Klinische Sportmedizin

Background: The mandatory medical fitness examinations of firefighters and occupational divers with ergometry are important, but in Germany they are based on two criticized models, Reiterers model and the PWC-model.Aim: We examine the weaknesses of these models and offer alternatives. Besides, we di...

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Autores principales:	Heblich F, Gröbel H, Hauptmann M
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2018
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/3f679a1da5dd43a1b283478dfc0f083b
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spelling	oai:doaj.org-article:3f679a1da5dd43a1b283478dfc0f083b2021-11-16T19:01:41ZKlinische Sportmedizin0344-59252510-526410.5960/dzsm.2017.310https://doaj.org/article/3f679a1da5dd43a1b283478dfc0f083b2018-01-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2018/heft-1/criticizing-german-medical-fitness-tests-for-fire-fighters/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Background: The mandatory medical fitness examinations of firefighters and occupational divers with ergometry are important, but in Germany they are based on two criticized models, Reiterers model and the PWC-model.Aim: We examine the weaknesses of these models and offer alternatives. Besides, we discuss other problems of the fitness examinations.Methods: In bicycle ergometry tests with 8583 firefighters we collected data concerning age, mass and final achievements and developed mathematical models that allow us to estimate the Median of the final achievement from age and mass.The special relevance here is that our models are based on data of firefighters and are therefore better suited as basis of medical fitness tests in contrast to Reiterers model which was conceived for another purpose.Results: Reiterers model is based on measurements with less-fit test persons. As expected, on average it underestimates the achievements. The structure is clearly not as precise as our models. The PWC model is even less precise and is inclined to overestimate the achievements. Our algorithm Pincremental well describes the physical fitness of firefighters and can be used to construct reference models, based on gender, form of ergometry and failure rate.Conclusion: We recommend the use of new models for medical fitness examinations. When using a bicycle ergometer, a gradual increase protocol with steeper gradient instead of the present increment should come into use. The fitness examinations of firefighters should be based more on data from the job and contain job-specific forms of ergometry, at least in part.KEY WORDS: Bicycle Ergometry, Firefighters, Fitness Tests, Cardiopulmonary PerformanceHeblich FGröbel HHauptmann MDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 69, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Heblich F Gröbel H Hauptmann M Klinische Sportmedizin
description	Background: The mandatory medical fitness examinations of firefighters and occupational divers with ergometry are important, but in Germany they are based on two criticized models, Reiterers model and the PWC-model.Aim: We examine the weaknesses of these models and offer alternatives. Besides, we discuss other problems of the fitness examinations.Methods: In bicycle ergometry tests with 8583 firefighters we collected data concerning age, mass and final achievements and developed mathematical models that allow us to estimate the Median of the final achievement from age and mass.The special relevance here is that our models are based on data of firefighters and are therefore better suited as basis of medical fitness tests in contrast to Reiterers model which was conceived for another purpose.Results: Reiterers model is based on measurements with less-fit test persons. As expected, on average it underestimates the achievements. The structure is clearly not as precise as our models. The PWC model is even less precise and is inclined to overestimate the achievements. Our algorithm Pincremental well describes the physical fitness of firefighters and can be used to construct reference models, based on gender, form of ergometry and failure rate.Conclusion: We recommend the use of new models for medical fitness examinations. When using a bicycle ergometer, a gradual increase protocol with steeper gradient instead of the present increment should come into use. The fitness examinations of firefighters should be based more on data from the job and contain job-specific forms of ergometry, at least in part.KEY WORDS: Bicycle Ergometry, Firefighters, Fitness Tests, Cardiopulmonary Performance
format	article
author	Heblich F Gröbel H Hauptmann M
author_facet	Heblich F Gröbel H Hauptmann M
author_sort	Heblich F
title	Klinische Sportmedizin
title_short	Klinische Sportmedizin
title_full	Klinische Sportmedizin
title_fullStr	Klinische Sportmedizin
title_full_unstemmed	Klinische Sportmedizin
title_sort	klinische sportmedizin
publisher	Dynamic Media Sales Verlag
publishDate	2018
url	https://doaj.org/article/3f679a1da5dd43a1b283478dfc0f083b
work_keys_str_mv	AT heblichf klinischesportmedizin AT grobelh klinischesportmedizin AT hauptmannm klinischesportmedizin
_version_	1718426170427441152

Klinische Sportmedizin

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