Nutritional Assessment of the World Trade Center-Health Program Fire Department of New York Cohort

Details

• Personal Author:
  Crowley G ; Halpern A ; Kwon S ; Lam R ; Liu M ; Nolan A ; Prezant DJ ; Riggs J ; Schwartz T ; Sunseri M ; Zeig-Owens R
• Description:
  RATIONALE Metabolic syndrome (MetSyn) is a well-established key contributor to the pathogenesis of lung disease. Nutritional status is a significant modifier of metabolic derangements that lead to MetSyn. The validated survey, Rapid Eating and Activity Assessment for Participants Short Version (REAP-S) provides a succinct and easy method for dietary quality assessment and to assess intact of key food groups and evaluate dietary quality. The objective of this study was to prospectively survey the Fire Department of the City of New York(FDNY) World Trade Center-Health Program (WTC-HP) cohort with the REAP-S dietary assessment tool. METHODS The FDNY WTC-HP routinely schedules monitoring exams every 12-18 months for enrolled participants, approximately 10,000 individuals annually. These exams include both a physical health and a mental health questionnaire. REAP-S is a 16-item survey that estimates the typical daily intake of fats, cholesterol, sugar, and meats. It was integrated into the FDNY questionnaire on March 1st, 2018. One item from REAP-S was used as a screening question to gauge interest in of REAP-S and additional questions were initially used to screen for those interested in changing their diet and to determine subjects willing to answer the remaining REAP-S questions, Table 1. Subjects who met screening criteria were prompted to complete REAP-S. Participants consisted of currently active, WTC-program enrollees who have signed physical health research consents. Data will be continuously accrued for at least 1 year from the time of deployment. RESULTS As of October 24, 2018, N=2,949 members of the FDNY WTC-HP have taken the REAP-S questionnaire, a participation rate of approximately 50%. Reported data will be for WTC-program enrollees who are alive with a physical health research consent. Sum of the REAP-S will be calculated for each enrollee, and grouped into tertiles. Using logistic regression, the association between diet as a tertile of REAP-S and concomitant lung function as determined by FEV1
• Subjects:
  Cohort Studies Energy Metabolism Firefighters Occupational Health Safety September 11 Terrorist Attacks Surveys And Questionnaires
• Keywords:
  Cohort Studies Dietary Effects Fire Fighters Metabolic Disorders Metabolism Nutrition Questionnaires World Trade Center WTC
• ISSN:
  1073-449X
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  199
• NIOSHTIC Number:
  nn:20066343
• Citation:
  Am J Respir Crit Care Med 2019 May; 199(Abstract Issue):A4877
• Email:
  rachel.lam@nyumc.org
• Federal Fiscal Year:
  2019
• Performing Organization:
  New York University School of Medicine
• Peer Reviewed:
  False
• Start Date:
  20170701
• Source Full Name:
  American Journal of Respiratory and Critical Care Medicine
• Supplement:
  Abstract Issue
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1718d5b57b5b00db96ad28217c7cce0bbefd37c16f34ebf7a9d6f31ef121917eb484e07cee93d6960e0ed0eec6035a5db92d5bac8bd3e2218c3ac314503fe779
• Download URL:
  https://stacks.cdc.gov/view/cdc/212811/cdc_212811_DS1.pdf
• File Type:
  [PDF - 149.00 KB ]