Kim Judy, Duvall Chloe R, Blumenthal Roger S, Sutton Nadia R
Division of Cardiovascular Medicine, Department of Medicine, Michigan Medicine, Ann Arbor, MI, USA.
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Am Heart J Plus. 2022 Sep 16;22:100206. doi: 10.1016/j.ahjo.2022.100206. eCollection 2022 Oct.
Commercial motor vehicle (CMV) drivers have an increased risk for cardiometabolic risk factors and higher rates of cardiovascular disease relative to the general population. Lifestyle factors, including the sedentary nature of driving and lack of access to healthy foods, contribute to the disproportionately high cardiovascular disease (CVD) risk among commercial vehicle (CMV) drivers. Occupational physicals represent an important opportunity to reach populations with a high prevalence and incidence of coronary artery disease who may not otherwise seek preventive care. These visits are an opportunity to discuss primary and secondary prevention, including lifestyle topics such as diet and exercise, and potentially recommend or implement preventive medical therapy when indicated. Future iterations of licensing guidelines for drivers should seek to incorporate updated recommendations regarding diet, physical activity, and preventive pharmacologic therapies.
与普通人群相比，商用机动车（CMV）驾驶员患心血管代谢危险因素的风险增加，心血管疾病发生率更高。生活方式因素，包括驾驶的久坐性质以及难以获取健康食品，导致商用车辆（CMV）驾驶员患心血管疾病（CVD）的风险高得不成比例。职业体检是接触冠状动脉疾病患病率和发病率较高人群的重要机会，这些人可能不会寻求预防性护理。这些就诊是讨论一级和二级预防的机会，包括饮食和运动等生活方式话题，并在必要时可能推荐或实施预防性药物治疗。未来驾驶员执照指南的修订应寻求纳入有关饮食、体育活动和预防性药物治疗的最新建议。
