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Health and Wellness Article

January 19, 2012


EMS News in Focus
by Art Hsieh

Face the facts: We're fat, too

Fire service study shows alarming rates of obesity

By Art Hsieh

Helllllloooooo, EMS folks — are you listening? Our sister site, FireRescue1, ran an article this week on a study that shows rates of overweight and obese individuals in the fire service are higher than those found in the general public.

What goes for our firefighter friends applies to us as well. Face it, some of us are FAT.

Not shapely, not rubenesque, not any cutsie term that belies that fact that we are at greater risk for stroke, heart attack and injuries when we are FAT.

It's cruel, it's painful, and for a couple of us it may be due to disease or other factors beyond our control. But for most of us, it comes down to our decisions of what to eat and when to eat.

I did an informal survey at the last major conference I attended, late last year. As I walked through the exhibit hall, I counted the number of EMS providers who appeared not just overweight but obese.

It worked out that about three out of every 10 folks in the hall fit in that category. What was even more unnerving was the age — most of the folks were young, my guess less than 30 years old.

That is alarming, from the viewpoint that if any of these folks planned to stay in the profession for any period of time, their chances of receiving a debilitating illness or injury will be significant.

To be clear — I, too, am overweight. Long-time readers know that I struggle with my weight. I love food, and it shows.

But I've been slowly, steadily losing ounces over the past year by eating more slowly, and being more conscious about what I eat or drink.

The holidays set me back, but I am determined to continue to lose more weight in 2012. You can do it, too - why not try? Your family and friends will like that. Your patients will appreciate it. And you'll like it too.

About the author

EMS1 Editorial Advisor Art Hsieh, MA, NREMT-P currently teaches at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. In the profession since 1982, Art has worked as a line medic and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. A Past President of the National Association of EMS Educators, former Chief Executive Officer of the San Francisco Paramedic Association, and a scholarship recipient of the American Society of Association Executives, Art is a published textbook author, has presented at conferences nationwide, and continues to provide patient care at a rural hospital-based ALS system. Contact Art at Art.Hsieh@ems1.com.

Comments
The comments below are member-generated and do not necessarily reflect the opinions of EMS1.com or its staff.
Greg Friese Greg Friese Thursday, January 19, 2012 5:51:46 PM Mr. Hsieh, I began using the My Fitness Pal app on 1/1 to track my daily calorie intake. I have been shocked at how quickly the calories add up, especially from easy to eat quick processed foods. It is really causing me to rethink how I eat - more protein, more fruits, more vegetables and less of anything that might come in a foil or plastic bag.
Greg Friese Greg Friese Thu Jan 19 19:09:43 PST 2012 Also wanted to add that some FF/Paramedics are working really hard to stay fit and healthy, as well as encouraging their colleagues. http://www.everydayemstips.com/everyday-ems-athlete-profile-jason-arney-oneil/
George Steffensen George Steffensen Thu Jan 26 06:02:54 PST 2012 we have fitness testing here at East Baton Rouge EMS for members of Bike Team and Special Response Team.
Nina Gorjaczew Nina Gorjaczew Saturday, January 21, 2012 12:20:45 PM The key to successful weight loss is not just watching what you eat but knowing what kinds of foods carbs, protein, sugars to put into your body at what time of day. I have stuck to the no eating after 7pm rule and that prevents those late night food comas after eating later in the night. I make a few exceptions when I work on the ambulance especially for 24hrs or more at a time. Also staying clear of overprocessed foods helps a bit as well. Walking 30minutes a day 4 times a week will drop off 30lbs in a few months. The trick is to get up and move. But if this only focuses on EMS, doctors and nurses should be included in this as well. Our country as a whole eats too large of portion sizes and uses fast food as a means of convenience rather than staying clear of all the excess fats, salt, and preservatives in that unhealthy stuff. Smarter food choices definitely help.
Keith Kinsley Keith Kinsley Sat Jan 21 12:38:10 PST 2012 Very well said Nina! You are absolutely right on target!
Keith Kinsley Keith Kinsley Saturday, January 21, 2012 12:35:56 PM This is a very fair observation and has been a big concern of mine. I have commented frequently that a lot of our law enforcement and EMS personnel are mildly to moderately disproportionate to height and weight. I am a 20yr Army veteran and was an NREMT-B for 10yrs. I am now a Doctor of Chiropractic and living a life of wellness is my objective for all my patients. Current medical studies show that 75-80% of morbidities are diet related. Lets make wiser food choices when on call waiting to respond to an emergency. I treat many EMS and Law Enforcement personnel that have common low back and neck trouble due to preventable weight gain and a lack of exercise when off-duty. I salute all the hard work EMS and Law Enforcement do on a daily basis. My goal is to keep them well so they can perform to their optimal level!
Jarrett LaShure Jarrett LaShure Saturday, January 21, 2012 5:02:27 PM People rely on us to be healthy to take care of them. We are already behind the eight ball when it comes to our health with working long hours, stress, and interrupted sleep cycles. Toss junk food on top of that and you have yourself a one way ticket to an early retirement. Treat your body like you treat your patients, take care of it.
Kevin Cron Kevin Cron Monday, January 23, 2012 7:02:53 PM I recently lost 22 pounds in 90 days with www.TheParamedicChallenge.com.
Steve Whitehead Steve Whitehead Thursday, January 26, 2012 7:22:53 PM In general, our health and wellness initiatives in EMS are deplorable. And we tend design systems that foster inactivity and poor nutrition. EMS organizations could do a lot to change this, but I imagine we will, for the most part, have to do it on our own.
Dave Cannon Dave Cannon Thu Jan 26 19:32:47 PST 2012 Got a great recipe for a Philly and french fries....
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