Diabetes Centre, Department of Medicine and Rehabilitation, Tung Wah Eastern Hospital, 19 Eastern Hospital Road, Hong Kong SAR, China.
Diabetes Res Clin Pract. 2012 Apr;96(1):60-7. doi: 10.1016/j.diabres.2011.12.002. Epub 2012 Jan 4.
To investigate the prevalence of undiagnosed diabetes mellitus (DM) and cardiovascular risk factors among professional drivers in Hong Kong.
Chinese professional drivers with no history of DM were invited to complete a questionnaire on their health status, followed by taking their body measurements, fasting blood glucose (FG) and lipids. 75g OGTT were performed when FG≥5.6 to <7.0mmol/L.
Of these 3376 drivers (male 92.6%, mean age 50.9±7.6 years), the prevalence of undiagnosed DM, prediabetes, and metabolic syndrome was 8.1% (272/3376, 95% CI 7.1-9.0%), 10.0% (337/3376, 95% CI 9.0-11.0%) and 26.8% (904/3376, 95% CI 25.3-28.3%) respectively, while the corresponding WHO Standard Population age-standardized prevalence was 7.8%, 9.0% and 24.7% respectively. Many of them were obese (51.2%), had hypertension (57.0%) and high cholesterol (58.7%), and a third had hypertriglyceridaemia (34.9%) and low HDL-cholesterol (29.3%). Their median working hours were 60.0 (IQR 14)h. Majority had exercise <1h/week (56.0%) and ate out ≥6times/week (54.9%).
Hong Kong professional drivers have higher prevalence of undiagnosed DM, cardiovascular risk factors and metabolic syndrome than the general population. Therefore, health care measures targeting against them should be taken to prevent and detect DM and cardiovascular diseases.
调查香港职业驾驶员中未确诊的糖尿病（DM）和心血管危险因素的流行情况。
邀请无 DM 病史的中国职业驾驶员完成健康状况问卷，然后测量他们的身体，检测空腹血糖（FG）和血脂。当 FG≥5.6 至<7.0mmol/L 时进行 75g OGTT。
在这 3376 名驾驶员中（男性 92.6%，平均年龄 50.9±7.6 岁），未确诊 DM、糖尿病前期和代谢综合征的患病率分别为 8.1%（272/3376，95%CI7.1-9.0%）、10.0%（337/3376，95%CI9.0-11.0%）和 26.8%（904/3376，95%CI25.3-28.3%），而相应的世界卫生组织标准人群年龄标准化患病率分别为 7.8%、9.0%和 24.7%。他们中有很多人肥胖（51.2%）、患有高血压（57.0%）和高胆固醇（58.7%），三分之一的人有高甘油三酯血症（34.9%）和低高密度脂蛋白胆固醇（29.3%）。他们的中位工作时间为 60.0（IQR14）h。大多数人每周运动<1h（56.0%），每周外出就餐≥6 次（54.9%）。
香港职业驾驶员未确诊的 DM、心血管危险因素和代谢综合征的患病率高于一般人群。因此，应采取针对他们的保健措施，以预防和发现 DM 和心血管疾病。
