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1.
J Occup Environ Med ; 60(4): 368-376, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29624565

RESUMO

OBJECTIVE: 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. METHODS: Fifty-seven males participated in the pre-post evaluation of a multicomponent 12-week intervention. RESULTS: 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. CONCLUSION: 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.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Diabetes Mellitus/prevenção & controle , Exercício Físico , Promoção da Saúde/métodos , Síndrome Metabólica/prevenção & controle , Veículos Automotores , Adulto , Glicemia/metabolismo , LDL-Colesterol/sangue , Aconselhamento , Dieta , Educação em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional , Estado Pré-Diabético/prevenção & controle , Fatores de Risco , Postura Sentada , Posição Ortostática , Fatores de Tempo , Circunferência da Cintura , Relação Cintura-Quadril
2.
J Occup Environ Med ; 60(4): 377-385, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29271840

RESUMO

OBJECTIVES: To undertake a process-evaluation of a structured health intervention for truckers (SHIFT) implemented in a sample of UK lorry drivers. METHODS: A combination of "debrief interviews," focus groups and one-to-one interviews, in addition to observations and reflections of the two lead researchers were used to collect data on the acceptability of SHIFT from a group of 16 lorry drivers and four transport managers. RESULTS: The SHIFT program was considered relevant and acceptable to lorry drivers. It provided them with health information tailored to their specific health needs, long-lasting tools and techniques, which helped to raise their awareness of key health issues and helped to stimulate lifestyle changes during their daily routine. CONCLUSION: This process-evaluation suggests that the SHIFT program should now be evaluated on a larger scale and tested through fully randomized controlled trials.


Assuntos
Promoção da Saúde/métodos , Promoção da Saúde/normas , Veículos Automotores , Saúde Ocupacional , Adulto , Comunicação , Análise Custo-Benefício , Grupos Focais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Local de Trabalho
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