Lemke Michael K, Apostolopoulos Yorghos, Hege Adam, Wideman Laurie, Sönmez Sevil
Texas A&M University Complexity & Computational Population Health Group, USA.
Ind Health. 2017 Apr 7;55(2):149-161. doi: 10.2486/indhealth.2016-0127. Epub 2016 Dec 30.
Long-haul truck drivers in the United States experience elevated cardiovascular health risks, possibly due to hypercholesterolemia. The current study has two objectives: 1) to generate a cholesterol profile for U.S. long-haul truck drivers; and 2) to determine the influence of work organization characteristics and sleep quality and duration on cholesterol levels of long-haul truck drivers. Survey and biometric data were collected from 262 long-haul truck drivers. Descriptive analyses were performed for demographic, work organization, sleep, and cholesterol measures. Linear regression and ordinal logistic regression analyses were conducted to examine for possible predictive relationships between demographic, work organization, and sleep variables, and cholesterol outcomes. The majority (66.4%) of drivers had a low HDL (<40 mg/dL), and nearly 42% of drivers had a high-risk total cholesterol to HDL cholesterol ratio. Sleep quality was associated with HDL, LDL, and total cholesterol, and daily work hours were associated with LDL cholesterol. Workday sleep duration was associated with non-HDL cholesterol, and driving experience and sleep quality were associated with cholesterol ratio. Long-haul truck drivers have a high risk cholesterol profile, and sleep quality and work organization factors may induce these cholesterol outcomes. Targeted worksite health promotion programs are needed to curb these atherosclerotic risks.
美国的长途卡车司机心血管健康风险较高，可能是由于高胆固醇血症所致。本研究有两个目标：1）生成美国长途卡车司机的胆固醇谱；2）确定工作组织特征、睡眠质量和时长对长途卡车司机胆固醇水平的影响。从262名长途卡车司机处收集了调查和生物特征数据。对人口统计学、工作组织、睡眠和胆固醇指标进行了描述性分析。进行了线性回归和有序逻辑回归分析，以检验人口统计学、工作组织和睡眠变量与胆固醇结果之间可能存在的预测关系。大多数（66.4%）司机的高密度脂蛋白水平较低（<40mg/dL），近42%的司机总胆固醇与高密度脂蛋白胆固醇之比处于高风险水平。睡眠质量与高密度脂蛋白、低密度脂蛋白和总胆固醇有关，每日工作时长与低密度脂蛋白胆固醇有关。工作日睡眠时间与非高密度脂蛋白胆固醇有关，驾驶经验和睡眠质量与胆固醇比值有关。长途卡车司机的胆固醇谱风险较高，睡眠质量和工作组织因素可能导致这些胆固醇结果。需要有针对性的工作场所健康促进项目来控制这些动脉粥样硬化风险。
