School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK (Dr Varela Mato, Dr King, Dr Stensel, Dr Clemes); NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Centre, Loughborough, UK (Dr Varela Mato, Dr King, Dr Edwardson, Dr Yates, Dr Stensel, Dr Clemes); Veterans and Families Institute, Anglia Ruskin University, Cambridge, UK (Dr Caddick); Leicester Diabetes Centre, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK (Ms Johnson, Dr Edwardson, Dr Yates); Reach Health Ltd, Leicester, UK (Dr Daly); College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK (Dr Nimmo).
J Occup Environ Med. 2018 Apr;60(4):368-376. doi: 10.1097/JOM.0000000000001128.
The aim of this study was to examine the effects of implementing a lifestyle health behavior intervention on cardiovascular risk markers in a sample of lorry drivers.
Fifty-seven males participated in the pre-post evaluation of a multicomponent 12-week intervention.
Favorable changes in several cardiovascular health indicators were observed, including fasting blood glucose (-0.6 mmol/L), LDL-Cholesterol (-0.7 mmol/L), total cholesterol (-0.7 mmol/L), waist-hip ratio (-0.10), and waist circumference (-2.5 cm) (P < 0.01). The proportion of participants with a more than 10% risk of a cardiovascular event in the next 10 years was reduced by 12% (P < 0.05). A 21%, 12%, and 7.5% reduction in drivers with pre-diabetes (P < 0.001), undiagnosed diabetes (P < 0.05), and the metabolic syndrome (P < 0.05), respectively, was observed.
This study highlights the feasibility of implementing a multicomponent health intervention within the transport setting and provides preliminary evidence of its beneficial effects on some markers of health.
本研究旨在探讨在卡车司机样本中实施生活方式健康行为干预对心血管风险标志物的影响。
57 名男性参与了为期 12 周的多组分干预措施的预-后评估。
观察到一些心血管健康指标的有利变化，包括空腹血糖（-0.6mmol/L）、LDL 胆固醇（-0.7mmol/L）、总胆固醇（-0.7mmol/L）、腰臀比（-0.10）和腰围（-2.5cm）（P<0.01）。未来 10 年内发生心血管事件风险超过 10%的参与者比例降低了 12%（P<0.05）。患有前驱糖尿病（P<0.001）、未确诊糖尿病（P<0.05）和代谢综合征（P<0.05）的司机人数分别减少了 21%、12%和 7.5%。
本研究强调了在运输环境中实施多组分健康干预的可行性，并提供了初步证据表明其对一些健康标志物有益。
