{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:41:16Z","timestamp":1785404476322,"version":"3.56.0"},"reference-count":59,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Firefighters\u2019 duties include fire response, emergency medical treatment and rescue operations. Noncompliance with physical activity (PA) guidelines increases adverse health behaviours and the risk of on-duty fatalities. While PA is known to treat cardiovascular disease (CVD), its impact on risky health behaviours in firefighters is under-researched.\n\nAim:\u00a0This scoping review aimed to evaluate PA\u2019s effects on firefighters\u2019 cardiovascular health.\n\nMethod:\u00a0The review followed PRISMA-ScR and PRISMA Protocol standards, involving a comprehensive search across databases like Cochrane, PubMed, Medline, EbscoHost, Web of Science, Academic Search Complete, CINAHL (EBSCO), SAGE Journals, ScienceDirect and Scopus, covering publications up to June 2023. The purpose was to compile evidence on PA programs\u2019 effects on fire and rescue services (FRS).\n\nResults:\u00a0Five intervention studies were included, examining PA effects on firefighters with smoking habits, poor diet, alcohol consumption and sedentary lifestyles. These interventions recommend 150 minutes per week of aerobic, flexibility and strength activities. Firefighters should be guided to initiate and maintain 150 minutes of PA weekly to promote health strategies.\n\nConclusion:\u00a0The study concludes that integrating lifestyle changes with low- and moderate-intensity PA into fire services is crucial for improving health risk behaviours (HRBs). Implementing multilevel interventions is necessary to drive policy changes supporting firefighters facing HRBs.\n\nContribution:\u00a0Educating firefighters about these behaviours is essential, fostering an understanding of healthy alternatives.<\/jats:p>","DOI":"10.4102\/hsag.v30i0.2713","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T03:57:01Z","timestamp":1738036621000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of physical activity on cardiovascular health in firefighters: Scoping review"],"prefix":"10.4102","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1159-3804","authenticated-orcid":false,"given":"Ghaleelullah","family":"Achmat","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1404-7294","authenticated-orcid":false,"given":"Charlene","family":"Erasmus","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00h2vm590","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Western Cape"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6558-4401","authenticated-orcid":false,"given":"Jill","family":"Kanaley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ymw8z06","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3884-4722","authenticated-orcid":false,"given":"Rucia","family":"November","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00h2vm590","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Western Cape"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5861-289X","authenticated-orcid":false,"given":"Lloyd","family":"Leach","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Achmat, G., Erasmus, C., Kanaley, J. & Leach, L., 2023, \u2018Effect of physical activity on coronary heart disease risk factors among firefighters: A scoping review protocol\u2019, BMJ Open 13(5), e068353.","DOI":"10.1136\/bmjopen-2022-068353"},{"key":"ref1","unstructured":"American College of Sports Medicine, 2000, ACSM\u2019s guidelines for exercise testing and prescription, Lippincott Williams & Wilkins, 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