.org/10.7731/KIFSE.2016.30.1.138
  • Klaperski, S., & Fuchs, R. (2021). Investigation of the stress-buffering effect of physical exercise and fitness on mental and physical health outcomes in insufficiently active men: A randomized controlled trial. Mental Health and Physical Activity, 21, 100408. https://doi.org/10.1016/j.mhpa.2021.100408
  • Lajoso-Silva, N., Bezerra, P., Silva, B., & Carral, J. M. C. (2021). Functional training in Portuguese firefighters: Impact of functional training with or without personal protective equipment. Journal of Occupational and Environmental Medicine, 63(4), e169–e176. https://doi.org/10.1097/JOM.0000000000002127
  • Lane, A. (2024). Mental health outcomes and psychosocial risk factors in wildland firefighters and support staff (Doctoral dissertation, University of Northern British Columbia).
  • Lee, N., Kim, J. H., Kim, J. Y., & Kim, S. S. (2018). Association between workplace discrimination and depressive symptoms among firefighters in South Korea. American Journal of Industrial Medicine, 61(9), 741–750. https://doi.org/10.1002/ajim.22907
  • Li, J., Zhu, W., Wang, Y., & Li, J. (2022). Efficacy of cooling garments on exertional heat strain recovery in firefighters: A systematic review and meta-analysis. Textile Research Journal, 92(21–22), 4521–4535. https://doi.org/10.1177/00405175221120180
  • Lindberg, A. S., Malm, C., Oksa, J., & Gavhed, D. (2014). Self-rated physical loads of work tasks among firefighters. International Journal of Occupational Safety and Ergonomics, 20(2), 309–321. https://doi.org/10.1080/10803548.2014.11077051
  • Lockie, R. G., Dulla, J. M., Higuera, D., Ross, K. A., Orr, R. M., Dawes, J. J., & Ruvalcaba, T. J. (2022). Body composition and fitness characteristics of firefighters participating in a health and wellness program: Relationships and descriptive data. International Journal of Environmental Research and Public Health, 19(23), 15758. https://doi.org/10.3390/ijerph192315758
  • Marcel-Millet, P., Cassirame, J., Eon, P., Williams-Bell, F. M., Gimenez, P., & Grosprêtre, S. (2023). Physiological demands and physical performance determinants of a new firefighting simulation test. Ergonomics, 66(12), 2012–2024. https://doi.org/10.1080/00140139.2023.2204516
  • Michaelides, M. A., Parpa, K. M., Henry, L. J., Thompson, G. B., & Brown, B. S. (2011). Assessment of physical fitness aspects and their relationship to firefighters' job abilities. The Journal of Strength & Conditioning Research, 25(4), 956–965. https://doi.org/10.1519/JSC.0b013e3181c7c6c6
  • Morris, C. E., & Chander, H. (2018). The impact of firefighter physical fitness on job performance: A review of the factors that influence fire suppression safety and success. Safety, 4(4), 60. https://doi.org/10.3390/safety4040060
  • Nazari, G., Lu, S., & MacDermid, J. C. (2021). Quantifying physiological responses during simulated tasks among Canadian firefighters: A systematic review and meta-analysis. Journal of Military, Veteran and Family Health, 7(1), 55–75. https://doi.org/10.3138/jmvfh-2021-0005
  • Noll, L. (2024). Assessing the physical readiness of UK firefighters to return to work following injury: Developing a return-to-work tool (Doctoral dissertation, University of Essex).
  • Nowak, A., Molik, B., Wójcik, A., Rutkowska, I., Nowacka-Dobosz, S., Kowalczyk, M., & Marszałek, J. (2018). Physical activity and injuries relating to physical fitness of professional firefighters. Advances in Rehabilitation, 32(2), 13–22. https://doi.org/10.5114/areh.2018.76993
  • UNDRR. (2022). United Nations Office for Disaster Risk Reduction. Global Assessment Report on Disaster Risk
  • Reduction (GAR 2022). Retrieved from https://www.undrr.org
  • Papadakis, Z., Stamatis, A., & Beitia, P. (2024). Personal protective equipment impacts firefighters’ anaerobic fitness. Occupational Medicine, 74(5), 342–347. https://doi.org/10.1093/occmed/kqad023
  • Pawlak, R., Clasey, J. L., Palmer, T., Symons, T. B., & Abel, M. G. (2015). The effect of a novel tactical training program on physical fitness and occupational performance in firefighters. The Journal of Strength & Conditioning Research, 29(3), 578–588. https://doi.org/10.1519/JSC.0000000000000650
  • Perroni, F., Cardinali, L., Cignitti, L., Gobbi, E., Grugni, F., Amatori, S., ... & Guidetti, L. (2021). Are there sex differences in physiological parameters and reaction time responses to overload in firefighters? PLoS ONE, 16(5), e0249559. https://doi.org/10.1371/journal.pone.0249559
  • Perroni, F., Guidetti, L., Cignitti, L., & Baldari, C. (2014). Psychophysiological responses of firefighters to emergencies: A review. Open Sports Sciences Journal, 7(1), 8–15. https://doi.org/10.2174/1875399X01407010008
  • Ramezanifar, S., Shakiba, Z., Pirposhteh, E. A., Poursadeghiyan, M., & Sahlabadi, A. S. (2023). The effects of personal protective equipment on heart rate, oxygen consumption, and body temperature of firefighters: A systematic review. Work, 76(1), 95–107. https://doi.org/10.3233/WOR-210935
  • Ras, J., Botha, J., Burger, Y., Ras, W., & Leach, L. (2024). Knowledge and behaviours regarding physical activity of firefighters in the City of Cape Town Fire and Rescue Service: A cross-sectional study. Physical Activity and Health, 8(1). https://doi.org/10.5334/paah.168
  • Ras, J., Kengne, A. P., Smith, D. L., Soteriades, E. S., November, R. V., & Leach, L. (2022). Effects of cardiovascular disease risk factors, musculoskeletal health, and physical fitness on occupational performance in firefighters: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(19), 11946. https://doi.org/10.3390/ijerph191911946
  • Ras, J., Smith, D. L., Kengne, A. P., Soteriades, E. S., & Leach, L. (2023). Physical fitness, cardiovascular and musculoskeletal health, and occupational performance in firefighters. Frontiers in Public Health, 11, 1241250. https://doi.org/10.3389/fpubh.2023.1241250
  • Ras, J., Smith, D. L., Soteriades, E. S., Kengne, A. P., & Leach, L. (2022). A pilot study on the relationship between cardiovascular health, musculoskeletal health, physical fitness, and occupational performance in firefighters. European Journal of Investigation in Health, Psychology and Education, 12(11), 1703–1718. https://doi.org/10.3390/ejihpe12110121
  • Ras, J., Soteriades, E. S., Smith, D. L., Kengne, A. P., & Leach, L. (2023). Association between physical fitness and musculoskeletal health in firefighters. Frontiers in Physiology, 14, 1210107. https://doi.org/10.3389/fphys.2023.1210107 Rosner, B. (2024). The impact of human performance initiatives in improving physical readiness and resiliency in firefighters. Ruby, B. C., Coker, R. H., Sol, J., Quindry, J., & Montain, S. J. (2023). Physiology of the wildland firefighter: Managing extreme energy demands in hostile, smoky, mountainous environments. Comprehensive Physiology, 13(2), 4587–4615. https://doi.org/10.1002/cphy.c220046
  • Schmit, M., & Debeliso, M. (2019). The relationship between firefighters’ physical performance characteristics and simulated firefighting demands. Turkish Journal of Kinesiology, 5(2), 63–75. https://doi.org/10.31459/turkjkin.540967
  • Serrano-Ibanez, E. R., Corras, T., Del Prado, M., Diz, J., & Varela, C. (2023). Psychological variables associated with post-traumatic stress disorder in firefighters: A systematic review. Trauma, Violence, & Abuse, 24(4), 2049–2066. https://doi.org/10.1177/15248380221105397
  • Sheaff, A. K., Bennett, A., Hanson, E. D., Kim, Y. S., Hsu, J., Shim, J. K., ... & Hurley, B. F. (2010). Physiological determinants of the candidate physical ability test in firefighters. The Journal of Strength & Conditioning Research, 24(11), 3112–3122. https://doi.org/10.1519/JSC.0b013e3181f7bba5
  • Skinner, T. L., Kelly, V. G., Boytar, A. N., Peeters, G. G., & Rynne, S. B. (2020). Aviation rescue firefighters’ physical fitness and predictors of task performance. Journal of Science and Medicine in Sport, 23(12), 1228–1233. https://doi.org/10.1016/j.jsams.2020.06.012
  • Soteriades, E. S., Smith, D. L., Tsismenakis, A. J., Baur, D. M., & Kales, S. N. (2011). Cardiovascular disease in US firefighters: A systematic review. Cardiology in Review, 19(4), 202–215. https://doi.org/10.1097/CRD.0b013e318215c105
  • Stone, B. L., Alvar, B. A., Orr, R. M., Lockie, R. G., Johnson, Q. R., Goatcher, J., & Dawes, J. J. (2020). Impact of an 11-week strength and conditioning program on firefighter trainee fitness. Sustainability, 12(16), 6541. https://doi.org/10.3390/su12166541
  • Taborri, J., Pasinetti, S., Cardinali, L., Perroni, F., & Rossi, S. (2021). Preventing and monitoring work-related diseases in firefighters: A literature review on sensor-based systems and future perspectives in robotic devices. International Journal of Environmental Research and Public Health, 18(18), 9723. https://doi.org/10.3390/ijerph18189723
  • Windisch, S., Seiberl, W., Schwirtz, A., & Hahn, D. (2017). Relationships between strength and endurance parameters and air depletion rates in professional firefighters. Scientific Reports, 7(1), 44590. https://doi.org/10.1038/srep44590
  • Wohlgemuth, K. J., Conner, M. J., Tinsley, G. M., Palmer, T. B., & Mota, J. A. (2024). Strategies for improving firefighter health on-shift: A review. Journal of Functional Morphology and Kinesiology, 9(2), 105. https://doi.org/10.3390/jfmk9020105
  • Xu, D., Song, Y., Meng, Y., István, B., & Gu, Y. (2020). Relationship between firefighter physical fitness and special ability performance: Predictive research based on machine learning algorithms. International Journal of Environmental Research and Public Health, 17(20), 7689. https://doi.org/10.3390/ijerph17207689
  • Xu, H., Zhang, L., Jin, Z., Cao, B., Wang, A., Liu, Z., & Wang, F. (2025). Physiological and perceptual responses of firefighters wearing protective clothing under various training environment and activity conditions. Building and Environment, 267, 112247. https://doi.org/10.1016/j.buildenv.2023.112247
  • Zare, S., Hemmatjo, R., Allahyari, T., Hajaghazadeh, M., Hajivandi, A., Aghabeigi, M., & Kazemi, R. (2018). Comparison of the effect of typical firefighting activities, live fire drills, and rescue operations at height on firefighters’ physiological responses and cognitive function. Ergonomics, 61(10), 1334–1344. https://doi.org/10.1080/00140139.2018.1474492
There are 65 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Review
Authors

Neşe Mumcu 0000-0003-3438-907X

Abdullah Canikli 0000-0002-4658-6356

Early Pub Date June 29, 2025
Publication Date June 29, 2025
Submission Date April 18, 2025
Acceptance Date June 15, 2025
Published in Issue Year 2025 Volume: 9 Issue: 1

Cite

APA Mumcu, N., & Canikli, A. (2025). Systematic Analysis of the Relationship Between Physical Activity Levels and Psychological Well-Being in Firefighters. International Journal of Recreation and Sports Science, 9(1), 114-128.