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Effect on Markers of Cardiovascular, Reproductive and Cancer Risk From Firefighting Training (BIOBRAND3)

Primary Purpose

Reactive Hyperemia, Micro RNA, Heart Rate Variability

Status
Recruiting
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Firefighting training exercises with no fire
Firefighting training exercises under wood fire
Firefighting training exercises under gas fire
Sponsored by
National Research Centre for the Working Environment, Denmark
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Reactive Hyperemia focused on measuring Comet assay, 8-oxodG, PAH CALUX, hydroxyl-PAHs and nitro-PAH metabolites, microRNA, AhR activation, scrotal temperature, core body temperature, urine, serum, blood, follicle-stimulating hormone, inhibin B, EndoPAT

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

The participants will be volunteers (both males and females) recruited among conscripts in training in a desirable involved group up to 35 individuals. Inclusion Criteria: legally competent, conscript subjects following a Rescue Specialist Educational course Exclusion Criteria: current smoking status, pregnancy, on prescribed medication, body mass index (BMI) bellow 19 or over 30, alcohol or drug abuse.

Sites / Locations

  • The National Research Centre for the Working Environment
  • Maria Helena Guerra AndersenRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

No Intervention

Experimental

Experimental

Experimental

Arm Label

Baseline session

Firefighting exercises without fire

Firefighting under wood fire

Firefighting under gas fire

Arm Description

Baseline measurements will be performed in the same schedule as measurements in the three other arms. In the baseline session, participants are in classroom before starting any firefighting exercise

Firefighting equivalent work, with exercises performed in a clean environment, without fire (no ambient temperature, soot or smoke). This type of exercise usually precedes or complements the training under real fire conditions.

Firefighting under wood fire, with exposure to ambient heat, smoke and soot. This is the most common training scenario used in the training centres. The participants will be in teams performing pre-defined tasks (knocking down the fire, moving heavy objects, and searching and rescuing metal stand in models

Firefighting under gas fire, with exposure to ambient heat, and expectably less smoke and soot than with wood fire. These conditions are used in some Danish training centres, with logistical advantages (ease of turning or putting out the fire and managing the fire fuel) and unknown effect relating to exposure prevention (smoke and soot). The participants will be in teams performing pre-defined tasks (knocking down the fire, moving heavy objects, and searching and rescuing metal stand in models

Outcomes

Primary Outcome Measures

Change in reactive hyperemia index - afternoon
Reactive hyperemia index (RHI) measured with the device EndoPAT 2000. A reactive hyperemia is induced by a blood cuff on the upper arm and the peripheral vasodilation response is assessed in the small digital vessels of a fingertip with a portable device connected to a computer, with RHI determined by an algorithm from the device, with lower index values corresponding to a worsen situation.
Change in reactive hyperemia index - morning
Reactive hyperemia index (RHI) measured with the device EndoPAT 2000. A reactive hyperemia is induced by a blood cuff on the upper arm and the peripheral vasodilation response is assessed in the small digital vessels of a fingertip with a portable device connected to a computer, with RHI determined by an algorithm from the device, with lower index values corresponding to a worsen situation.
Change in Heart Rate Variability pNN50 at rest - afternoon
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. pNN50 is the proportion of successive NN intervals differing by more than 50 milliseconds divided by the total number of N intervals (given in percentage).
Change in Heart Rate Variability pNN50 at rest - morning
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. pNN50 is the proportion of successive NN intervals differing by more than 50 milliseconds divided by the total number of N intervals (given in percentage).
Change in Heart Rate Variability RMSSD at rest - afternoon
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. RMSSD is the square root of the mean squared differences of successive NN intervals (given in milliseconds)
Change in Heart Rate Variability RMSSD at rest - morning
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. RMSSD is the square root of the mean squared differences of successive NN intervals (given in milliseconds)
Change in Heart Rate Variability ratio LF/HF at rest - afternoon
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. Ratio of low frequency and high frequency bands
Change in Heart Rate Variability ratio LF/HF at rest - morning
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. Ratio of low frequency and high frequency bands
Changes in levels of 8-oxodG excretion in first morning urine
Oxidized nucleobase 8-oxodG will be measured in urine samples by High-performance liquid chromatography (HPLC) as marker of oxidative stress, together with creatinine, for adjusting for urine concentration. Data will be reported as nanomol 8-oxodG per millimol creatinine.
Changes in levels of DNA strand breaks in peripheral blood mononuclear cells
DNA strand breaks will be measured by comet assay, and reported as number of lesions per 10^6 base pairs, transformed from percentage of DNA in tail using the calibration curve from the well-establish relationship between ionizing radiation dose and yield of strand breaks in DNA.
Changes in core temperature
Core body temperature will be assessed by an ingestible pill thermometer with data recorded and reported as time series during the period in transit.
Changes in scrotal temperature
Scrotal temperature will be assessed by skin sensor placed in the scrotum of male participants and reported as scrotal skin temperature time series.
Changes in scrotal thermoregulation
Core body temperature will be assessed by an ingestible pill thermometer and scrotal temperature will be assessed by skin sensor placed in the scrotum of male participants, to assess the thermoregulation of the scrotum during firefighting exercises. Time series of core body temperature and scrotal skin temperature will be analysed for eventual thermoregulation disruption.
Changes in levels of circulating micro RNA
Circulating micro RNA candidates will be measured by RNA extraction from serum samples, reverse transcribed into complementary DNA (cDNA) and analysed with quantitative polymerase chain reaction (qPCR).
Changes in urinary potency of AhR activation
The aryl hydrocarbon receptor (AhR) activation will be assessed in vitro using urine samples on the PAH CALUX (Chemical Activated LUciferase gene eXpression bioassay) reporter assay. The smoke and soot exposures are complex mixtures of compounds with potential toxic effect. Routine measurements of PAHs are usually quantified for a target list of 16 common soot elements and even less chemical species for urinary metabolites, but many other compounds are present in both soot and metabolites mixtures. The toxicity of PAHs is primarily caused through the binding to AhR, and induction of AhR related genes and subsequent toxic pathways. The outcome will be measured in the form of benzo[a]pyrene equivalence.
Changes in potency of AhR activation from skin deposits
The aryl hydrocarbon receptor (AhR) activation will be assessed in vitro using wipe samples on the PAH CALUX (Chemical Activated LUciferase gene eXpression bioassay) reporter assay. The smoke and soot exposures are complex mixtures of compounds with potential toxic effect. Routine measurements of PAHs are usually quantified for a target list of 16 common soot elements, but many other compounds are present in soot mixtures. The toxicity of PAHs is primarily caused through the binding to AhR, and induction of AhR related genes and subsequent toxic pathways. The outcome will be measured in the form of benzo[a]pyrene equivalence.

Secondary Outcome Measures

Changes in levels of follicle-stimulating hormone in serum
Follicle-stimulating hormone (FSH) will be measured in serum samples
Changes in levels of serum inhibin B
Inhibin B hormone will be measured in serum samples
Changes in urinary levels of PAH metabolites excretion
The internal dose of polycyclic aromatic hydrocarbons (PAHs), that would have the contribution from different exposure routes, will be assessed in first morning urine samples and measured for 7 isomer hydroxyl-PAH compounds and 5 nitro-PAH compounds, measured by high-performance liquid chromatography (HPLC)
Changes in levels of PAHs in skin wipes from the neck
Skin wipes will be sampled to determine the PAH composition of deposited soot on the neck area. The wipes will be analysed for the 16 US Environmental Protection Agency priority list of PAH compounds by HPLC.
Changes in FEV1 spirometric measurements
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Forced Expiratory Volume at 1 second (FEV1).
Changes in FVC spirometric measurements
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Forced Vital capacity (FVC).
Changes in PEF spirometric measurements
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Peak Expiratory Flow (PEF).
Changes in FEV1/FVC ratio from spirometric measurements
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Forced Expiratory Volume at 1 second (FEV1) and Forced Vital Capacity (FVC) ratio is calculated from device output.
Changes in blood troponin levels
Cardiac troponin levels using ELISA immunoassays will be assessed in serum samples.
Changes in work load measured by muscle activity
Muscle activity will be assessed to control for body workload through electromyography (EMG) using the portable device Nexus10. Bipolar surface EMG electrodes are applied to the skin over the muscles in 3 relevant body regions (shoulder, leg and back). The signals are collected with a data logger and reported as work load during a working day.

Full Information

First Posted
February 2, 2023
Last Updated
August 5, 2023
Sponsor
National Research Centre for the Working Environment, Denmark
Collaborators
University of Copenhagen, University Hospital Bispebjerg and Frederiksberg, Rigshospitalet, Denmark
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1. Study Identification

Unique Protocol Identification Number
NCT05753254
Brief Title
Effect on Markers of Cardiovascular, Reproductive and Cancer Risk From Firefighting Training
Acronym
BIOBRAND3
Official Title
Effect on Markers of Cardiovascular, Reproductive and Cancer Risk From Firefighting Activities - a Study Under Different Training Methods
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 10, 2023 (Actual)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
June 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Research Centre for the Working Environment, Denmark
Collaborators
University of Copenhagen, University Hospital Bispebjerg and Frederiksberg, Rigshospitalet, Denmark

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Epidemiological studies based on Danish registries have observed that Danish male firefighters have more cardiovascular disease, infertility diagnose and a trend to increased risk of cancer than other Danish employed males. Firefighting activities include a combination of stressors such as strenuous work under heat, smoke and soot known to be able to affect cardiovascular and reproductive health, with smoke and soot also being known to increase the risk of cancer. The training facilities of real-fire extinguishing exercises in Denmark operate using wood or natural gas fire, which will have differential gradients of smoke, soot and possibly heat. The investigators will use different training conditions to create gradients of the different stressors and investigate health effects thereof. With this approach, the investigators expect to be able to evaluate the individual contribution of the different stressors in markers of cardiovascular, cancer and reproductive health risk. The project will include approx. 35 young conscript participants on a firefighting course, followed in four sessions, three firefighting training sessions under different fire conditions (no fire, wood fire and gas fire) and one control scenario.
Detailed Description
The study methodology is based on a crossover design on firefighting training under different conditions, with characterization of exposure and assessment of cardiovascular, cancer and reproductive effect biomarkers. The study will be performed in cooperation with the Danish Emergency Management Agency. The study will have one baseline session, while conscripts are in a classroom, and three sessions of firefighting-related exercises under different fire conditions, used currently in firefighting training programs in Denmark. The three firefighting training sessions will be controlled for equivalent work exercise using full protective gear and under different ambient conditions of firefighting training: Firefighting equivalent work (no fire), with exercises performed in a clean environment, without fire (no ambient temperature, soot or smoke). This type of exercise precedes or complements the training under real fire conditions. Firefighting under wood fire (wood fire), with exposure to ambient heat, smoke and soot. This is the most common training scenario used by Danish Emergency Management Agency training centres. Firefighting under gas fire (gas fire), with exposure to ambient heat, and expectably less smoke and soot than with wood fire. These conditions are used in some Danish training centres, with logistical advantages (ease of turning or putting out the fire and managing the fire fuel) and unknown effect relating to exposure prevention (smoke and soot). The order of the firefighting sessions will be as randomized as possible, and according to a selection of three sequence order options (no-wood-gas; wood-gas-no and gas-wood-no). Each campaign (corresponding to each rescue course) would desirably have one of these session sequences. It is not possible to blind the participants to the different scenarios, neither the field staff, but all the samples will be blinded for the subsequent laboratory analysis. The training sessions will have 1-3 weeks in between (accordingly with programmatic educational course schemes).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Reactive Hyperemia, Micro RNA, Heart Rate Variability, DNA Strand Breaks, Oxidative Stress, Heat Stress
Keywords
Comet assay, 8-oxodG, PAH CALUX, hydroxyl-PAHs and nitro-PAH metabolites, microRNA, AhR activation, scrotal temperature, core body temperature, urine, serum, blood, follicle-stimulating hormone, inhibin B, EndoPAT

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
Participants will perform firefighting full day exercises under 3 different conditions (without fire, under wood fire and under gas fire), sessions which will occur with weeks in between, and biological markers will be assessed and compared in relation to a baseline session, where the participants are having theoretical classes.
Masking
Outcomes Assessor
Masking Description
It is not possible to blind the participants to the different scenarios, neither the field staff, but all the samples will be blinded for the subsequent laboratory analysis, namely blood analysis, urine analysis, wipe samples analysis will all be blinded.
Allocation
Randomized
Enrollment
35 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Baseline session
Arm Type
No Intervention
Arm Description
Baseline measurements will be performed in the same schedule as measurements in the three other arms. In the baseline session, participants are in classroom before starting any firefighting exercise
Arm Title
Firefighting exercises without fire
Arm Type
Experimental
Arm Description
Firefighting equivalent work, with exercises performed in a clean environment, without fire (no ambient temperature, soot or smoke). This type of exercise usually precedes or complements the training under real fire conditions.
Arm Title
Firefighting under wood fire
Arm Type
Experimental
Arm Description
Firefighting under wood fire, with exposure to ambient heat, smoke and soot. This is the most common training scenario used in the training centres. The participants will be in teams performing pre-defined tasks (knocking down the fire, moving heavy objects, and searching and rescuing metal stand in models
Arm Title
Firefighting under gas fire
Arm Type
Experimental
Arm Description
Firefighting under gas fire, with exposure to ambient heat, and expectably less smoke and soot than with wood fire. These conditions are used in some Danish training centres, with logistical advantages (ease of turning or putting out the fire and managing the fire fuel) and unknown effect relating to exposure prevention (smoke and soot). The participants will be in teams performing pre-defined tasks (knocking down the fire, moving heavy objects, and searching and rescuing metal stand in models
Intervention Type
Other
Intervention Name(s)
Firefighting training exercises with no fire
Intervention Description
The participants will be performing firefighting equivalent work in a clean environment, without fire (no ambient temperature, soot or smoke).
Intervention Type
Other
Intervention Name(s)
Firefighting training exercises under wood fire
Intervention Description
The participants will be in teams performing pre-defined tasks (knocking down the fire, moving heavy objects, and searching and rescuing metal stand in models), under wood fire conditions.
Intervention Type
Other
Intervention Name(s)
Firefighting training exercises under gas fire
Intervention Description
The participants will be in teams performing pre-defined tasks (knocking down the fire, moving heavy objects, and searching and rescuing metal stand in models), under gas fire conditions.
Primary Outcome Measure Information:
Title
Change in reactive hyperemia index - afternoon
Description
Reactive hyperemia index (RHI) measured with the device EndoPAT 2000. A reactive hyperemia is induced by a blood cuff on the upper arm and the peripheral vasodilation response is assessed in the small digital vessels of a fingertip with a portable device connected to a computer, with RHI determined by an algorithm from the device, with lower index values corresponding to a worsen situation.
Time Frame
Baseline afternoon measurement, afternoon measurement immediately after firefighting without fire, afternoon measurement immediately after firefighting under wood fire and afternoon measurements immediately after firefighting under gas fire
Title
Change in reactive hyperemia index - morning
Description
Reactive hyperemia index (RHI) measured with the device EndoPAT 2000. A reactive hyperemia is induced by a blood cuff on the upper arm and the peripheral vasodilation response is assessed in the small digital vessels of a fingertip with a portable device connected to a computer, with RHI determined by an algorithm from the device, with lower index values corresponding to a worsen situation.
Time Frame
Baseline morning measurement, morning measurement in subsequent day after firefighting without fire, morning measurement in subsequent day after firefighting under wood fire and morning measurement in subsequent day after firefighting under gas fire
Title
Change in Heart Rate Variability pNN50 at rest - afternoon
Description
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. pNN50 is the proportion of successive NN intervals differing by more than 50 milliseconds divided by the total number of N intervals (given in percentage).
Time Frame
Baseline afternoon measurement, afternoon measurement immediately after firefighting without fire, afternoon measurement immediately after firefighting under wood fire and afternoon measurements immediately after firefighting under gas fire
Title
Change in Heart Rate Variability pNN50 at rest - morning
Description
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. pNN50 is the proportion of successive NN intervals differing by more than 50 milliseconds divided by the total number of N intervals (given in percentage).
Time Frame
Baseline morning measurement, morning measurement in subsequent day after firefighting without fire, morning measurement in subsequent day after firefighting under wood fire and morning measurement in subsequent day after firefighting under gas fire
Title
Change in Heart Rate Variability RMSSD at rest - afternoon
Description
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. RMSSD is the square root of the mean squared differences of successive NN intervals (given in milliseconds)
Time Frame
Baseline afternoon measurement, afternoon measurement immediately after firefighting without fire, afternoon measurement immediately after firefighting under wood fire and afternoon measurements immediately after firefighting under gas fire
Title
Change in Heart Rate Variability RMSSD at rest - morning
Description
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. RMSSD is the square root of the mean squared differences of successive NN intervals (given in milliseconds)
Time Frame
Baseline morning measurement, morning measurement in subsequent day after firefighting without fire, morning measurement in subsequent day after firefighting under wood fire and morning measurement in subsequent day after firefighting under gas fire
Title
Change in Heart Rate Variability ratio LF/HF at rest - afternoon
Description
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. Ratio of low frequency and high frequency bands
Time Frame
Baseline afternoon measurement, afternoon measurement immediately after firefighting without fire, afternoon measurement immediately after firefighting under wood fire and afternoon measurements immediately after firefighting under gas fire
Title
Change in Heart Rate Variability ratio LF/HF at rest - morning
Description
Heart rate variability (HRV) measured with the device EndoPAT 2000. The HRV is calculated using the initial 5.5 complete minutes before the cuff is applied. Ratio of low frequency and high frequency bands
Time Frame
Baseline morning measurement, morning measurement in subsequent day after firefighting without fire, morning measurement in subsequent day after firefighting under wood fire and morning measurement in subsequent day after firefighting under gas fire
Title
Changes in levels of 8-oxodG excretion in first morning urine
Description
Oxidized nucleobase 8-oxodG will be measured in urine samples by High-performance liquid chromatography (HPLC) as marker of oxidative stress, together with creatinine, for adjusting for urine concentration. Data will be reported as nanomol 8-oxodG per millimol creatinine.
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in levels of DNA strand breaks in peripheral blood mononuclear cells
Description
DNA strand breaks will be measured by comet assay, and reported as number of lesions per 10^6 base pairs, transformed from percentage of DNA in tail using the calibration curve from the well-establish relationship between ionizing radiation dose and yield of strand breaks in DNA.
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in core temperature
Description
Core body temperature will be assessed by an ingestible pill thermometer with data recorded and reported as time series during the period in transit.
Time Frame
Baseline day, during the day of firefighting without fire, during the day of firefighting under wood fire and during the day of firefighting under gas fire.
Title
Changes in scrotal temperature
Description
Scrotal temperature will be assessed by skin sensor placed in the scrotum of male participants and reported as scrotal skin temperature time series.
Time Frame
Baseline day, during the day of firefighting without fire, during the day of firefighting under wood fire and during the day of firefighting under gas fire.
Title
Changes in scrotal thermoregulation
Description
Core body temperature will be assessed by an ingestible pill thermometer and scrotal temperature will be assessed by skin sensor placed in the scrotum of male participants, to assess the thermoregulation of the scrotum during firefighting exercises. Time series of core body temperature and scrotal skin temperature will be analysed for eventual thermoregulation disruption.
Time Frame
Baseline day, during the day of firefighting without fire, during the day of firefighting under wood fire and during the day of firefighting under gas fire.
Title
Changes in levels of circulating micro RNA
Description
Circulating micro RNA candidates will be measured by RNA extraction from serum samples, reverse transcribed into complementary DNA (cDNA) and analysed with quantitative polymerase chain reaction (qPCR).
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in urinary potency of AhR activation
Description
The aryl hydrocarbon receptor (AhR) activation will be assessed in vitro using urine samples on the PAH CALUX (Chemical Activated LUciferase gene eXpression bioassay) reporter assay. The smoke and soot exposures are complex mixtures of compounds with potential toxic effect. Routine measurements of PAHs are usually quantified for a target list of 16 common soot elements and even less chemical species for urinary metabolites, but many other compounds are present in both soot and metabolites mixtures. The toxicity of PAHs is primarily caused through the binding to AhR, and induction of AhR related genes and subsequent toxic pathways. The outcome will be measured in the form of benzo[a]pyrene equivalence.
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in potency of AhR activation from skin deposits
Description
The aryl hydrocarbon receptor (AhR) activation will be assessed in vitro using wipe samples on the PAH CALUX (Chemical Activated LUciferase gene eXpression bioassay) reporter assay. The smoke and soot exposures are complex mixtures of compounds with potential toxic effect. Routine measurements of PAHs are usually quantified for a target list of 16 common soot elements, but many other compounds are present in soot mixtures. The toxicity of PAHs is primarily caused through the binding to AhR, and induction of AhR related genes and subsequent toxic pathways. The outcome will be measured in the form of benzo[a]pyrene equivalence.
Time Frame
Baseline, before firefighting without fire, immediately after firefighting without fire, before firefighting under wood fire, immediately after firefighting under wood fire, before firefighting under gas fire, immediately after firefighting under gas
Secondary Outcome Measure Information:
Title
Changes in levels of follicle-stimulating hormone in serum
Description
Follicle-stimulating hormone (FSH) will be measured in serum samples
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in levels of serum inhibin B
Description
Inhibin B hormone will be measured in serum samples
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in urinary levels of PAH metabolites excretion
Description
The internal dose of polycyclic aromatic hydrocarbons (PAHs), that would have the contribution from different exposure routes, will be assessed in first morning urine samples and measured for 7 isomer hydroxyl-PAH compounds and 5 nitro-PAH compounds, measured by high-performance liquid chromatography (HPLC)
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in levels of PAHs in skin wipes from the neck
Description
Skin wipes will be sampled to determine the PAH composition of deposited soot on the neck area. The wipes will be analysed for the 16 US Environmental Protection Agency priority list of PAH compounds by HPLC.
Time Frame
Baseline, before firefighting without fire, immediately after firefighting without fire, before firefighting under wood fire, immediately after firefighting under wood fire, before firefighting under gas fire, immediately after firefighting under gas
Title
Changes in FEV1 spirometric measurements
Description
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Forced Expiratory Volume at 1 second (FEV1).
Time Frame
Baseline, immediately after firefighting without fire, immediately after firefighting under wood fire and immediately after firefighting under gas fire
Title
Changes in FVC spirometric measurements
Description
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Forced Vital capacity (FVC).
Time Frame
Baseline, immediately after firefighting without fire, immediately after firefighting under wood fire and immediately after firefighting under gas fire
Title
Changes in PEF spirometric measurements
Description
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Peak Expiratory Flow (PEF).
Time Frame
Baseline, immediately after firefighting without fire, immediately after firefighting under wood fire and immediately after firefighting under gas fire
Title
Changes in FEV1/FVC ratio from spirometric measurements
Description
Lung function will be measured by spirometry using the Spirometer device EasyOne Air. Forced Expiratory Volume at 1 second (FEV1) and Forced Vital Capacity (FVC) ratio is calculated from device output.
Time Frame
Baseline, immediately after firefighting without fire, immediately after firefighting under wood fire and immediately after firefighting under gas fire
Title
Changes in blood troponin levels
Description
Cardiac troponin levels using ELISA immunoassays will be assessed in serum samples.
Time Frame
Baseline, before firefighting without fire, day after firefighting without fire, before firefighting under wood fire, day after firefighting under wood fire, before firefighting under gas fire, day after firefighting under gas fire
Title
Changes in work load measured by muscle activity
Description
Muscle activity will be assessed to control for body workload through electromyography (EMG) using the portable device Nexus10. Bipolar surface EMG electrodes are applied to the skin over the muscles in 3 relevant body regions (shoulder, leg and back). The signals are collected with a data logger and reported as work load during a working day.
Time Frame
Baseline day, firefighting without fire day, firefighting under wood fire day and firefighting under gas fire day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
The participants will be volunteers (both males and females) recruited among conscripts in training in a desirable involved group up to 35 individuals. Inclusion Criteria: legally competent, conscript subjects following a Rescue Specialist Educational course Exclusion Criteria: current smoking status, pregnancy, on prescribed medication, body mass index (BMI) bellow 19 or over 30, alcohol or drug abuse.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Maria Helena G Andersen, PhD
Phone
+45 2020 9222
Email
mga@nfa.dk
First Name & Middle Initial & Last Name or Official Title & Degree
Anne T Saber, PhD
Phone
+45 2025 8094
Email
ats@nfa.dk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Maria Helena G Andersen, PhD
Organizational Affiliation
The National Research Centre for the Working Environment (NRCWE)
Official's Role
Principal Investigator
Facility Information:
Facility Name
The National Research Centre for the Working Environment
City
Copenhagen
ZIP/Postal Code
2100
Country
Denmark
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Helena G Andersen, PhD
Phone
+45 2020 9222
Email
mga@nfa.dk
First Name & Middle Initial & Last Name & Degree
Anne T Saber, PhD
Phone
+45 2025 8094
Email
ats@nfa.dk
Facility Name
Maria Helena Guerra Andersen
City
København Ø
ZIP/Postal Code
4700
Country
Denmark
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Helena Guerra Andersen
Phone
+4520209222
Email
mga@nfa.dk

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Supportive information and fully anonymized information will be shared and whenever possible (in supplementary material) published along with the results, but following European Union General Data Protection Regulation (GDPR) and Danish rules, no non or pseudo anonymized data might be shared.
Citations:
PubMed Identifier
28877717
Citation
Andersen MHG, Saber AT, Pedersen PB, Loft S, Hansen AM, Koponen IK, Pedersen JE, Ebbehoj N, Norskov EC, Clausen PA, Garde AH, Vogel U, Moller P. Cardiovascular health effects following exposure of human volunteers during fire extinction exercises. Environ Health. 2017 Sep 6;16(1):96. doi: 10.1186/s12940-017-0303-8.
Results Reference
background
PubMed Identifier
29045708
Citation
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Effect on Markers of Cardiovascular, Reproductive and Cancer Risk From Firefighting Training

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