An estimated 80 percent of older adults in the U.S. have high blood pressure. Maintaining healthy blood pressure can protect against serious conditions like heart failure, heart attacks, and strokes. A new study found that adding a relatively minimal amount of movement, about 3,000 steps per day, can significantly reduce high blood pressure in older adults.
Read more …Increasing steps by 3,000 per day can lower blood pressure in older adults, study finds
Radios crackle with chatter from a wildfire incident command post. Up the fireline, firefighters in yellow jerseys are swinging Pulaskis[1], axlike hand tools, to carve a fuel break[2] into the land.
By 10 a.m., these firefighters have already hiked 3 miles up steep, uneven terrain and built nearly 1,200 feet of fireline[3].
It’s physically exhausting work and essential for protecting communities as wildfire risks rise in a warming world. Hotshot crews like this one, the U.S. Forest Service’s Lolo Hotshots[4], are the elite workforce of the forests. When they’re on the fireline, their bodies’ total daily energy demands[5] can rival that of the cyclists in the Tour de France, as my team’s research with wildland fire crews shows.
Ruby Mountain Hotshots construct a fireline during the Dixie Fire in 2021. Joe Bradshaw/BLM[6]
These firefighters are also caught in Congress’ latest budget battle, where demands by far-right House members[7] to slash federal spending could lead to a governmentwide shutdown after the fiscal year ends on Sept. 30, 2023.
After extreme fire seasons in 2020 and 2021, Congress funded a temporary bonus[8] that boosted average U.S. Forest Service wildland firefighter pay by either 50% or US$20,000, whichever was lower. But that increase expires after Sept. 30, knocking many federal firefighters back to earning the minimum $15 per hour[9].
Life on the fireline is demanding. Pack straps dig into the neck and shoulders with each swing of the Pulaski. It’s a constant reminder that everything wildland firefighters need, they carry – all day.
The critical water and food items, supplies, extra gear and fireline tools – Pulaskis, chain saws and fuel – add up to an average gear weight often exceeding 50 pounds.
A Lakeview Hotshots firefighter carries equipment and fuel for containing the Cedar Creek fire near Oakridge, Ore., in 2022. Dan Morrison / AFP via Getty Images[16]
This isn’t just for a few days. Fire season in the western United States can last five months or more, with most Hotshot crews accumulating four to five times the number of operational days of the 22-day Tour de France and over 1,000 hours of overtime.
The physical demand of a day on the fireline
My team has been measuring the physical strain and total energy demands of work on an active wildfire, with the goal of finding ways to improve firefighter fueling strategies and health and safety on the line.
The crew members we work with are outfitted with a series of lightweight monitors[23] that measure heart rate, as well as movement patterns and speed, using GPS. Each participant swallows a temperature-tracking sensor before breakfast that will record core body temperature each minute throughout the work shift.
Firefighters are often working in rough forest terrain involving long hikes and steep slopes. Here, the Ruby Mountain Hotshot crew gets a briefing on the Dixie Fire in California in 2021. Joe Bradshaw/BLM[24]
As the work shift progresses, the Hotshots constantly monitor their surroundings and self-regulate[25] their nutrient[26] and fluid intake[27], knowing their shift could last 12 to 16 hours.
During intense activity in high heat, their fluid intake[28] can increase to 32 ounces per hour or more.
My team’s research[31] has found that the most effective way for wildland firefighters to stay fueled is to eat small meals frequently throughout the work shift, similar to the patterns perfected by riders in the Tour. This preserves cognitive health[32], helping firefighters stay focused and sharp for making potentially lifesaving decisions and keenly aware of their ever-dynamic surroundings, and boosts their work performance[33]. It also helps slow the depletion of important muscle fuel[34].
Resource demands on a wildland firefighter. Christopher Durdle, Brent Ruby, CC BY-ND[35]
Although crews gradually acclimatize to the heat[36] over the season, the risk for heat exhaustion[37] is ever present if the work rate is not kept in check. This cannot be prevented by simply drinking more water during long work shifts. However, regular breaks and having a strong aerobic capacity provides some protection by reducing heat stress[38] and overall risk.
The season takes a toll
Hotshots are physically fit, and they train for the fire season just as many athletes train for their competition season. Most crew members are hired temporarily during the fire season – typically from May to October, but that’s expanding as the planet warms[39]. And there are distinct fitness requirements for the job[40]. The physical preparations are demanding, take months and are expected, even when temporary crew members are not officially employed by the agencies.
Progressive intervention strategies can help, such as educational programs on specific physical training and nutritional needs, mindfulness training to reduce the risk of job-oriented anxiety and depression, and emotional support for crew members and families. However, these require agency and congressional investment, a commitment beyond ensuring pay raises remain intact. Removing either is synonymous with taking away critical tools for the job on the firelines.
Developing offseason practices that pay close attention to both physical and mental health recovery can help limit harm to firefighters’ health. Many Hotshots have bounced back and returned season after season[49]. However, a government shutdown and failure to act on pay for front-line fire crews could worsen crew retention in an already dwindling workforce[50].
This is an update to an article originally published Aug. 8, 2023[51].