{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:04:29Z","timestamp":1781273069676,"version":"3.54.1"},"reference-count":46,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Firefighting is a physically demanding and hazardous profession. Work-related musculoskeletal disorders (WMSDs) and declining work ability threaten workforce sustainability and public safety. Despite its critical importance, comprehensive occupational health data on this population remains limited in certain regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluated the Work Ability Index (WAI) and its occupational health correlates among Turkish firefighters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study examined 428 active-duty male firefighters from major Turkish cities using three validated instruments: the Work Ability Index, Nordic Musculoskeletal Questionnaire, and International Physical Activity Questionnaire. Multivariable linear regression modeling identified independent predictors of work ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean WAI score was 42.66\u2009\u00b1\u20095.08, with 11.2% having poor or moderate work ability. High prevalence of overweight\/obesity (76%) and WMSDs particularly lower back (16%) and neck (12%) was observed. Age was the strongest independent predictor (\u03b2\u2009=\u2009\u20130.277, 95% CI: [\u20130.221 to \u22120.087], p\u2009&lt;\u20090.001). WMSDs showed robust negative association with work ability (\u03b2\u2009=\u2009\u20130.200, 95% CI: [\u20133.080 to \u22121.187], p\u2009&lt;\u20090.001) when controlling for age and physical activity. Chronic disease was significantly associated with lower WAI scores (p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While the overall work ability of active-duty Turkish firefighters is high, age-related decline and chronic health conditions are significantly associated with reduced capacity. These associative findings highlight the need for targeted health surveillance, though they must be interpreted cautiously due to potential healthy worker survivor bias inherent in such physically demanding occupational cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815261457100","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:42:34Z","timestamp":1781012554000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The work ability Index and musculoskeletal disorders in Turkish Firefighters: A cross-sectional study on occupational health determinants"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3002-7752","authenticated-orcid":false,"given":"Nuray","family":"Demiralp","sequence":"first","affiliation":[{"name":"Kastamonu University, Bozkurt Vocational School of Higher Education, Civil Defence and Firefighting Program, Kastamonu, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6527-8917","authenticated-orcid":false,"given":"Ay\u015fe","family":"\u00dct\u00fck","sequence":"additional","affiliation":[{"name":"Ankara University Beypazar\u0131 Vocational School of Higher Education, Civil Defence and Firefighting Program, Ankara, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9420-317X","authenticated-orcid":false,"given":"Kemal","family":"Demiralp","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences, Kastamonu University, Kastamonu, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7822-7198","authenticated-orcid":false,"given":"B\u00fc\u015fra","family":"Umay","sequence":"additional","affiliation":[{"name":"\u00c7anakkale Onsekiz Mart University, Faculty of Sport Sciences, \u00c7anakkale, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1588-7583","authenticated-orcid":false,"given":"H\u00fcrm\u00fcz","family":"Ko\u00e7","sequence":"additional","affiliation":[{"name":"\u00c7anakkale Onsekiz Mart University, Faculty of Sport Sciences, \u00c7anakkale, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"348","article-title":"Physical fitness and job performance of firefighters","volume":"18","author":"Rhea MR","year":"2004","unstructured":"Rhea MR, Alvar BA, Gray R. 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