RT Journal Article T1 Effects of a healthy lifestyle intervention and COVID-19-adjusted training curriculum on firefighter recruits. A1 Lan, Fan-Yun A1 Scheibler, Christopher A1 Hershey, Maria Soledad A1 Romero-Cabrera, Juan Luis A1 Gaviola, Gabriel C A1 Yiannakou, Ioanna A1 Fernandez-Montero, Alejandro A1 Christophi, Costas A A1 Christiani, David C A1 Sotos-Prieto, Mercedes A1 Kales, Stefanos N AB There are knowledge gaps regarding healthy lifestyle (HLS) interventions in fire academy settings and also concerning the impacts of the pandemic on training. We enrolled fire recruits from two fire academies (A and B) in New England in early 2019 as the historical control group, and recruits from academies in New England (B) and Florida (C), respectively, during the pandemic as the intervention group. The three academies have similar training environments and curricula. The exposures of interest were a combination of (1) an HLS intervention and (2) impacts of the pandemic on training curricula and environs (i.e. social distancing, masking, reduced class size, etc.). We examined the health/fitness changes throughout training. The follow-up rate was 78%, leaving 92 recruits in the historical control group and 55 in the intervention group. The results show an HLS intervention improved the effects of fire academy training on recruits healthy behaviors (MEDI-lifestyle score, 0.5 ± 1.4 vs. - 0.3 ± 1.7), systolic blood pressure (- 7.2 ± 10.0 vs. 2.9 ± 12.9 mmHg), and mental health (Beck Depression score, - 0.45 ± 1.14 vs. - 0.01 ± 1.05) (all P  YR 2022 FD 2022-06-23 LK http://hdl.handle.net/10668/19599 UL http://hdl.handle.net/10668/19599 LA en DS RISalud RD Apr 7, 2025