Table 7.
Outcome | No. of Studies | No. of Participants | R (95% CI) | Z Score | p (Overall Effect) | Heterogeneity I2; Cohen’s Q; p-Value | Egger’s test Intercept (95%CI); p |
Begg’s Test (τ; p) |
---|---|---|---|---|---|---|---|---|
Cardiorespiratory fitness | ||||||||
Stair climb | 4 | 351 | −0.421 (−0.639 to −0.140 | −2.856 | 0.004 ** | 82.9%; 17.55;<0.001 | 4.39 (−4.24 to 13.03); 0.159 | 0.33; 0.497 |
Sequential testing | 3 | 302 | −0.451 (−0.702 to −0.100) | −2.472 | 0.013 * | 85.4%; 13.69; 0.001 | −8.39 (−254.21 to 237.44); 0.739 | −0.33; 0.602 |
Weight of PPE | 3 | 309 | −0.513 (−0.680 to −0.296) | −4.244 | <0.001 ** | 70.7%; 6.81; 0.033 | 3.13 (−23.58 to 29.83); 0.377 | 0.33; 0.602 |
Full-time only | 2 | 91 | −0.214 (−0.406 to −0.005) | −2.007 | 0.045 * | 5.8%; 1.06; 0.303 | 17.68 (--); <0.001 | 1.00; 0.317 |
Hose drag | 3 | 180 | −0.197 (−0.376 to −0.004) | −1.997 | 0.046 * | 38.1%; 3.23; 0.198 | 3.64 (−55.99 to 63.26); 0.580 | 1.00; 0.117 |
Five or more and Sequential | 2 | 131 | −0.138 (−0.415 to 0.163) | −0.897 | 0.370 | 61.9%; 2.62; 0.105 | 5.98 (--); <0.001 | 1.00; 0.317 |
Weight of PPE | 2 | 138 | −0.278 (−0.427 to −0.114) | −3.279 | 0.001 ** | 0.0%; 0.04; 0.839 | 0.93 (--); <0.001 | −1.00; 0.317 |
Victim drag | 4 | 391 | −0.356 (−0.500 to −0.194) | −4.146 | <0.001 ** | 57.1; 6.99; 0.072 | 2.09 (−6.87 to 11.05); 0.421 | 0.33; 0.497 |
Five or more tasks | 2 | 127 | −0.384 (−0.525 to −0.223) | −4.450 | <0.001 | 0.0%; 0.69; 0.406 | −2.72 (--); <0.001 | −1.00; 0.317 |
Sequential tasks | 3 | 169 | −0.300 (−0.504 to −0.066) | −2.488 | 0.013 * | 55.6%; 4.50; 0.105 | 0.88 (−73.51 to 75.27); 0.905 | −0.33; 0.602 |
Males only | 2 | 131 | −0.220 (−0.482 to 0.079) | −1.449 | 0.147 | 61.6%; 2.60; 0.107 | 5.95 (--); <0.001 | 1.00; 0.317 |
Weight of PPE | 2 | 260 | −0.452 (−0.544 to −0.349) | −7.757 | <0.001 ** | 0.0%; 0.05; 0.817 | −4.41 (--); <0.001 | −1.00; 0.317 |
Full-time only | 3 | 353 | −0.320 (−0.501 to −0.113) | −2.977 | 0.003 ** | 69.3%; 6.61; 0.039 | 4.37 (−6.36 to 15.14); 0.122 | 1.00; 0.117 |
Saw hold | 2 | 80 | 0.301 (−0.601 to 0.074) | −1.580 | 0.114 | 64.8%; 2.84; 0.092 | −44.09 (--); <0.001 | −1.00; 0.317 |
Upper body endurance | ||||||||
Stair climb | 3 | 205 | −0.408 (−0.518 to −0.285) | −6.061 | <0.001 ** | 0.0%; 1.28; 0.527 | 3.93 (−9.22 to 17.07); 0.164 | 1.00; 0.1172 |
Weight of PPE | 2 | 163 | −0.436 (−0.553 to −0.301) | −5.850 | <0.001 ** | 0.0%; 0.37; 0.541 | 7.13 (--); <0.001 | 1.00; 0.3173 |
Hose drag | 4 | 294 | −0.290 (−0.393 to −0.180) | −5.010 | <0.001 ** | 0.0%; 0.56; 0.905 | −2.15 (−6.03 to 1.72); 0.139 | −0.33; 0.497 |
Weight of PPE | 2 | 205 | −0.290 (−0.413 to −0.157) | −4.183 | <0.001 ** | 0.0%; 0.56; 0.754 | 0.78 (--); <0.001 | 1.00; 0.317 |
Full-time only | 3 | 163 | −0.266 (−0.404 to −0.115) | −3.410 | 0.001 ** | 0.0%; 0.00; 0.947 | −2.48 (−15.86 to 10.89); 0.256 | −0.33; 0.602 |
Victim rescue | 4 | 294 | −0.200 (−0.363 to −0.025) | −2.23 | 0.026 * | 55.2%; 6.69; 0.083 | 4.01 (−19.23 to 27.24); 0.536 | 0.67; 0.174 |
Weight of PPE | 2 | 163 | −0.197 (−0.537 to 0.197) | −0.980 | 0.327 | 84.5%; 6.44; 0.011 | 29.60 (--); <0.001 | 1.00; 0.317 |
Full-time only | 3 | 205 | −0.183 (−0.420 to 0.077) | −1.383 | 0.167 | 69.9; 6.63; 0.036 | 4.30 (−99.57 to 108.17); 0.692 | 0.33; 0.602 |
Forcible entry | 3 | 252 | −0.247 (−0.407 to −0.072) | −2.743 | 0.006 ** | 51.1%; 4.09; 0.129 | 21.43 (−25.53 to 68.39); 0.109 | 1.00; 0.117 |
Weight of PPE and full-time | 2 | 163 | −0.220 (−0.488 to 0.086) | −1.411 | 0.158 | 74.3%; 3.88; 0.049 | 22.98 (--); <0.001 | 1.00; 0.317 |
Abdominal endurance | ||||||||
Stair climb | 5 | 262 | −0.415 (−0.512 to −0.306) | −6.933 | <0.001 ** | 25.7%; 5.38; 0.250 | 1.51 (−5.21 to 8.22); 0.526 | 0.00; 1.00 |
Five or more tasks and sequential | 3 | 200 | −0.472 (−0.574 to −0.354) | −7.079 | <0.001 ** | 0.0%; 1.12; 0.572 | −3.07 (−21.12 to 14.99); 0.276 | −1.00; 0.117 |
Full-time Males firefighters | 3 | 224 | −0.388 (−0.496 to −0.268) | −5.962 | <0.001 ** | 22.8%; 3.88; 0.274 | 2.53 (−5.17 to 10.23); 0.293 | 0.33; 0.497 |
Weight of PPE | 4 | 220 | −0.452 (−0.554 to −0.338) | −7.035 | <0.001 ** | 0.0%; 2.52; 0.473 | 4.73 (−49.98 to 59.44); 0.470 | 0.33; 0.602 |
Hose drag | 5 | 313 | −0.230 (−0.334 to −0.120) | −4.034 | <0.001 ** | 17.3%; 4.83; 0.305 | 2.61 (−2.40 to 7.62); 0.196 | 0.40; 0.327 |
Five or more tasks | 3 | 251 | −0.253 (−0.367 to −0.132) | −4.029 | <0.001 ** | 0.0%; 1.05; 1.000 | −5.72 (−116.29 to 104.85); 0.629 | −0.33; 0.602 |
Sequential tasks | 4 | 293 | −0.256 (−0.361 to −0.143) | −4.381 | <0.001 ** | 0.0%; 1.06; 0.786 | −0.92 (−10.99 to 9.14); 0.732 | 0.00; 1.00 |
Weight of PPE | 2 | 182 | −0.157 (−0.367 to 0.068) | −1.374 | 0.169 | 48.8%; 3.91; 0.142 | 3.11 (25.36 to 31.59); 0.397 | 0.33; 0.602 |
Full-time firefighters | 4 | 224 | −0.201 (−0.326 to −0.069) | −2.961 | 0.003 ** | 27.9%; 4.16; 0.245 | 2.41 (−6.16 to 10.97); 0.350 | 0.33; 0.497 |
Victim drag | 6 | 351 | −0.151 (−0.290 to −0.006) | −2.044 | 0.041 * | 41.4%; 8.52; 0.129 | 1.01 (−5.24 to 7.27); 0.677 | 0.33; 0348 |
Five or more Tasks | 4 | 289 | −0.189 (−0.342 to −0.027) | −2.276 | 0.023 | 46.6%; 5.62; 0.132 | −3.96 (−21.81 to 13.89); 0.441 | 0.00; 1.00 |
Sequential tasks | 5 | 331 | −0.176 (−0.281 to −0.068) | −3.165 | 0.002 ** | 29.1%; 5.64; 0.228 | −2.37 (−11.97 to 7.22); 0.489 | 0.00; 1.00 |
Males only | 4 | 271 | −0.113 (−0.231 to 0.008) | −1.834 | 0.067 | 34.3%; 4.57; 0.206 | 3.33 (-.345 to 10.12); 0.169 | 1.00; 0.042 |
Weight of PPE | 4 | 220 | −0.137 (−0.366 to 0.108) | −1.098 | 0.272 | 64.7%; 8.50; 0.037 | 1.16 (−14.11 to 16.44) | 0.33; 0.497 |
Full-time | 4 | 224 | −0.0845 (−0.248 to 0.084) | −0.984 | 0.325 | 30.4%; 4.31; 0.230 | 2.58 (−5.77 to 10.93); 0.315 | 0.67; 0.174 |
Forcible entry | 3 | 251 | −0.195 (−0.313 to −0.072) | −3.081 | 0.002 ** | 0.0%; 1.39; 0.499 | 11.35 (−35.85 to 58.56); 0.201 | 0.33; 0.602 |
Weight of PPE | 2 | 162 | −0.160 (−0.308 to −0.004) | −2.012 | 0.044 * | 0.0%; 0.79; 0.374 | 9.78 (--); <0.001 | 1.00; 0.317 |
Equipment hoist | 2 | 111 | −0.168 (−0.400 to 0.167) | −0.844 | 0.399 | 37.1%; 1.59; 0.207 | 2.48 (--); <0.001 | 1.00; 0.317 |
Saw hold | 2 | 80 | 0.252 (−0.300 to −0.677) | −0.891 | 0.373 | 83.8%; 6.17; 0.013 | 64.96 (--); <0.001 | 1.00; 0.317 |
Grip strength | ||||||||
Stair climb | 6 | 312 | −0.200 (−0.502 to 0.071) | −1.510 | 0.131 | 85.5%; 34.49;<0.0001 | −2.29 (−15.69 to 11.10); 0.348 | −0.33; 0.348 |
Hose drag | 5 | 274 | −0.378 (−0.589 to −0.119) | −2.806 | 0.005 ** | 78.9%; 19.00;<0.001 | −3.97 (−16.26 to 8.33); 0.379 | 0.00; 1.00 |
Five or more tasks | 2 | 163 | −0.325 (−0.496 to −0.129) | −3.188 | 0.001 ** | 42.5%; 1.74; 0.188 | 15.38 (--); <0.001 | 1.00; 0.317 |
Males only | 4 | 225 | −0.429 (−0.668 to −0.108) | −2.566 | 0.010 * | 83.3%; 17.92; <0.001 | −3.69 (−24.39 to 17.01); 0.524 | 0.00; 1.00 |
Weight of PPE | 4 | 232 | −0.442 (−0.666 to −0.145) | −2.834 | 0.005 ** | 81.8%; 16.45;<0.001 | −5.37 (−21.79 to 11.06); 0.295 | −0.33; 0.497 |
Victim rescue | 5 | 263 | −0.578 (−0.713 to −0.402) | −5.545 | <0.001 ** | 68.2%; 12.56; 0.014 | −2.11 (−12.47 to 8.25); 0.563 | −0.40; 0.327 |
Five or more tasks | 3 | 201 | −0.610 (−0.773 to −0.372) | −4.366 | <0.001 ** | 78.8%; 9.43; 0.009 | −6.89 (−95.23 to 81.44); 0.503 | −0.33; 0.602 |
Sequential tasks | 4 | 243 | −0.561 (−0.716 to −0.353) | −4.697 | <0.001 ** | 74.7%; 11.84; 0.008 | −2.44 (−29.09 to 24.22); 0.732 | −0.33; 0.497 |
Full-time male firefighters | 4 | 225 | −0.507 (−0.600 to −0.401) | −8.152 | <0.001 ** | 35.5; 4.65; 0.199 | −0.51 (−12.29 to 11.27); 0.869 | 0.00; 1.00 |
Weight of PPE | 4 | 221 | −0.621 (−0.758 to −0.432) | −5.388 | <0.001 ** | 69.6%; 9.86; 0.019 | −3.07 (−17.08 to 10.93); 0.445 | −0.33; 0.497 |
Forcible entry | 2 | 163 | −0.426 (−0.623 to −0.179) | −3.248 | 0.001 ** | 67.2; 3.05; 0.081 | 20.36 (--); <0.001 | 1.00; 0.317 |
Equipment hoist | 2 | 111 | −0.420 (−0.703 to −0.023) | −2.066 | 0.039 * | 64.8%; 2.84; 0.092 | 3.29 (--); <0.001 | 1.00; 0.317 |
Saw hold | 2 | 80 | 0.468 (−0.0836 to 0.800) | 1.682 | 0.093 | 85.1%; 6.70; 0.009 | 67.71 (--); <0.001 | 1.00; 0.317 |
Upper body strength | ||||||||
Stair climb | 3 | 134 | −0.140 (−0.306 to 0.035) | −1.571 | 0.116 | 0.0%; 1.45; 0.484 | −2.33 (−17.66 to 12.99); 0.304 | −1.00; 0.117 |
Hose drag | 3 | 134 | −0.544 (−0.748 to −0.247) | −3.337 | 0.001 ** | 71.9%; 7.11; 0.029 | −5.71 (19.89 to 8.48); 0.123 | −1.00; 0.117 |
Five or more tasks | 2 | 114 | −0.402 (−0.547 to −0.233) | −4.421 | <0.001 ** | 0.0%; 0.45; 0.502 | −3.38 (--); <0.001 | −1.00; 0.317 |
Weight of PPE | 2 | 92 | −0.609 (−0.888 to −0.002) | −1.966 | 0.049 * | 85.9%; 7.10; 0.008 | −5.91 (--); <0.001 | −1.00; 0.317 |
Victim rescue | 3 | 134 | −0.350 (−0.573 to −0.080) | −2.512 | 0.012 * | 56.1%; 4.55; 0.103 | −3.10 (−47,24 to 41.04); 0.536 | −0.33; 0.602 |
Five or more tasks | 2 | 114 | −0.255 (−0.422 to −0.073) | −2.715 | 0.007 ** | 0.0%; 0.67; 0.412 | 4.13 (--); <0.001 | 1.00; 0.317 |
Weight of PPE | 2 | 92 | −0.461 (−0.733 to −0.064) | −2.248 | 0.025 * | 64.6%; 2.82; 0.093 | −3.72 (--); <0.001 | −1.00; 0.317 |
Lower body strength | ||||||||
Stair climb | 5 | 329 | −0.0460 (−0.155 to 0.064) | −0.817 | 0.414 | 0.0%; 1.54; 0.819 | −0.64 (−3.45 to 2.17); 0.522 | −0.20; 0.624 |
Hose drag | 4 | 179 | −0.244 (−0.381 to −0.097) | −3.223 | 0.001 ** | 0.0%; 1.72; 0.632 | −1.92 (−8.87 to 5.03); 0.357 | 0.00; 1.00 |
five or more tasks | 2 | 110 | −0.222 (−0.395 to −0.033) | −2.298 | 0022 * | 0.0%; 0.29; 0.591 | 2.71 (--); <0.001 | 1.00; 0.317 |
Weight of PPE | 3 | 137 | −0.271 (−0.422 to −0.104) | −3.139 | 0.002 ** | 0.0%; 1.29; 0.525 | −2.19 (−20.28 to 15.90); 0.367 | −0.33; 0.602 |
Victim rescue | 3 | 130 | −0.254 (−0.411 to −0.081) | −2.851 | 0.004 ** | 0.0%; 0.29; 0.862 | −0.93 (−11.45 to 9.60); 0.462 | −0.33; 0.602 |
five or more tasks | 2 | 110 | −0.246 (−0.416 to −0.059) | −2.559 | 0.010 * | 0.0%; 0.25; 0.619 | −2.79 (--); <0.001 | −1.00; 0.317 |
Weight of PPE | 2 | 88 | −0.229 (−0.422 to −0.017) | −2.111 | 0.035 * | 0.0%; 0.13; 0.724 | −0.81 (--); <0.001 | −1.00; 0.317 |
Flexibility | ||||||||
Stair climb | 2 | 133 | −0.190 (−0.351 to −0.019) | −1.959 | 0.030 * | 11.4%; 1.13; 0.288 | 3.82 (--); <0.001 | 1.00; 0.317 |
Hose drag | 3 | 222 | −0.130 (−0.259 to 0.004) | −1.908 | 0.056 | 0.0%; 0.94; 0.626 | −2.55 (−28.08 to 22.98); 0.425 | −1.00; 0.012 |
Victim rescue | 3 | 222 | −0.0792 (−0.210 to 0.055) | −1.159 | 0.247 | 0.0%; 1.67; 0.434 | −4.09 (−22.07 to 13.89); 0.212 | −1.00; 0.117 |
Forcible entry | 2 | 180 | −0.0700 (−0.215 to 0.078) | −0.924 | 0.355 | 0.0%; 0.66; 0.418 | 99.59 (--); <0.001 | 1.00; 0.317 |
Note: * indicates statistical significance <0.05; ** indicates statistical significance <0.01. (--)—indicates insufficient studies to calculate Egger’s test result. PPE—personal protective equipment.; italics—indicates subgroup analysis.