Izadi Nazanin, Malek Maryam, Aminian Omid, Saraei Maryam
Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
J Diabetes Metab Disord. 2013 Jun 1;12(1):23. doi: 10.1186/2251-6581-12-23.
Road transport drivers are one of the professional groups whose activities have a strong impact of public safety. In view of the natural professional activity, the drivers are at a higher risk of obesity, hypertension and hyperlipidemia, and carbohydrate metabolism disorders such as diabetes mellitus.
Medical documentation was the source of data for the reported study. It derived from medical examinations of 1903 drivers applying for driving license.
Hyperglycemia was found in 52.1% of the drivers, 9.1% of them were in diabetic stage, and with HbA1C criteria 77.6% of these drivers were in this stage. Excessive body weight was recorded in 65.6% of the study population, 44.8% were diagnosed with overweight and 20.8% with obesity. High blood pressure was recorded in 16.4% of drivers.
High prevalence of excessive body weight and high blood pressure and hyperlipidemia are risk factors for diabetes mellitus in professional drivers that indicates a need to undertake multidimensional actions target on this particular profession and involving various health care sectors. Prophylactic and detailed pre-placement examinations should be considered, depending on the rate and the intensity of disorders. These should be coupled with an introduction of primary and secondary prophylactic activities and monitoring of relevant treatment.
道路运输司机是其活动对公共安全有重大影响的职业群体之一。鉴于其职业活动的性质，司机患肥胖症、高血压、高脂血症以及碳水化合物代谢紊乱（如糖尿病）的风险更高。
医疗记录是本研究数据的来源。这些数据来自对1903名申请驾驶执照的司机的体检。
52.1%的司机存在高血糖，其中9.1%处于糖尿病阶段，按照糖化血红蛋白标准，这些司机中有77.6%处于该阶段。65.6%的研究对象体重超标，44.8%被诊断为超重，20.8%为肥胖。16.4%的司机患有高血压。
超重、高血压和高脂血症在职业司机中普遍存在，这些都是糖尿病的危险因素，这表明需要针对这一特定职业采取多维度行动，涉及各个医疗保健部门。应根据疾病的发生率和严重程度考虑进行预防性和详细的入职前检查。这些检查应与一级和二级预防活动的开展以及相关治疗的监测相结合。
