Physiological work demands of Spanish wildland firefighters during wildfire suppression
Transcript of Physiological work demands of Spanish wildland firefighters during wildfire suppression
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International Archivesof Occupational andEnvironmental Health ISSN 0340-0131 Int Arch Occup Environ HealthDOI 10.1007/s00420-011-0661-4
Physiological work demands of Spanishwildland firefighters during wildfiresuppression
Jose A. Rodríguez-Marroyo, Jorge López-Satue, Raul Pernía, Belén Carballo,Juan García-López, Carl Foster & JoséG. Villa
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ORIGINAL ARTICLE
Physiological work demands of Spanish wildland firefightersduring wildfire suppression
Jose A. Rodrıguez-Marroyo • Jorge Lopez-Satue •
Raul Pernıa • Belen Carballo • Juan Garcıa-Lopez •
Carl Foster • Jose G. Villa
Received: 14 March 2011 / Accepted: 24 May 2011
� Springer-Verlag 2011
Abstract
Purpose The aim of this study was to analyze the phys-
iological demands and thermal strain of wildland fire-
fighters during real wildfire suppression.
Methods The response of core temperature and heart rate
(HR) were analyzed in 200 wildland firefighters during
wildfire suppression activities of different duration: \1 h
(n = 52), 1–3 h (n = 70), 3–5 h (n = 44), and [5 h
(n = 34). The exercise workload (TRIMP), the physio-
logical strain index (PSI), and cumulative heat strain index
(CHSI) were calculated using the time spent in different
intensity zones, the HR, and core temperature.
Results Mean HR was significantly higher (P \ 0.05) in
wildfires \1 h (133 ± 2 bpm) and 1–3 h (128 ± 1 bpm)
versus 3–5 h (120 ± 3 bpm) and [5 h (116 ± 32 bpm).
The time spent in higher intensity zones increased
(P \ 0.05) when wildfire duration increased. TRIMP
accumulation increased with wildfire duration (54.9 ± 3.2,
167.4 ± 5.9, 296.0 ± 8.3, 511.7 ± 12.8 in \1, 1–3, 3–5,
and [5 h, respectively). Neither core temperature
(37.4 ± 0.1�C) nor PSI (4.5 ± 0.2) were influenced by
wildfire duration. The CHSI increased (p \ 0.05) in the
following order: \1 h (104 ± 23), 1–3 h (1,396 ± 275),
3–5 h (4,586 ± 387), and [5 h (10,703 ± 710).
Conclusions The results demonstrate the high work strain
sustained by Spanish wildland firefighters during wildfire
suppression. Both workload and CHSI increased with the
wildfires duration although the pace of work was faster in
wildfires of a shorter duration.
Keywords Heart rate � Core temperature � Exercise
intensity � Workload � Thermal strain
Introduction
Wildfire firefighting is an extremely demanding occupa-
tion. The average daily energy consumption, estimated
using doubly labeled water, is 10–11 MJ day-1
(2,400–2,600 kcal day-1) (Ruby et al. 2002). Wildfire
firefighting and clean-up activities include tasks such as
hiking, building fire lines, brush removal, chainsaw work,
and setting backfires (Budd et al. 1997a; Ruby et al. 2002;
Heil 2002). All of these activities require work with hand
tools that weight between 3 and 20 kg (e.g., Pulaskis,
McLeods) including chainsaws, backpack pumps, swatters,
and shovels. These tasks are usually performed in difficult
conditions unique to wildland firefighting including inhal-
ing smoke (Wegesser et al. 2009), high environmental
temperatures (Budd et al. 1997b; Budd 2001), the weight of
the personal protective equipment (*6 kg) (Ruby et al.
2002), and working on steep terrain (Brotherhood et al.
1997a). However, other than one report on heart rate and
core temperature responses in wildland firefighters during
training exercises (Budd et al. 1997b), few reports on
activity levels using accelerometry (Heil 2002; Cuddy
et al. 2007, 2008), and a number of reports on remarkably
J. A. Rodrıguez-Marroyo (&) � B. Carballo � J. Garcıa-Lopez �J. G. Villa
Department of Physical Education and Sports,
Institute of Biomedicine (IBIOMED),
University of Leon, 24071 Leon, Spain
e-mail: [email protected]
J. Lopez-Satue � R. Pernıa
Empresa de Transformacion Agraria (TRAGSA),
Madrid, Spain
C. Foster
Department of Exercise and Sport Science,
University of Wisconsin-La Crosse, La Crosse, WI, USA
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DOI 10.1007/s00420-011-0661-4
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normal core temperatures during wildland firefighting
(Budd et al. 1997b; Cuddy et al. 2008), there is a limit
direct physiological monitor data (i.e., HR and core tem-
perature) during real wildfires.
In order to develop preparation strategies, to optimize
performance, and to promote the health of wildland
firefighters, more information about the physical chal-
lenges experienced by wildland firefighters is needed.
Many studies have analyzed the physiological strain of
structural firefighters during fire suppression activities
using heart rate (Smith et al. 2001; Bos et al. 2004;
Eglin et al. 2004; Eglin and Tipton 2005; von Heimburg
et al. 2006; Angerer et al. 2008; Richmond et al. 2008)
and core temperature (Eglin et al. 2004; Eglin and
Tipton 2005; Angerer et al. 2008). However, compara-
tively little information about the physiological chal-
lenges associated with wildfire firefighting is available
(Budd et al. 1997b; Budd 2001; Ruby et al. 2002; Heil
2002; Cuddy et al. 2007). In addition, most of the
studies that have been carried out with wildland fire-
fighters have been conducted under simulated conditions
(Budd et al. 1997b; Budd 2001) with few studies con-
ducted during real wildfire suppression (Ruby et al.
2002; Cuddy et al. 2008). Therefore, the aim of this
study was to analyze the physiological demands and
thermal strain of wildland firefighters during real wildfire
suppression according to the duration of firefighting
activity. We hypothesized that an increase in wildfire
duration would lead to an increase in both exercise load
and thermal strain. Nevertheless, increasing wildfires
duration can be assumed to be associated with a decrease
in both work intensity and core temperature because of
the longer recovery breaks.
Methods
Subjects
One hundred and sixty wildland firefighters volunteered
and took part in this study. They were recruited from
different helitack crews located in different work areas
within Spain. Before the beginning of each season, all of
them successfully passed selection tests imposed by the
qualified authority (Ministry of Rural, Marine and Natural
Environment). The main anthropometric and physiologi-
cal characteristics of the subjects are shown in Table 1.
Written informed consent was obtained from the subjects
before starting the study. The study protocol was devel-
oped in accordance with the guidelines of the Helsinki
conference for research on human subjects and was
approved by the Ethics Committee of the University of
Leon, Spain.
Experimental design
The study was carried out over four consecutive seasons,
from 2006 to 2009. In each of the seasons (i.e., June–
October), the study was divided into two parts to quantify
the effort exerted during wildfire suppression by the sub-
jects. In the first part, all firefighters performed incremental
exercise tests in the laboratory to assess their exercise
capacity and to determine the heart rate (HR) at which their
ventilatory (VT) and respiratory compensation (RCT)
thresholds occurred. The second part of the study consisted
of individual monitoring of the HR and core temperature
response during each wildfire suppression analyzed, in
order to analyze the physiological strain of wildfire sup-
pression, based on HR and temperature data. In total, the
number of wildfire suppression trials monitored was 2,400,
representing an average of 15 fires/subject.
Laboratory testing
All subjects performed a treadmill exercise test (Bruce
1971) (PowerJog M30, Sport Engineering Ltd, Birming-
ham, UK) to assess their aerobic fitness at the onset of the
season (i.e., month of June). The test started with a speed of
1.7 mph and a slope of 10%. The treadmill speed and grade
were incremented every 3 min. Heart rate via radiotelem-
etry (Polar Team, Polar Electro Oy, Kempele, Finland),
electrocardiograph (Schiller AG, Baar, Switzerland), and
breath-by-breath gas exchange (Medical Graphics System
CPX-Plus, Medical Graphics Corporation, St. Paul, MN,
USA) were continuously analyzed throughout the exercise.
Table 1 Anthropometric characteristics and physiological values
measured during treadmill exercise testing (n = 160)
Mean ± SEM
Age (years) 25.2 ± 0.4
Body mass (kg) 75.8 ± 0.8
Height (cm) 176.5 ± 0.5
BMI (kg m-2) 24.3 ± 0.2
Sum 6 skin folds (mm) 85.6 ± 2.9
VO2max (ml kg-1 min-1) 56.2 ± 0.9
HRmax (bpm) 190 ± 1
VO2 RCT (ml kg-1 min-1) 44.7 ± 0.7
% VO2max RCT 79.8 ± 0.8
HR RCT (bpm) 170 ± 1
VO2 VT (ml kg-1 min-1) 27.5 ± 0.5
% VO2max VT 49.2 ± 0.8
HR VT (bpm) 135 ± 2
VO2max maximum oxygen consumption; BMI body mass index;
HRmax maximal heart rate; VT ventilatory threshold; RCT respiratory
compensation threshold; %VO2max percentage of VO2max at which VT
and RCT occur
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The highest VO2 obtained during the last 30 s of exercise
test was accepted as VO2max. The VT was determined from
V slope method (Beaver et al. 1986) in combination with
the break point of the ventilatory equivalent for O2 against
VO2. The RCT was identified by the break-points of the
ventilatory equivalent for CO2 and the end tidal CO2
concentration against VO2. Subsequently, three intensity
zones were identified according to the HR values
corresponding to the VT and RCT (Lucıa et al. 2003;
Rodrıguez-Marroyo et al. 2009): zone 1 (Z1), below VT
(low intensity exercise); zone 2 (Z2), between VT and RCT
(moderate intensity exercise); and zone 3 (Z3), above the
RCT (high intensity exercise). These zones were used to
determine the exercise load (TRIMP) as a method for
integrating work duration and intensity. Although this
approach has been used to calculate the exercise load in
athletes (Foster et al. 2001; Lucıa et al. 2003; Billat et al.
2003; Rodrıguez-Marroyo et al. 2009), a recent study has
extended this approach to occupational work physiology
(Takken et al. 2009). We calculated the TRIMP by multi-
plying the time spent in Z1, Z2, and Z3 by the constants 1,
2, and 3, respectively, the TRIMP score being obtained by
summating the results of the 3 phases (Foster et al. 2001).
Wildfire suppression
Two hundred wildfires were analyzed, for a total of 2,400
person-fires of observation. Wildfires were classified into
four categories according to their duration:\1 h (n = 52),
between 1 and 3 h (n = 70), between 3 and 5 h (n = 44),
and [5 h (n = 34). During wildfire suppression, all wild-
land firefighters wear the same regulation protective gear
(*6 kg) that includes a fireproof overall (65% viscose,
30% nomex, and 5% kevlar), helmet, goggles, gloves, face
neck shroud, mid-calf leather boots, 100% cotton short
sleeve undershirt and underpants, and backpack (*3 kg,
principally with water and food). The participating fire-
fighters wore a HR monitor (Polar Team, Polar Electro Oy,
Kempele, Finland) with their HR recorded every 5 s and a
temperature data logger (Termoregister TR-51A, T and
Do., Nagano, Japan) to measure the air temperature every
10 s during the analyzed wildfires. However, relative
humidity was not measured in this study. Core body tem-
perature was measured and recorded continuously using a
JonahTM intestinal temperature capsule (VitalSenses, Mini
Mitter Co., Inc, Bend, OR, USA) that has been validated
previously (McKenzie and Osgood 2004). We only recor-
ded the core body temperature when the firefighter had
ingested the capsule at least 3 h before the beginning of
wildfire suppression activities (Laursen et al. 2006). This
was done because if the sensor is swallowed near the work
period, it may remain in the stomach and be influenced by
the temperature of ingested liquid and food (Byrne and Lim
2007). The physiological strain index (PSI) and cumulative
heat strain index (CHSI) were calculated according to
Tikuisis et al. (2002), using a modified version of the
equation of Moran et al. (1998), and Frank et al. (2001),
respectively:
PSI unitsð Þ ¼ 5 � CT� CT0ð Þ � 39:5� CT0ð Þ�1h i
þ 5 � HR� 60ð Þ � HRmax � 60ð Þ�1h i
where CT and HR are the mean core body temperature (�C)
and mean heart rate (bpm) recorded during the wildfire
suppression activity, respectively. CT0 is the baseline core
body temperature, and HRmax is the subject’s maximal
heart rate measured in the laboratory during incremental
exercise.
The CHSI unitsð Þ ¼Xt
0
hb� HR0 � t
" #
� 10�3�Z t
0
CT � dt� CT0 � t
24
35
where Rhb is the accumulation of heart beats over the
period t (min) during which the index is calculated, HR0 is
the initial lowest heart rate (bpm), CT is the core body
temperature (�C), and CT0 is the baseline CT. Although
rectal temperature is typically used to calculate PSI and
CHI (Moran et al. 1998; Frank et al. 2001; Tikuisis et al.
2002; Hadid et al. 2008; Petruzzello et al. 2009), it is not
easy to use in the field (Byrne and Lim 2007). Therefore,
different authors have used an ingestible telemetric tem-
perature sensor to calculate these variables (Byrne et al.
2006; Hostler et al. 2009). It has been shown that gastro-
intestinal temperature provides a valid measurement of CT
compared with rectal temperature (McKenzie and Osgood
2004; Byrne and Lim 2007).
Statistical analyses
The results are expressed as mean ± SEM. The
Kolmogorov–Smirnov test was applied to ensure a
Gaussian distribution of the results. The analyzed param-
eters were compared using ANOVA test with repeated
measures. When a significant F value was found, Bonfer-
roni’s test was applied to establish significant differences
between means. Values for P \ 0.05 were considered
statistically significant. The relationship between variables
was determined by using the Pearson correlation coeffi-
cient (r).
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Results
Heart rate
Maximal and mean HR observed during wildland fire-
fighting were 173 ± 1 and 125 ± 1 bpm, respectively.
Mean HR, expressed as a percentage of maximal HR was
66.4 ± 0.6% HRmax. Significant differences (P \ 0.05) in
mean HR between shorter and longer wildfires (\3 and
[3 h) were observed (Table 2). This trend toward a
decreasing relative intensity with longer duration efforts
was observed when we compared the mean % HRmax
during wildfires \1 h (70.8 ± 0.8%), between 1 and 3 h
(67.0 ± 0.4%), between 3 and 5 h (63.3 ± 1.3%), and
[5 h (61.6 ± 0.9%).
Intensity zones
The percentage time spent in Z1, Z2, and Z3 for all wild-
fires together derived from laboratory testing was
66.5 ± 1.2, 26.4 ± 0.9, and 6.4 ± 0.5%, respectively.
When wildfire duration increased, the percentage time
spent in Z1 increased and the percentage time spent in Z2
and Z3 decreased. The lowest (P \ 0.05) percentages of
time in Z1 were found in wildfires \3 h. However, these
wildfires presented the highest (P \ 0.05) percentages in
Z2 and Z3 (Fig. 1a). When we analyzed the total time spent
in the different zones, we found a significant increase of the
time spent in Z1 and Z2 when the wildfire duration
increased (Fig. 1b). Surprisingly, the lowest (P \ 0.05)
time spent in Z3 was observed in wildfires \1 h, poten-
tially because these wildfires are intrinsically easier to
fight.
Workload
The TRIMP score significantly increased (P \ 0.05) with
wildfire duration (Table 2). However, when we calculated
the TRIMP h-1, this behavior was opposite (Table 2). We
found significant differences in TRIMP h-1 (P \ 0.05)
between the wildfires\3 versus[3 h, with the higher rate
of TRIMP accumulation reflecting the higher intensity
during relatively shorter fires.
Core temperature
Neither air (27.7 ± 0.7�C) nor core (37.4 ± 0.1�C) tem-
perature was influenced by the wildfires duration (Table 3).
In the same way, the PSI (an index of combined
Table 2 Total duration, heart rate (HR), and exercise load (TRIMP) analyzed according to the wildfire duration (mean ± SEM)
Total wildfire
duration (min)
Maximal
HR (bpm)
Mean
HR (bpm)
TRIMP TRIMP h-1
Wildfires below 1 h 36.3 ± 1.7*�� 172 ± 1 133 ± 2�� 54.9 ± 3.2*�� 90.4 ± 2.3��
Wildfires 1–3 h 118.6 ± 4.0�� 173 ± 1 128 ± 1�� 167.4 ± 5.9�� 85.9 ± 1.2��
Wildfires 3–5 h 227.7 ± 4.2� 173 ± 1 120 ± 3 296.0 ± 8.3� 77.5 ± 1.6
Wildfires above 5 h 420.3 ± 14.3 174 ± 2 116 ± 2 511.7 ± 12.8 73.9 ± 1.6
* Significant differences with wildfire between 1 and 3 h (P \ 0.05)� Significant difference with wildfire between 3 and 5 h (P \ 0.05)� Significant difference with wildfire [5 h (P \ 0.05)
0
10
20
30
40
50
60
70
80
90
Per
cent
age
of to
tal t
ime
(%)
below 1 h between 1-3 h between 3-5 h above 5 h
†‡†‡
†‡†‡
†‡ †‡
(a)
0
50
100
150
200
250
300
350
Zone 1 Zone 2 Zone 3
Zone 1 Zone 2 Zone 3
Tot
al ti
me
(min
)
*†‡
†‡
‡
*†‡†‡
‡
*†‡
(b)
Fig. 1 Percentage (a) and total time (b) spent in the three HR
intensity zones defined during laboratory treadmill testing. Values are
mean ± SEM. Zone 1 exercise intensity below ventilatory threshold
(VT); Zone 2 exercise intensity between VT and the respiratory
compensation threshold (RCT); Zone 3 exercise intensity above RCT.
*Significant difference with wildfire between 1 and 3 h (P \ 0.05);�significant difference with wildfire between 3 and 5 h (P \ 0.05);�significant difference with wildfire [5 h (P \ 0.05)
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cardiovascular and thermal stress) was similar during all
wildfires (4.5 ± 0.2). However, the CHSI, a potentially
more sensitive index of combined cardiovascular and
thermal stress, significantly increased (P \ 0.05) with the
wildfire duration (Table 3). We found significant relation-
ship between the CHSI and the TRIMP (r = 0.88,
P \ 0.001).
Discussion
The main finding of this study was that the HR (Table 2)
and core temperatures (Table 3) of wildland firefighters
during real wildfires did not reflect high levels of cardio-
vascular and thermal strain. Critical core temperatures
were not found during any of the fires (38.5 ± 0.2 and
37.4 ± 0.1�C were maximal and mean core temperatures,
respectively), possibly due to the low thermal stress
endured by wildland firefighters (36.5 ± 0.8 and 27.7 ±
0.7�C were maximal and mean air temperature). Similarly,
the HRs obtained were similar to those recommended by
the ACSM (1998) to improve the cardiorespiratory fitness
of subjects who are unfit (55–64% HRmax). The mean and
maximal HR found did not exceed 150 and 180 bpm,
respectively, the limit established for workloads considered
acceptable in the workplace (Wu and Wang 2001). How-
ever, the use of mean HR to determine the exercise
intensity of activities requiring variable levels of effort, as
is the case for wildfire firefighting, does not provide a
faithful reflection of the effort exerted by the subjects.
Therefore, other methods have been proposed that establish
different intensity zones according to the HR recorded in
incremental tests (Foster et al. 2001; Lucıa et al. 2003;
Rodrıguez-Marroyo et al. 2009).
The exercise intensities found in this study (62–71%
HRmax) were lower than those observed in rescue simula-
tions (*85–90% HRmax) (Eglin et al. 2004; von Heimburg
et al. 2006; Richmond et al. 2008). However, the tasks
involved in structural firefighting may involve both greater
exercise intensities than those carried out by wildland
firefighters and a greater heat load and the weight of per-
sonal protective gear. Structural firefighters endure mean
environmental temperatures of between 46 and 200�C
(Smith et al. 2001; Angerer et al. 2008), while the tem-
perature range analyzed in this study was 27.0 ± 0.6�C.
Similarly, the equipment carried by structural firefighters is
heavier (*23 kg) than that used by wildland firefighters
(*6 kg), provoking an additional effort and an increase in
cardiovascular strain (Richmond et al. 2008). The HRs
obtained in this study were also lower than those found by
other authors for wildland firefighters (Budd et al. 1997b).
Budd et al. (1997b) reported a mean HR of *157 and
*149 bpm during the construction of firelines with
experimental fires and without fires, respectively. Possibly,
the methodological differences between studies influenced
the results obtained. For example, Budd et al. (1997b) only
analyzed the work phases, whereas in the present study,
HR was analyzed throughout the fire, including both work
and recovery phases. Moreover, it is important to note that
differences in wildland firefighter characteristics (e.g., age
and physical fitness level) can influence the HR response.
Brotherhood et al. (1997b) observed lower HR’s in fitter
wildland firefighters than the less fit while they performed a
specific task.
The mean HR and the percentage of total time spent in
Z2 and Z3 decreased as the duration of fires rose (Table 2
and Fig. 1). The increased work that wildland firefighters
must accomplish in fires of longer duration could imply
greater muscle fatigue, limiting the ability to work at
greater intensities. Previous studies carried out for cyclists
have reported a reduction in exercise intensity (i.e., mean
HR and percentage of total time spent in Z3) as competi-
tion duration increased (Rodrıguez-Marroyo et al. 2009),
including reductions in Z2 and Z3 time per stage in the
relatively longer Tour de France versus the shorter, but
more intense, Vuelta a Espana (Lucıa et al. 2003).
Table 3 Air and core temperature (�C), physiological strain index (PSI), and cumulative heat strain index (CHSI) analyzed according to the
wildfire duration (mean ± SEM)
Maximal air
temperature
Mean air
temperature
Maximal core
temperature
Mean core
temperature
PSI CHSI
Wildfires below
1 h
34.1 ± 2.3� 28.1 ± 1.6 37.8 ± 0.3 37.6 ± 0.2 4.5 ± 0.2 104 ± 23*��
Wildfires 1–3 h 33.5 ± 1.2� 26.7 ± 1.1 38.3 ± 0.1 38.0 ± 0.1 4.5 ± 0.3 1,396 ± 275��
Wildfires 3–5 h 36.4 ± 1.7 27.1 ± 0.9 38.4 ± 0.2 38.0 ± 0.2 4.7 ± 0.3 4,586 ± 387�
Wildfires above
5 h
41.9 ± 2.9 27.6 ± 1.2 38.4 ± 0.1 37.8 ± 0.3 3.9 ± 0.5 10,703 ± 710
* Significant difference with wildfire between 1 and 3 h (P \ 0.05)� Significant difference with wildfire between 3 and 5 h (P \ 0.05)� Significant difference with wildfire [5 h (P \ 0.05)
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However, it is more plausible that this behavior is due to
the suppression strategies used. Generally, fires of longer
duration are characterized by more intense flames, obliging
the wildland firefighters to work at a larger relative distance
from the flames (indirect attack). This creates lower
physical demands and implies less thermal, mental, and
physical stress than a direct attack (Budd et al. 1997a).
Furthermore, during the initial phases of a fire, the wildland
firefighters work with greater intensity in order to gain
control the fire, acting directly against the flames or con-
structing firelines using different hand tools (e.g., Pulaskis,
McLeods, swatters, backpack pumps), all of which require
higher workrates and an increase in the HR (Brotherhood
et al. 1997a). After the fire has been controlled, the use of
hand tools decreases and the tasks carried out are lighter
(e.g., mop-up) (Budd et al. 1997b). This latter type of task
represents *55, 60, 75, and 80% of the total time in
wildfires of \1, 1–3, 3–5, and [5 h duration, respectively
(Fig. 1a).
When we analyzed the times spent in the different
intensity zones, it was observed that time spent in Z1, Z2,
and Z3 (Fig. 1b) rose as the duration of the wildfire
increased. The greater intrinsic severity of wildfires of
longer duration (i.e., those with the highest maximal air
temperatures) dictated that the wildland firefighters took
longer to control them and were obliged to carry out a
greater quantity of demanding activities. This increased
volume of work at high intensities also resulted in an
increase in TRIMP as wildfire duration rose (Table 2).
Although, to compare TRIMP scores in wildland fire-
fighters with those obtained in athletes can be inaccurate,
due to the wildfires characteristics, this may still help to
understand the work demands of these subjects. The mean
TRIMP recorded in this study (*260) was similar to that
reported for marathon events (*300) and slightly below
those observed in professional cyclists in different races
(*330) (Lucıa et al. 2003; Rodrıguez-Marroyo et al. 2009)
and in police officers during mountain bike patrols (*360)
(Takken et al. 2009). The TRIMP analyzed in wildfires of
[5 h duration (*510) were similar to those found for
professional cyclists in the hardest stages of the Tour of
France and the Tour of Spain (*500) (Lucıa et al. 2003;
Rodrıguez-Marroyo et al. 2009). Further, this result rep-
resented over half the weekly training load of Kenyan elite
runners (*800 TRIMP wk-1) (Billat et al. 2003). These
data reflect the high demands placed on wildland fire-
fighters when suppressing wildfires, although the demand is
based more on duration than on intensity.
It is possible that the workload intensities analyzed in
this study have been overestimated due to the effects of
dehydration or hot environments on HR (Achten and
Jeunkendrup 2003) and to the upper body requirements
(Bos et al. 2004; Eglin and Tipton 2005). However, some
authors have indicated that in these circumstances HR
still represents the best indicator of cardiovascular strain
(Angerer et al. 2008; Richmond et al. 2008). The reduction
in heat dissipation combined with excessive sweating due
to the protective gear of wildland firefighters and the
radiant heat of the fire potentially create high levels of
thermal stress and could cause an increase in cardiovas-
cular strain (Smith et al. 2001; Angerer et al. 2008).
However, neither the environmental nor the core temper-
atures observed in this study indicate that the subjects
experienced high levels of thermal strain (Table 3). Con-
sequently, the HR behavior was apparently primarily due to
the work carried out by the subjects. The low environ-
mental temperatures (27.0 ± 0.6�C) and the work:rest ratio
(1:2) observed during suppression of wildfires helped to
prevent an increase in thermal strain. The core tempera-
tures found in this study were consistent with those
reported in other studies of wildland firefighters
(*37–38�C) (Budd et al. 1997b; Budd 2001; Cuddy et al.
2007) and are lower than those observed in structural
firefighters (*38.5–39�C) (Eglin et al. 2004; Richmond
et al. 2008).
Moran et al. (1998) proposed the use of PSI, based on
the HR and core temperature of the subjects, as a tool for
determining thermal strain. These authors established a
scale of 0–10 for measuring this index, where 10 was
associated with a high PSI. In all the wildfires analyzed, the
subjects of this study obtained a score close to a moderate
PSI (Table 3). Similar results were obtained by Hadid et al.
(2008) when they simulated a military march of 155 min in
a hot environment (*4.7 and 5.5 PSI units at 35 and 40�C,
respectively), and by Frank et al. (2001) and Hostler et al.
(2009) when different insulation gear (flame-retardant and
chemical-resistant coveralls) was assessed in the laboratory
under different conditions (*4–5 PSI units). Higher
values were found by Petruzzello et al. (2009) in simula-
tions of structural fires (*6 PSI units). However, the use
of CHSI instead of PSI has also been proposed to assess
thermal strain since it is more comprehensive (Frank et al.
2001). Our results show that a significant increase
(P \ 0.05) in CHSI occurred when the duration of fires
increased (Table 3). This behavior was similar to that
observed for the TRIMP, and a high correlation was found
between both variables (r = 0.88, P \ 0.001). The values
obtained for wildland firefighters in the fires of [3 h
duration were higher than those found by other authors for
half-marathon races (*2,800 units) (Byrne et al. 2006).
In conclusion, this study is the first to combine HR and
core temperature measures to classify work demands dur-
ing real wildfire suppression. Despite the fact that the core
temperatures obtained did not exceed the values considered
critical (*40�C) (Montain et al. 1994), wildfire duration
together with the exercise carried out resulted in a high
Int Arch Occup Environ Health
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CHSI. The latter index appears to be more sensitive than
PSI for assessing thermal strain under conditions of varying
duration. The results obtained demonstrate the high inten-
sities and workload sustained by wildland firefighters in the
course of their work. Although the highest workloads were
encountered in wildfires of longer duration, the pace of
work was faster in wildfires of a shorter duration (Table 2).
These data provide direction for the development of spe-
cific approaches to physical training. Thus, training ses-
sions that simulate workload of *260 TRIMP could be
more specific to replicate wildfire suppression demands.
Using pace of work of *80 TRIMP h-1 or an exercise
intensity between 60 and 70% HRmax can also help to
simulate working conditions.
Acknowledgments This work has been funded by Empresa de
Transformacion Agraria, SA. (TRAGSA), Mutua Fraternidad–Mupr-
espa and Empresa de Gestion Medioambiental, SA. (EGMASA). This
study was conducted with the collaboration of the Area de Defensa
contra Incendios Forestales, Direccion General de Medio Natural y
Polıtica Forestal, Ministerio de Medio Ambiente y Medio Rural y
Marino, Spain.
Conflict of interest The authors declare that they have no conflict
of interest.
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