“…The high level of cardiovascular diseases (CVD) and mortality in the firefighters depends on the interaction of several factors such as sympathetic activation [3,16], physical workload [41][42][43], heat [5,11,44], dehydration [11,12,22], inadequate physical activity [45,46], dietary habits [47][48][49][50], shift work [47,[51][52][53], smoke exposure [54,55], noise [56] and psychological stress [12-14, 57, 58].…”