Research Aricles (Sport, Recreation and Exercise Science)

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Association between physical fitness and musculoskeletal health in firefighters
(Frontiers Media SA, 2023) Ras, Jaron; Soteriades, Elpidoforos Soterakis; Smith, Denise Louise
Introduction: Firefighters are often placed in situations that require high levels of physical exertion, leading to significant strain on firefighters’ musculoskeletal system, predisposing them to musculoskeletal discomfort (MSD) and/or musculoskeletal injury (MSI). Physical fitness programs are often recommended and justified, in part, to prevent injuries. The aim of this study was to determine the association between physical fitness and musculoskeletal health (MSH) in firefighters. Methods: A total of 308 full-time firefighters took part in the study conducted in Cape Town, South Africa. Physical fitness tests encompassed a non-exercise estimation for cardiorespiratory fitness, grip and leg strength for upper and lower body strength, push-ups and sit-ups for muscular endurance, and sit-and-reach for flexibility. The Nordic Musculoskeletal Questionnaire and Cornell Musculoskeletal Discomfort Questionnaire were used to determine MSIs and MSD, respectively. A p-value <0.05 indicated statistical significance. Results: Every one-unit increase in AbVO2max, push-ups, sit-ups, and sit-and-reach decreased the odds of firefighters reporting MSIs by 5% (p = 0.005), 3% (p = 0.017), 3% (p = 0.006), and 3% (p = 0.034), respectively. Every one repetition increase in push-up capacity increased the odds of firefighters reporting neck, elbow and forearm, wrist and hand, and thigh discomfort by 3% (p = 0.039), 4% (p = 0.031), 5% (p = 0.002), and 5%` (p = 0.007), respectively.
Backyard running: Pushing the boundaries of human performance
(John Wiley and Sons Inc, 2024) Meeusen Romain; De Pauw, Kevin; Ampe T.; Arauz, Y. L. Arenales
Ultrarunning is gaining in popularity but no information is available on the physiological and psychological responses during backyard ultrarunning events. The aim of this study was to determine changes in cognitive function, markers of physiological resilience, and running performance during a backyard-running event. Twelve male ultrarunners (38 ± 8 years old, BMI: 23.5 ± 1.6 kg/m2, and VO2max: 60.8 ± 4.7 mL/min/kg) were monitored before, during, and after the event. Cognitive performance was determined using a cognitive test battery before, during, and after the event. During the event, the rating of perceived exertion (RPE), blood lactate concentration, and heart rate (HR) were assessed. Physical performance was investigated using the total number of completed laps and running speed per lap. Athletes completed 34 ± 17 laps equaling 227.8 ± 113.9 km with average speeds starting at 9.0 km/h and slowing down to 7.5 km/h at the end of the event. Physiological resilience (estimated using HR/speed) varied between athletes, with significantly lower values in the more proficient backyard runners at the end of the event (p < 0.05). HR and lactate levels remained constant, whereas a progressive increase in RPE was noticed (p ≤ 0.001). A significantly worsened reaction time was observed for several cognitive tasks after the event compared to baseline measures (p ≤ 0.05). These observations show that physiological resilience differs depending on the level of endurance performance of the athletes. Furthermore, the backyard ultrarunning event negatively impacted psychomotor speed. Therefore, the results suggest that implementing strategies that enhance physiological resilience and/or psychomotor speed could potentially have a positive effect on performance in ultraendurance activities
Knowledge and behaviours regarding physical activity of firefighters in the City of Cape Town fire and rescue service – a cross-sectional study
(Ubiquity Press, 2024) Ras, Jaron; Botha, Jana; Burger, Yuwin; Ras, Warren; Leach, Lloyd
Firefighters have a higher prevalence of chronic diseases due to the relationship between a lack of knowledge and poor behaviours regarding physical activity (PA). The aim of the study was to determine the knowledge and behaviours regarding physical activity of firefighters in the City of Cape Town Fire and Rescue Service, as well as address the current dearth of literature on physical activity to decrease firefighters’ risk of chronic diseases. This cross-sectional study recruited 136 firefighters in the City of Cape Town Fire and Rescue Service. A researcher-generated self-administered questionnaire on the knowledge and behaviours regarding physical activity was completed online using Google Forms. Statistical significance was set at a p-value less than 0.05. The results showed that 53% of firefighters had a poor knowledge of physical activity, and 47% had a good knowledge of physical activity, while 80% reported poor behaviours toward physical activity and 20% had good behaviours toward physical activity. There was a significant difference between firefighters’ knowledge of physical activity and their physical activity behaviour (p < 0.05), particularly related to marital status, age, and years of experience (p < 0.05). A safe environment was significantly associated with recreational PA (p < 0.05) and sleep behaviour was significantly associated with overall PA behaviour (p < 0.001).
Strategies and best practices that enhance the physical activity levels of undergraduate university students: a systematic review
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Johannes, Chanté; Roman, Nicolette; Onagbiye, Sunday
Significant numbers of undergraduate university students are not meeting the physical activity guidelines recommended by the World Health Organisation. These guidelines suggest that university students should aim for 150–300 min of moderate or 75–150 min of vigorous physical activity. Strategic interventions need to be implemented to address this global public health concern. The aim of this study was to review the strategies and best practices to enhance the physical activity levels of undergraduate university students. Utilising the PRISMA guidelines, electronic databases—PubMed, Science Direct, Academic Search Complete, ERIC, Web of Science, CINAHL, SAGE, and SPORTDiscus—were searched between September 2022 and February 2023 using terms and synonyms related to physical activity, strategies, best practices, and undergraduate university students. Studies were critically assessed for their quality using an adapted version of the CASP and RE-AIM frameworks. Eleven articles met the inclusion criteria for the review. The studies reported the use of social media platforms, mobile phone applications, web-based technology, online text messages, in-person classes, and an “exergame” as methods to increase engagement in physical activity. Findings from this review indicated that validated questionnaires emerged as the predominant measurement tool. Furthermore, the frequent use of social network sites served as a best practice for implementing and promoting physical activity interventions. It is recommended that universities promote health-enhancing physical activities based on current trends and strategies, such as technology-based interventions and the use of social media, that are relevant to contemporary university students.
Relationship between psychosocial factors and physical activity among undergraduate students from South African university
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Johannes, Chanté; Roman, Nicolette Vanessa; Onagbiye, Sunday Olawale; Titus, Simone; Leach, Lloyd Llewellyn
Psychosocial factors such as mental health, motivation, and social support are key determinants of behavior that play a significant role in physical activity participation. Limited studies have investigated the relationship between psychosocial factors and physical activity among university students in Africa. The aim of this study was to determine the relationship between psychosocial factors and physical activity participation among undergraduate university students at a historically disadvantaged university (HDU) in South Africa. This was a cross-sectional study that used convenience sampling (n = 534, majority female, 53.6% with a mean age of 20.69). The study was conducted through an online, self-administered, and hard-copy, valid questionnaire in September 2022. Data on sociodemographic information were collected. Psychosocial factors were assessed using the Depression, Anxiety, and Stress-21 Scale for mental health, the Physical Activity and Leisure Motivation Scale for motivation, and the Perceived Social Support Scale for social support. Physical activity (calculated as MET-min/week) was assessed using the international physical activity questionnaire in short form. Results revealed that almost a third (29%) of undergraduate students were physically inactive, 31.1% were minimally active, and 39.9% were in the health-enhancing category. Physical activity was positively related to stress (r = 0.11, p < 0.05) and anxiety (r = 0.10, p < 0.05). Motivational factors were positively related to psychological condition and others’ expectations (r = 0.10, p < 0.05), and depression and others’ expectations (r = 0.11, p < 0.05)
Unveiling the urban sports landscape: profiling participants, motives, and policy implications
(Public Library of Science, 2024) Huyghe, Jef; Scheerder, Jeroen; D’Hoore, Nathan
The lack of knowledge regarding urban sports poses pressing challenges for governments and sports organisations to deal with in light of its increasing popularity. To develop targeted policy strategies, more insight is needed into the features of urban sports. Therefore, this research aims to establish a profile of urban sports participants in terms of characteristics, behaviours in sports participation, and motives for sports participation..
Test-retest, intra- and inter-rater reliability of the reactive balance test in patients with chronic ankle instability
(Frontiers Media SA, 2024) Maricot, Alexandre; Lathouwers, Elke; Meeusen, Romain
Introduction: The Reactive Balance Test (RBT) could be a valuable addition to research on chronic ankle instability (CAI) and clinical practice, but before it can be used in clinical practice it needs to be reliable. It has already been proven reliable in healthy recreational athletes, but not yet in patients with CAI who have shown persistent deficits in dynamic balance. The study aimed to determine the test-retest, intra-, and inter-rater reliability of the RBT in patients with CAI, and the test-retest and inter-rater reliability of the newly developed RBT score sheet. Methods: We used a repeated-measures, single-group design to administer the RBT to CAI patients on three occasions, scored by multiple raters. We included 27 participants with CAI. The study used multiple reliability measures, including Pearson r, intra-class correlations (ICC), standard error of measurement (SEM), standard error of prediction (SEP), minimal detectable change (MDC), and Bland–Altman plots, to evaluate the reliability of the RBT’s outcome measures (visuomotor response time and accuracy). It also assessed the test-retest and inter-rater reliability of the RBT score sheet using the same measures. Results: The ICC measures for test-retest reliability were similar for accuracy (0.609) and VMRT (0.594). Intra-rater reliability had high correlations and ICCs for accuracy (r = 0.816, ICC = 0.815) and VMRT (r = 0.802, ICC = 0.800). Inter-rater reliability had a higher ICC for VMRT (0.868) than for accuracy (0.690). Conclusion: Test-retest reliability was moderate, intra-rater reliability was good, and inter-rater reliability showed moderate reliability for accuracy and good reliability for VMRT. Additionally, the RBT shows robust SEM and mean difference measures. The score sheet method also demonstrated moderate test-retest reliability, while inter-rater reliability was good to excellent. This suggests that the RBT can be a valuable tool in assessing and monitoring balance in patients with CAI.
Development, validation and reliability of a questionnaire to evaluate coaches' and players' perceptions, learning, and resources regarding the ruck in rugby union
(Academy of Science of South Africa, 2024) Brooks M; Kraak Wilbur; Parmar N
Background: The lack of a reliable research tool for assessing the attitudes, behaviours, and learning resources of rugby coaches and players regarding the ruck event is a significant gap in rugby research. Objectives: This study aimed to adapt an existing questionnaire focused on the tackle event and to validate and establish the reliability of the instrument. The questionnaire explores the attitudes, behaviours, and learning resources of rugby coaches and players, with a focus on the ruck event and its impact on coach and player development, as well as coaching practices. Methods: A seven-step design process was followed to validate the questionnaire's content, construct, clarity, and relevance. A panel of 12 experts evaluated the questionnaire, followed by a test-retest procedure involving 15 coaches and 16 players, highlighting the effectiveness of this questionnaire, and emphasising its potential to generate data that can impact the field of rugby coaching and player development. Results: The questionnaire was deemed appropriate and clear by the expert panel, with an average completion time of 22 minutes. Moderate to good agreement was observed among players (ICC Agreement = 0.71) and coaches (ICC Agreement = 0.88), with high response consistency (ICC Consistency = 0.71 for players and 0.87 for coaches). Significant agreement was also found in Kendall's W scores (players = 0.85, coaches = 0.93, p<0.01). Conclusion: This study presents a developed questionnaire noted for its clarity, reliability, and consistency. It serves as a valuable tool for future rugby research, with the potential to impact coach and player development significantly.
Analysing the impact of the 50:22 kick law changes in South African rugby tournaments between 2021 and 2022
(Taylor and Francis Ltd., 2024) Strydom, Wikus; Kraak, Wilbur; Vaz, Luis
Tactical kicking plays a crucial role in rugby union, influencing both attacking and defensive strategies and potentially impacting a team’s overall success. The introduction of the 50:22 law requires defensive teams to reposition players to anticipate and counter kicks, thereby reducing the number of players in their defensive front line. This study investigated the impact of the 50:22 kicking law on kicking profiles by comparing the 2021 and 2022 seasons, as well as examining the success rate of 50:22 kicks during the 2022 season in South African rugby union tournaments. A retrospective research design was employed, utilising video-based performance analysis software (Nacsport Scout Plus) for data collection. The analysis encompassed all general play kicks from 177 matches spanning two seasons and tournaments, amounting to a total of 6,479 kicks. Within this dataset, there were 53 successful 50:22 kicks out of 162 attempts. Key findings revealed an upswing in kicks by scrum halves (2021: 20%, 2022: 26%; p = 0.00) and a concurrent decline in kicks by fullbacks (2021: 21%, 2022: 18%; p = 0.01).
Stakeholder perceptions of a tackle law variation to reduce concussion incidence in community rugby union: a qualitative study
(SAGE Publications Inc., 2024) van Tonder, Riaan; Kraak, Wilbur
This study aimed to investigate the perceptions of key stakeholder groups, i.e. coaches, players, and referees, of a reduced maximum legal tackle height law variation trial in a collegiate amateur rugby competition. A pragmatic qualitative approach was used. Eighteen semi-structured interviews were performed. Thematic analysis was used to analyse the data. Three main law trial-related themes and four additional contextual themes were identified. The most important contextual factors include perceptions of resource scarcity of the implementation context, deficient concussion knowledge and lack of education among all stakeholder groups, tackle technique deficiencies, and an entrenched culture of a dismissive attitude towards serious injuries and non-disclosure of concussion by players. Real-world challenges such as inconsistent sanctioning during gameplay, multi-tackler tackles, and player fatigue underscore the gap between the theoretical knowledge of the law and the complex, dynamic nature of its execution. Furthermore, deeply ingrained issues like entrenched tackle techniques, the quality of coaching, and prevailing attitudes towards concussion compounded these challenges, indicating a need for a more comprehensive approach to bridge the divide between understanding and implementation. Despite these challenges, several participants felt the law variation was still more effective than the existing law; and that it created more awareness around concussion, while sending a clear message that player welfare is being taken seriously. Collectively these factors indicate the difficulty of addressing a complex problem such as concussion, with a law variation intervention in a challenging (resource-constrained) setting.
Injury incidence according to athlete impairment type during the 2012 and 2016 summer paralympic games: a combined analysis of 101 108 athlete days
(BMJ Publishing Group, 2024) Adam, Faatima; Jordaan, Esme
Objectives The relationship between sport-related injuries and Para athlete impairment type has not yet been comprehensively studied. This study aimed to describe injury incidence according to athlete impairment type during the London 2012 and Rio 2016 Summer Paralympic Games, by sex, age, Games period, chronicity and anatomical area. Methods A combined analysis of 7222 athletes was conducted comprising 101 108 athlete days, using pooled data. Internet sources were used to identify impairments of registered athletes. Impairment types: brain disorders (BD), limb deficiency, neuromuscular disorders (NMD), spinal cord-related disorders, visual impairment (VI) and’all others’ (OTH: impaired passive range of movement, intellectual impairment, leg length difference, short stature and unknown impairments). Results by impairment type are reported as univariate unadjusted incidences (injuries/1000 athlete days; 95% CIs). Statistical significance between impairment types was determined when 95% CIs did not overlap. Results The overall crude unadjusted incidence of injury was 11.1 (95% CI 10.4 to 11.9), significantly higher in VI (13.7 (95% CI 11.0 to 15.7)) and NMD (13.3 (95% CI 11.1 to 16.1)) compared with BD (9.1 (95% CI 7.7 to 10.8)). Acute (sudden onset) (8.6 (95% CI 7.3 to 10.1)) and lower limb (6.6 (95% CI 5.4 to 8.1)) injuries were higher among athletes with VI, while athletes with NMD had a higher incidence of repetitive (gradual onset) (5.9 (95% CI 4.3 to 8.0)) and upper limb (6.9 (95% CI 5.2 to 9.0)) injuries compared with other impairments. Conclusions Incidence and type of injuries differed between athlete impairment types. Athletes with VI or NMD sustained the highest incidence of injury, and athletes with BD had the lowest. Findings of this study can inform the management of competition-related injuries in Para athletes. © Author(s) (or their employer(s))
Supplementation strategies for strength and power athletes: Carbohydrate, Protein, and Amino Acid Ingestion
(MDPI, 2024) Meeusen, Romain; Bird, Stephen P.; Nienhuis, Mitch
It is a common belief amongst strength and power athletes that nutritional supplementation strategies aid recovery by shifting the anabolic/catabolic profile toward anabolism. Factors such as nutrient quantity, nutrient quality, and nutrient timing significantly impact upon the effectiveness of nutritional strategies in optimizing the acute responses to resistance exercise and the adaptive response to resistance training (i.e., muscle growth and strength expression). Specifically, the aim of this review is to address carbohydrates (CHOs), protein (PRO), and/or amino acids (AAs) supplementation strategies, as there is growing evidence suggesting a link between nutrient signaling and the initiation of protein synthesis, muscle glycogen resynthesis, and the attenuation of myofibrillar protein degradation following resistance exercise. Collectively, the current scientific literature indicates that nutritional supplementation strategies utilizing CHO, PRO, and/or AA represents an important approach aimed at enhancing muscular responses for strength and power athletes, primarily increased muscular hypertrophy and enhanced strength expression. There appears to be a critical interaction between resistance exercise and nutrient–cell signaling associated with the principle of nutrient timing (i.e., pre-exercise, during, and post-exercise). Recommendations for nutritional supplementation strategies to promote muscular responses for strength and athletes are provided.
Association between physical fitness and cardiovascular health in firefighters
(MDPI, 2023) Ras, Jaron; Smith, Denise L.; Soteriades, Elpidoforos S.
Firefighters perform strenuous work in dangerous and unpredictable environments requiring optimal physical conditioning. The aim of this study was to investigate the association between physical fitness and cardiovascular health (CVH) in firefighters. This cross-sectional study systematically recruited 309 full-time male and female firefighters between the ages of 20 to 65 years in Cape Town, South Africa. Physical fitness was assessed using absolute (ab˙VO2max) and relative oxygen consumption (relVO2max), grip and leg strength, push-ups and sit-ups, sit-and-reach for flexibility and lean body mass (LBM). CVH encompassed age, smoking, blood pressure (BP), blood glucose, lipid profile, body mass index, body fat percentage (BF%), and waist circumference. Linear regressions and logistic regressions were applied. Multivariable analysis indicated that relVO2max was associated with systolic BP (p < 0.001), diastolic BP (p < 0.001), non-fasting blood glucose (p < 0.001), and total cholesterol (p = 0.037). Poor CVH index was negatively associated with rel˙VO2max (p < 0.001), leg strength (p = 0.019), and push-ups (p = 0.012).
Association between cardiovascular disease risk factors and cardiorespiratory fitness in firefighters: A systematic review and meta-analysis
(MDPI, 2023) Ras, Jaron; Kengne, Andre P.; Smith, Denise L.
Approximately 45% of on-duty related mortalities were due to sudden cardiac death, with many of these fatalities related to cardiovascular disease and overexertion, while performing emergency duties. Therefore, the aim of this systematic review was to determine the association between cardiovascular disease risk factors and cardiorespiratory fitness in firefighters. A literature search of PubMed, SCOPUS, Web of Science, Embase, EBSCOHost, and ScienceDirect was conducted; the Rayyan® intelligent systematic review tool was used to screen and select studies for inclusion. The appraisal tool for cross-sectional studies and the Critical Appraisal Skills Programme toolkit were used for methodological assessment of included studies. Data were analyzed using the Review Manager 5.3 and MedCalc® statistical softwares to determine the effects of obesity (Z = 10.29, p < 0.001) and aging (Z = 4.72, p < 0.001) on cardiorespiratory fitness.
Physical activity, including active commuting, and health status of rural school children in South Africa
(University of Stellenbosch, 2019) Travill, Andre L.; Wildschutt, Phillip J.
Physical activity is considered a key preventative measure for various diseases, such as diabetes and cardio-vascular disorders. The majority of South Africans studied in various regional cross sectional surveys, suggest that most young people fail to meet recommended minimum physical activity standards. The main objective of this study was to ascertain the physical activity patterns and health status of rural schoolchildren. A comparative and correlational cross-sectional study design was used to assess the physical activity levels and health status of 162 rural schoolchildren. The participation levels in light and moderate to vigorous physical activity were 44.6% and 55.4% respectively. Walking to and from school was the most prevalent physical activity reported. Thirty-eight percent (38%) of the children were hypertensive. More than 50% of the children participated in health-enhancing physical activity. The low physical inactivity prevalence was most likely a result of their habitual activity patterns, which included active commuting to and from school.
Female sport administrators’ experiences of organisational fit in the workplace
(AFAHPER-SD, 2011) Titus, Simone
Gender inequality in South African sport has been legislated against by a number of constitutionally binding Acts. Although these policies have done much to address the general absence of women in leadership positions in sport, this absence is undoubtedly linked to gender inequality in sport. This is a reflection of the realities which shape women’s understanding of their organizational experiences in the workplace. The purpose of this study was to report on female sport administrators’ experiences of organisational fit in their places of work with regard to their experiences of resistance and exclusion, decision making, the absence of women in leadership positions and tokenism in sport. A qualitative method was used to explore organisational fit as experienced by participants in their places of work. Candidates were purposively selected to reflect the cultural and historical diversity of the women in leadership positions in sport in the Western Cape. Data was collected by using semi-structured interviews and analysed using thematic analysis. Reflexivity and trustworthiness were ensured by doing member checks, clarifying researcher bias and peer review and debriefing.
Analysis of social networking sites used by student spectators in university sport
(AFAHPER-SD, 2021) Phillips, Kirby; Titus, Simone
Social media usage has caused a notable shift in the use of strategies and relevant tools with which to communicate with sport spectators, catapulting sports into one of the most read topics on social media. This rapid growth of social media in sport has stimulated research in this field of study, delineating the different parts of social media, including social networking sites, and creating opportunities for university sport departments to foster relationships between university sport and student spectators. The purpose of this study was to identify the social networking sites used by student spectators in university sport. Based on a cross-sectional research design, amodified survey was distributed electronically to a randomly selected sample of 540 full-time registered studentsat the University of the Western Cape.The findings indicated that WhatsApp, Facebook, and Instagram were the most popular social networking sites used by student spectators in university sport. This study concluded that thethree social networking sites were the most preferredamong student spectators. Therefore, this research provides higher education institutions the opportunity to leverage off the students’ usageof social networking sitesfor marketing purposes. The study recommendsthe need for social media-based marketing strategies by university sports departments to be targeted at social networking sites visited by student spectators.
Experiences of young South African gymnasts, parents and coaches about the health benefits of sport participation
(AFAHPER-SD, 2019) Lucas, Warren; Titus, Simone; Young, Marie Elizabeth
Gymnastics, as a physical activity, presents young people with opportunities to learn physical skills, improve eye-hand coordination, develop gross and fine motor skills, and socially develop through engagement with other young people. An understanding of aerobic and anaerobic physical activities is important to enhance young people’s physical, emotional, cognitive and social development. This study investigated the perceptions of a purposively sampled group of young people in the Western Cape of South Africa about the health benefits of gymnastics participation , and reported findings from the perspectives of registered competitive gymnasts, gymnastics coaches, and parents of gymnasts (total n=34), with specific reference to the domains of physical, cognitive and socio-emotional development. A qualitative approach based on the Process-Person-Context-Time (PPCT) concept, adapted from the bioecological model, was used as the theoretical framework to underpin, analyze and interpret findings of the study. Four key informant interviews were conducted with four coaches, and five focus group discussions were held with gymnasts, parents of gymnasts and gymnastics coaches.
If you build it will they come? Park upgrades, park use and park-based physical activity in urban Cape Town, South Africa—The sun study
(MDPI, 2023) Bartels, Clare A.; Lambert, Estelle V.; Young, Marié E. M.
The development and upgrade of recreational public spaces are key government strategies to increase opportunities for physical activity (PA) and enhance social interaction and community cohesion. This study aimed to evaluate differences in park use and park-based PA in recently upgraded/developed parks (intervention, n = 4) against established parks (control, n = 4) and in regional parks in high- and low-income settings (n = 2). Additionally, associations between target area features, park use and PA were identified. Direct observation of park use and attributes was conducted using the System for Observing Play and Recreation in Communities (SOPARC) over four months. Despite more park users in intervention parks (2519 vs. 1432), control park visitors were 48% more likely to be engaged in PA (p < 0.001). Similarly, while high-income park users attracted more visitors (2135 vs. 1111), they were 79% less likely to be engaged in any PA compared with low-income park visitors. The likelihood of both use of and PA by gender and age differed by features. Active recreation features in intervention parks attracted more users than the same features in control parks. In this study, upgraded or newly developed parks attracted more visitors but not necessarily overall greater levels of physical activity.
Alcohol consumption, physical activity, and cad risk factors in firefighters
(Bentham Open, 2023) Ras, Jaron; Leach, Lloyd
Firefighting is a physically and psychologically stressful occupation, where firefighters often resort to alcohol use as a coping strategy. Firefighters are particularly vulnerable to alcohol misuse and alcohol disorders, negatively affecting their health, well-being and, possibly, work performance. Therefore, this study investigated the prevalence of alcohol consumption and its relationship with the participants’ sociodemographic characteristics, weekly physical activity, and coronary artery disease (CAD) risk factors. This study used a quantitative, cross-sectional and descriptive design. A total of 124 full-time firefighters, males and females, were conveniently recruited from the City of Cape Town Fire and Rescue Service, South Africa, between September to November, 2020. Firefighters were then separated according to sex, age, ethnicity, and CAD risk factors. Mann-Whitney U and Kruskal-Wallis H were used to determine the statistical differences between groups, Kendall’s Tau was used to assess the correlation between ordinal and continuous variables, and Chi-square to assess the association between categorical variables. A p-value of less than 0.05 was used to indicate statistical significance.

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