Sivil Savunma ve İtfaiyecilik Programı Öğrencilerinde Fiziksel Uygunluğun Mesleki Performansa Etkisi
Yıl 2025,
Cilt: 9 Sayı: 2, 79 - 91, 28.12.2025
Nuray Demiralp
,
Kemal Demiralp
,
Büşra Umay
,
Ahmet Gür
,
Hürmüz Koç
Öz
Bu araştırma, itfaiyecilik öğrencilerinin fiziksel uygunluk özellikleri ile simüle edilmiş mesleki görevleri tamamlama süresi arasındaki ilişkiyi incelemiştir. Çalışmaya, yaş ortalaması 19,81 ± 1,65 yıl, boy ortalaması 1,78 ± 0,06 m ve vücut ağırlığı ortalaması 77,87 ± 12,09 kg olan toplam 53 sağlıklı erkek itfaiyecilik öğrencisi gönüllü olarak katılmıştır. Fiziksel uygunluk değerlendirmeleri; vücut kütle indeksi, el kavrama kuvveti, sırt–bacak kuvveti ve VO₂max ölçümlerini içermiştir. Mesleki performans, denge tahtası üzerinde yürüme, zorla giriş, hortum çekme ve kazazede kurtarma olmak üzere dört simülasyon temelli görev aracılığıyla değerlendirilmiştir. Verilerin dağılımı, normallik açısından Shapiro–Wilk testi ile değerlendirilmiştir. Değişkenler arasındaki ilişkiler, Pearson korelasyon analizi ile incelenmiştir. Sonuçlar, VO₂max ile görev tamamlama süresi arasında orta düzeyde, negatif ve istatistiksel olarak anlamlı bir ilişki olduğunu göstermiştir (r = –0,397; p = 0,003). Daha yüksek aerobik kapasiteye sahip öğrenciler görevleri daha kısa sürede tamamlamıştır. Görev tamamlama süresi ile diğer fiziksel uygunluk parametreleri arasında anlamlı bir ilişki gözlenmemiştir. Bu bulgular, aerobik kapasitenin itfaiyecilik performansında kritik bir rol oynadığını vurgulamaktadır. Buna göre, kardiyorespiratuvar dayanıklılığın geliştirilmesi, itfaiyecilik öğrencilerine yönelik eğitim programlarında öncelikli bir hedef olmalıdır. Gelecekteki araştırmaların, kas kuvveti ve diğer fizyolojik değişkenlerin mesleki performansa katkısını daha ayrıntılı biçimde incelemesi, referans standartlarının oluşturulmasına katkı sağlayacaktır.
Etik Beyan
Bu çalışma Helsinki Bildirgesi ile uyumludur. Bu çalışma Kastamonu Üniversitesi Sosyal ve Beşeri Bilimler Bilimsel Araştırma ve Yayın Etik Kurulu tarafından onaylanmıştır (Toplantı No. 6, Karar No. 72, Tarih: 21 Mayıs 2025).
Destekleyen Kurum
TUBİTAK
Proje Numarası
TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı Proje No: 1919B012333680
Teşekkür
Bu çalışma, TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı kapsamında (Proje No: 1919B012333680) desteklenmiştir. Sağladığı değerli bilimsel destek ve teşvik için Türkiye Bilimsel ve Teknolojik Araştırma Kurumu’na (TÜBİTAK) teşekkür ederiz.
Ayrıca, Kastamonu Üniversitesi Bozkurt Meslek Yüksekokulu Sivil Savunma ve İtfaiyecilik Programı öğrencisi Hasan MERT SARI’ ya proje fikrinin geliştirilmesi ve veri toplama sürecine sunduğu katkılardan dolayı teşekkür ederiz.
Kaynakça
-
Agostinelli, P. J., Bordonie, N. C., Robbins, A. M., Jones, P. L., Reagan, L. F., Mobley, C. B., Miller, M. W., Murrah, W. M., & Sefton, J. M. (2024). Impact of acute exercise on performance and physiological stress during simulated firefighter occupational tasks. Scientific Reports, 14(1), 29778. https://doi.org/10.1038/s41598-024-81015-8.
-
Arslanoğlu, E. (2010). The effect of 8 weeks of exercise and training on some physiological parameters of firefighter students. (Unpublished master's thesis). Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, Konya.
-
Bassett, D. R., & Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Medicine and Science in Sports and Exercise, 32(1), 70–84.
-
Chizewski, A., Box, A., Kesler, R., & Petruzzello, S. J. (2021). Fitness fights fires: Exploring the relationship between physical fitness and firefighter ability. International Journal of Environmental Research and Public Health, 18 (22), 11733.
-
Demiralp, N., & Demiralp K. (2020). Evaluation of cardiorespiratory fitness in terms of occupational health in fire fighting department students. Atatürk Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi, 22(2), 225–233.
-
Fahy, R. F., LeBlanc, P. R., & Molis, J. L. (2012). Firefighter fatalities in the United States—2011 (Vol.1, pp. 1–36). NFPA.
-
Gledhill, N., & Jamnik, V. K. (1992). Characterization of the physical demands of firefighting. Canadian Journal of Sport Sciences, 17(3), 207–213.
-
Hellsten, Y., & Nyberg, M. (2016). Cardiovascular adaptations to exercise training. Comprehensive Physiology, 6(1), 1–32. https://doi.org/10.1002/cphy.c140080
-
İzmir Municipality. (2023, October 6). They are sweating to become firefighters. İzmir Metropolitan Municipality. https://www.izmir.bel.tr/tr/Haberler/itfaiyeci-olmak-icin-ter-dokuyorlar/54048/156
-
Johnson, Q. R., Dawes, J. J., Uftring, M., & Lockie, R. G. (2022). Differences in stronger versus weaker firefighters in selected measures of power. International Journal of Exercise Science, 15(4), 549–560.
-
Joyner, M. J., & Dominelli, P. B. (2021). Central cardiovascular system limits to aerobic capacity. ExperimentalPhysiology, 106(10), 2017–2023. https://doi.org/10.1113/EP088187
-
Kales, S. N., Soteriades, E. S., Christophi, C. A., & Christiani, D. C. (2007). Emergency duties and deaths from heart disease among firefighters in the United States. New England Journal of Medicine, 356(12), 1207–1215. https://doi.org/10.1056/NEJMoa060357
-
Knappett, H., & Haines, M. (2023). Effects of Time-Efficient Occupational Exercise on Cardiorespiratory Fitness in Firefighters. Journal of Occupational and Environmental Medicine, 65(12), E785–E790. https://doi.org/10.1097/JOM.0000000000002983
-
Köroğlu, Y., & Koç, H. (2016). The effect of leg press exercises applied at different angles on leg strength. Sağlık Bilimleri Dergisi, 25(3), 148–154.
-
Lin, Y. W., Hsu, Y. C., Su, M. J., & Wu, B. H. (2025). Predicting firefighting simulation tasks performance from firefighters’ specific fitness tests. WORK, 10519815251329282.
-
Lockie, R. G., Montes, F., Orr, R. M., & Dawes, J. J. (2022, October). Firefighter trainee fitness, reasons for academy release, and predictive capabilities of fitness tests. Paper presented at the Southwest American College of Sports Medicine 2022 Annual Conference, Costa Mesa, CA, United States.
-
Lockie, R. G., Orr, R. M., Montes, F., & Dawes, J. J. (2024). Expanding Research on Firefighter Trainee Fitness, Reasons for Academy Release, and the Predictive Capabilities of Fitness Tests.The Journal of Strength & Conditioning Research, 38(4), 724–733.
-
Mang, Z. A., Beam, J. R., & Martinez, A. H. (2024). A discussion of exercise programs performed during firefighter training academies. Strength & Conditioning Journal, 46(4), 383–392.
-
Martin, J. R., Clark, N. C., Newman, K., Fyock-Martin, M., & Abel, M. G. (2025). The relationship between cardiorespiratory fitness and firefighter occupational performance: a systematic review and meta-analysis examining absolute versus relative VO2max .Ergonomics, 1–13. https://doi.org/10.1080/00140139.2025.2471542
-
McAllister, M. J., Gonzalez, D. E., Leonard, M., Martaindale, M. H., Bloomer, R. J., Pence, J., & Martin, S. E. (2022). Firefighters with Higher Cardiorespiratory Fitness Demonstrate Lower Markers of Cardiovascular Disease Risk. Journal of Occupational and Environmental Medicine, 64(12), 1036–1040. https://doi.org/10.1097/JOM.0000000000002632
-
Michaelides, M. A., Parpa, K. M., Thompson, J., & Brown, B. (2011). Predicting performance on a firefighter's ability test from fitness parameters. Journal of Strength and Conditioning Research, 25(4), 966–973. https://doi.org/10.1519/JSC.0b013e3181d33a01
-
Morris, T., & Chander, H. (2018). The physiological demands of firefighting: a review. International Journal of Kinesiology and Sports Science, 6(4), 11–19. https://doi.org/10.7575/aiac.ijkss.v.6n.4p.11
-
National Fire Protection Association (NFPA). (n.d.). NFPA 1582: Standard on Comprehensive Occupational Medical Program for Fire Departments. Retrieved May 2025, from https://www.nfpa.org/codes-and-standards/all-codes-and-standards/list-of-codes-and-standards/detail?code=1582
-
Nazari, G., MacDermid, J. C., Sinden, K. E., & Overend, T. J. (2018). The relationship between physical fitness and simulated firefighting task performance. Rehabilitation Research and Practice, 2018, 3234176. https://doi.org/10.1155/2018/3234176
-
Perroni, F., Tessitore, A., Cortis, C., Lupo, C., D'Artibale, E., & Capranica, L. (2010). Energy cost and energy sources during a simulated firefighting activity.Journal of Strength and Conditioning Research, 24(12), 3457–3463. https://doi.org/10.1519/JSC.0b013e3181b2c7ff
-
Phillips, D. B., Scarlett, M. P., & Petersen, S. R. (2017). The influence of body mass on physical fitness test performance in male firefighter applicants. Journal of Occupational and Environmental Medicine, 59(11), 1101–1108.
-
Porto, L. G. G., Soares, E. M. K. V. K., Ranadive, S. M., Lofrano-Porto, A., & Smith, D. L. (2024). Association of Endogenous Testosterone with Physical Fitness Measures during Firefighter Occupational Health Evaluations.International Journal of Environmental Research and Public Health, 21(3), 274. https://doi.org/10.3390/IJERPH21030274
-
Ramsbottom, R., Nevill, M. E., Nevill, A. M., & Hazeldine, R. (1997). Accumulated oxygen deficit and shuttle run performance in physically active men and women. Journal of Sports Sciences, 15(2), 207–214.
-
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.
-
Ras, J., Soteriades, E. S., Smith, D. L., Kengne, A. P., & Leach, L. (2024). Evaluation of the relationship between occupational-specific task performance and measures of physical fitness, cardiovascular and musculoskeletal health in firefighters.BMC Public Health, 24(1), 20. https://doi.org/10.1186/s12889-023-17487-6
-
Rhea, M. R., Alvar, B. A., & Gray, R. (2004). Physical fitness and job performance of firefighters. Journal of Strength and Conditioning Research, 18(2), 348–352. https://doi.org/10.1519/R-12812.1
-
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.
-
Smith, D. L., Horn, G. P., Fernhall, B., Kesler, R. M., Fent, K. W., Kerber, S., & Rowland, T. W. (2019). Electrocardiographic responses following live-fire firefighting drills. Journal of Occupational and Environmental Medicine, 61(12), 1030–1035.
-
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.
-
Stone, M. H., Hornsby, W. G., Haff, G. G., Fry, A. C., Suarez, D. G., Liu, J., Gonzalez-Rave, J. M., & Pierce, K. C. (2022). Training specificity for athletes: emphasis on strength-endurance continuum and principles of dynamic correspondence. Frontiers in Sports and Active Living, 4, 1062465. https://doi.org/10.3389/fspor.2022.1062465
-
Williams-Bell, F. M., Villar, R., Sharratt, M. T., & Hughson, R. L. (2009). Physiological demands of the firefighter candidate physical ability test. Medicine and Science in Sports and Exercise, 41(3), 653–662. https://doi.org/10.1249/MSS.0b013e31818ad117
-
WHO, I. (2000). IOTF.The Asia-Pacific Perspective. Redefining Obesity and Its Treatment. Obesity: preventing and managing the global epidemic. WHO.
-
Wolsk, E., Bakkestrøm, R., Ovesen, C., & Møller, J. E. (2019). Central and peripheral determinants of exercise capacity in heart failure patients with preserved and reduced ejection fraction. JACC: Cardiovascular Imaging, 12(11 Pt 2), 2410–2420. https://doi.org/10.1016/j.jcmg.2018.11.035
The Effect of Physical Fitness on Occupational Performance in Civil Defense and Firefighting Program Students
Yıl 2025,
Cilt: 9 Sayı: 2, 79 - 91, 28.12.2025
Nuray Demiralp
,
Kemal Demiralp
,
Büşra Umay
,
Ahmet Gür
,
Hürmüz Koç
Öz
This research investigated the association between firefighting students’ physical fitness characteristics and the duration required to complete simulated occupational tasks. A total of 53 healthy male firefighting trainees voluntarily participated in the study (mean age: 19.81 ± 1.65 years; height: 1.78 ± 0.06 cm; body weight: 77.87 ± 12.09 kg). Fitness assessments included body mass index, handgrip strength, back–leg strength, and VO₂max evaluations. Occupational performance was evaluated through four simulation-based tasks: balance beam walking, forcible entry, hose pulling, and victim rescue. The distribution of the data was assessed for normality using the Shapiro–Wilk test. The relationship between variables was examined using Pearson correlation analysis.Results revealed a moderate, negative, and statistically significant correlation between VO₂max and task completion time (r = -0.397, p = 0.003). Students with higher aerobic capacity were able to complete tasks more quickly. No significant associations were observed between completion time and other fitness parameters. These findings emphasize that aerobic capacity plays a critical role in firefighting performance. Accordingly, the development of cardiorespiratory endurance should be a priority in training programs for firefighting students. Future research is needed to explore the contribution of muscle strength and other physiological factors to occupational performance in greater depth to establish reference standards.
Etik Beyan
This study is in line with the Declaration of Helsinki. This study was approved by the Kastamonu University Social and Human Sciences Scientific Research and Publication Ethics Committee (Meeting No. 6, Decision No. 72, Date: May 21, 2025).
Destekleyen Kurum
TUBİTAK
Proje Numarası
TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı Proje No: 1919B012333680
Kaynakça
-
Agostinelli, P. J., Bordonie, N. C., Robbins, A. M., Jones, P. L., Reagan, L. F., Mobley, C. B., Miller, M. W., Murrah, W. M., & Sefton, J. M. (2024). Impact of acute exercise on performance and physiological stress during simulated firefighter occupational tasks. Scientific Reports, 14(1), 29778. https://doi.org/10.1038/s41598-024-81015-8.
-
Arslanoğlu, E. (2010). The effect of 8 weeks of exercise and training on some physiological parameters of firefighter students. (Unpublished master's thesis). Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, Konya.
-
Bassett, D. R., & Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Medicine and Science in Sports and Exercise, 32(1), 70–84.
-
Chizewski, A., Box, A., Kesler, R., & Petruzzello, S. J. (2021). Fitness fights fires: Exploring the relationship between physical fitness and firefighter ability. International Journal of Environmental Research and Public Health, 18 (22), 11733.
-
Demiralp, N., & Demiralp K. (2020). Evaluation of cardiorespiratory fitness in terms of occupational health in fire fighting department students. Atatürk Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi, 22(2), 225–233.
-
Fahy, R. F., LeBlanc, P. R., & Molis, J. L. (2012). Firefighter fatalities in the United States—2011 (Vol.1, pp. 1–36). NFPA.
-
Gledhill, N., & Jamnik, V. K. (1992). Characterization of the physical demands of firefighting. Canadian Journal of Sport Sciences, 17(3), 207–213.
-
Hellsten, Y., & Nyberg, M. (2016). Cardiovascular adaptations to exercise training. Comprehensive Physiology, 6(1), 1–32. https://doi.org/10.1002/cphy.c140080
-
İzmir Municipality. (2023, October 6). They are sweating to become firefighters. İzmir Metropolitan Municipality. https://www.izmir.bel.tr/tr/Haberler/itfaiyeci-olmak-icin-ter-dokuyorlar/54048/156
-
Johnson, Q. R., Dawes, J. J., Uftring, M., & Lockie, R. G. (2022). Differences in stronger versus weaker firefighters in selected measures of power. International Journal of Exercise Science, 15(4), 549–560.
-
Joyner, M. J., & Dominelli, P. B. (2021). Central cardiovascular system limits to aerobic capacity. ExperimentalPhysiology, 106(10), 2017–2023. https://doi.org/10.1113/EP088187
-
Kales, S. N., Soteriades, E. S., Christophi, C. A., & Christiani, D. C. (2007). Emergency duties and deaths from heart disease among firefighters in the United States. New England Journal of Medicine, 356(12), 1207–1215. https://doi.org/10.1056/NEJMoa060357
-
Knappett, H., & Haines, M. (2023). Effects of Time-Efficient Occupational Exercise on Cardiorespiratory Fitness in Firefighters. Journal of Occupational and Environmental Medicine, 65(12), E785–E790. https://doi.org/10.1097/JOM.0000000000002983
-
Köroğlu, Y., & Koç, H. (2016). The effect of leg press exercises applied at different angles on leg strength. Sağlık Bilimleri Dergisi, 25(3), 148–154.
-
Lin, Y. W., Hsu, Y. C., Su, M. J., & Wu, B. H. (2025). Predicting firefighting simulation tasks performance from firefighters’ specific fitness tests. WORK, 10519815251329282.
-
Lockie, R. G., Montes, F., Orr, R. M., & Dawes, J. J. (2022, October). Firefighter trainee fitness, reasons for academy release, and predictive capabilities of fitness tests. Paper presented at the Southwest American College of Sports Medicine 2022 Annual Conference, Costa Mesa, CA, United States.
-
Lockie, R. G., Orr, R. M., Montes, F., & Dawes, J. J. (2024). Expanding Research on Firefighter Trainee Fitness, Reasons for Academy Release, and the Predictive Capabilities of Fitness Tests.The Journal of Strength & Conditioning Research, 38(4), 724–733.
-
Mang, Z. A., Beam, J. R., & Martinez, A. H. (2024). A discussion of exercise programs performed during firefighter training academies. Strength & Conditioning Journal, 46(4), 383–392.
-
Martin, J. R., Clark, N. C., Newman, K., Fyock-Martin, M., & Abel, M. G. (2025). The relationship between cardiorespiratory fitness and firefighter occupational performance: a systematic review and meta-analysis examining absolute versus relative VO2max .Ergonomics, 1–13. https://doi.org/10.1080/00140139.2025.2471542
-
McAllister, M. J., Gonzalez, D. E., Leonard, M., Martaindale, M. H., Bloomer, R. J., Pence, J., & Martin, S. E. (2022). Firefighters with Higher Cardiorespiratory Fitness Demonstrate Lower Markers of Cardiovascular Disease Risk. Journal of Occupational and Environmental Medicine, 64(12), 1036–1040. https://doi.org/10.1097/JOM.0000000000002632
-
Michaelides, M. A., Parpa, K. M., Thompson, J., & Brown, B. (2011). Predicting performance on a firefighter's ability test from fitness parameters. Journal of Strength and Conditioning Research, 25(4), 966–973. https://doi.org/10.1519/JSC.0b013e3181d33a01
-
Morris, T., & Chander, H. (2018). The physiological demands of firefighting: a review. International Journal of Kinesiology and Sports Science, 6(4), 11–19. https://doi.org/10.7575/aiac.ijkss.v.6n.4p.11
-
National Fire Protection Association (NFPA). (n.d.). NFPA 1582: Standard on Comprehensive Occupational Medical Program for Fire Departments. Retrieved May 2025, from https://www.nfpa.org/codes-and-standards/all-codes-and-standards/list-of-codes-and-standards/detail?code=1582
-
Nazari, G., MacDermid, J. C., Sinden, K. E., & Overend, T. J. (2018). The relationship between physical fitness and simulated firefighting task performance. Rehabilitation Research and Practice, 2018, 3234176. https://doi.org/10.1155/2018/3234176
-
Perroni, F., Tessitore, A., Cortis, C., Lupo, C., D'Artibale, E., & Capranica, L. (2010). Energy cost and energy sources during a simulated firefighting activity.Journal of Strength and Conditioning Research, 24(12), 3457–3463. https://doi.org/10.1519/JSC.0b013e3181b2c7ff
-
Phillips, D. B., Scarlett, M. P., & Petersen, S. R. (2017). The influence of body mass on physical fitness test performance in male firefighter applicants. Journal of Occupational and Environmental Medicine, 59(11), 1101–1108.
-
Porto, L. G. G., Soares, E. M. K. V. K., Ranadive, S. M., Lofrano-Porto, A., & Smith, D. L. (2024). Association of Endogenous Testosterone with Physical Fitness Measures during Firefighter Occupational Health Evaluations.International Journal of Environmental Research and Public Health, 21(3), 274. https://doi.org/10.3390/IJERPH21030274
-
Ramsbottom, R., Nevill, M. E., Nevill, A. M., & Hazeldine, R. (1997). Accumulated oxygen deficit and shuttle run performance in physically active men and women. Journal of Sports Sciences, 15(2), 207–214.
-
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.
-
Ras, J., Soteriades, E. S., Smith, D. L., Kengne, A. P., & Leach, L. (2024). Evaluation of the relationship between occupational-specific task performance and measures of physical fitness, cardiovascular and musculoskeletal health in firefighters.BMC Public Health, 24(1), 20. https://doi.org/10.1186/s12889-023-17487-6
-
Rhea, M. R., Alvar, B. A., & Gray, R. (2004). Physical fitness and job performance of firefighters. Journal of Strength and Conditioning Research, 18(2), 348–352. https://doi.org/10.1519/R-12812.1
-
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.
-
Smith, D. L., Horn, G. P., Fernhall, B., Kesler, R. M., Fent, K. W., Kerber, S., & Rowland, T. W. (2019). Electrocardiographic responses following live-fire firefighting drills. Journal of Occupational and Environmental Medicine, 61(12), 1030–1035.
-
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.
-
Stone, M. H., Hornsby, W. G., Haff, G. G., Fry, A. C., Suarez, D. G., Liu, J., Gonzalez-Rave, J. M., & Pierce, K. C. (2022). Training specificity for athletes: emphasis on strength-endurance continuum and principles of dynamic correspondence. Frontiers in Sports and Active Living, 4, 1062465. https://doi.org/10.3389/fspor.2022.1062465
-
Williams-Bell, F. M., Villar, R., Sharratt, M. T., & Hughson, R. L. (2009). Physiological demands of the firefighter candidate physical ability test. Medicine and Science in Sports and Exercise, 41(3), 653–662. https://doi.org/10.1249/MSS.0b013e31818ad117
-
WHO, I. (2000). IOTF.The Asia-Pacific Perspective. Redefining Obesity and Its Treatment. Obesity: preventing and managing the global epidemic. WHO.
-
Wolsk, E., Bakkestrøm, R., Ovesen, C., & Møller, J. E. (2019). Central and peripheral determinants of exercise capacity in heart failure patients with preserved and reduced ejection fraction. JACC: Cardiovascular Imaging, 12(11 Pt 2), 2410–2420. https://doi.org/10.1016/j.jcmg.2018.11.035