您的消防部门要花多少钱？

约翰·霍夫曼（John Hofman）

Sick time, modified duty, and on-line injuries are consistent staples in the fire service. Let’s face it: firefighting is a very physically demanding job, so injuries will occur. It only makes sense to have a health and wellness program to help reduce the chances of these things occurring. Yet many fire departments may not have the resource to incorporate one or, worse, still do not see the benefits of having one. During these hard economic times, it becomes difficult to justify such a program, especially when there are layoffs, cut backs, and brown-outs occurring all across the nation. So what do you do?

大多数部门将花费大量时间制定一个全面的健康计划，该计划重点介绍从车站的锻炼时间到当地医疗中心的医疗筛查的一切。然而，一个重要的问题通常没有得到答复：谁将监督该计划？这是一个重要的问题，因为它将是您计划的基础。根据我的经验，许多部门开始了计划，但甚至无法维持一年。消防部门通常在确定谁将监督该计划时采用两种方法。他们要么将酋长，队长或消防员放置在监督该计划的位置，要么创建一组同伴健身培训师来集体运行该计划。两种策略都表明，大多数计划的效果并没有持续一年。但是，长期行为的模式表明，在干预措施后，整个工作地点整体更健康。1This should tell us that most health and wellness programs are not meeting their full potential. Worse yet, departments may not be getting any type of return on investment.

我们是否认为消防员不想变得更健康？否。实际上，他们经常想知道纠正策略以帮助改善其健康和健康。在纽约理工学院纽约骨病学院进行的一项研究中，在20,590名志愿消防员的潜在研究人群中，总共进行了730次调查。超过四分之三的受访者符合超重或肥胖的标准，近40％的受访者报告说高血压，高胆固醇或两者兼而有之。大多数受访者至少对参加消防部门赞助的健康演讲和参加健身计划的兴趣至少兴趣。2这只是向我们证明，消防员有渴望更多地了解风险因素修改，并让消防部门在帮助他们改善健康方面发挥更为积极的作用。

A comprehensive wellness program is a complex thing. It is more than just providing information to firefighters in regard to heart disease and exercise. For a program to be successful, its leader must be an individual with whom the firefighters can identify. This individual gives the program focus and a personality, which will allow him to change the culture. Researchers at Kent State University showed that physical fitness is an intricate, cultural construct, based on functional capacity and management expectations. Coronary heart disease is not a culturally relevant reason for workplace fitness program adherence. They concluded that fitness interventions must culturally adapt to the unique nature of the fire service, emphasizing functional capacity, crew dependability, and fitness/well-being strategies.

With that being said, would it make more sense to hire a certified coach to oversee the program for the long term? This idea should be approached as an investment rather than as an expense. Let’s take a closer look at how much an out-of-shape firefighter would actually cost the fire department. We know based on certain studies that there is a consistent relationship between obesity and absenteeism in the workplace. However, most studies have focused primarily on sedentary occupational groups, not firefighters. Researchers at the Institute for Biobehavioral Health Research examined the cross-sectional association between body mass index (BMI) and obesity and injury-related absenteeism.

BMI，体内脂肪百分比，腰围；在478名职业男性消防员中评估了伤害和与伤害有关的缺勤症。一百15名消防员报告说，由于受伤，上一年受伤以及工作缺席的天数。由于受伤，BMI是缺勤的独立预测指标。与I级肥胖症或超重的消防员相比，遇到II级和III级肥胖的定义的消防员近5次失踪日数。过去一年中，II和III级与肥胖相关的缺勤率的人均成本为每位消防员1,682.90美元，I级肥胖症的每名消防员$ 254.00，每名消防员$ 74.41 $ 74.41，超重。3这表明，在II和II级中列出的人每年使您的消防部门花费数千甚至数十万美元。

Let’s just say for the sake of argument you were to pay a starting salary of $65,000 to a full-time, certified coach (not including benefits). All he would need to do is impact 38 employees in one year to justify the position. Now multiply that by a 30-year career. That’s a savings of $1,917,480.

您仍然认为这是一笔费用吗？

REFERENCES

1Long-term effects of a worksite health promotion program for firefighters,”J占领环境hyg。2010 Aug;7(8):477-82.

2Scanlon P,ablah e。“自我报告的心脏风险和对志愿消防员风险改变的兴趣：一项基于调查的研究。”美国旧韦斯特伯里纽约理工学院纽约骨病学院。

3“Firefighter fitness, coronary heart disease, and sudden cardiac death risk,”Eur J Appl Physiol.2011 Oct 29.

（4）基于人群的消防员队列中的肥胖和与伤害有关的缺勤。Biol Psychol。2011年4月； 87（1）：152-60。Epub 2011 3月5日

John HofmanJohn Hofmanis the strength and conditioning coach for the Sacramento Fire Department, John oversees the Wellness Centre, coordinates the department’s medical and fitness assessments; develops recruit fitness training, pre-employment medical and fitness evaluations; and assists the department’s 20-certified Peer Fitness Trainers. In addition, John also works as the strength and conditioning coach for the California Regional Fire Academy, Sierra Fire Technology Program, Rocklin Fire Department, and South Placer Fire District. He also consults with the Fire Agency Self Insurance System of California.

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