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Drivers with and without Obesity Respond Differently to a Multi-Component Health Intervention in Heavy Goods Vehicle Drivers

Author

Listed:
  • Katharina Ruettger

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK)

  • Stacy A. Clemes

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
    NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK)

  • Yu-Ling Chen

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK)

  • Charlotte L. Edwardson

    (NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK
    Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK)

  • Amber Guest

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK)

  • Nicholas D. Gilson

    (School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia)

  • Laura J. Gray

    (Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK)

  • Vicki Johnson

    (Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK)

  • Nicola J. Paine

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
    NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK)

  • Aron P. Sherry

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
    NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK)

  • Mohsen Sayyah

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK)

  • Jacqui Troughton

    (Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK)

  • Veronica Varela-Mato

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
    NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK)

  • Thomas Yates

    (NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK
    Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK)

  • James A. King

    (School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
    NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK)

Abstract

Physical inactivity and obesity are widely prevalent in Heavy Goods Vehicle (HGV) drivers. We analysed whether obesity classification influenced the effectiveness of a bespoke structured lifestyle intervention (‘SHIFT’) for HGV drivers. The SHIFT programme was evaluated within a cluster randomised controlled trial, across 25 transport depots in the UK. After baseline assessments, participants within intervention sites received a 6-month multi-component health behaviour change intervention. Intervention responses (verses control) were stratified by obesity status (BMI < 30 kg/m 2 , n = 131; BMI ≥ 30 kg/m 2 , n = 113) and compared using generalised estimating equations. At 6-months, favourable differences were found in daily steps (adjusted mean difference 1827 steps/day, p < 0.001) and sedentary time (adjusted mean difference −57 min/day, p < 0.001) in drivers with obesity undertaking the intervention, relative to controls with obesity. Similarly, in drivers with obesity, the intervention reduced body weight (adjusted mean difference −2.37 kg, p = 0.002) and led to other favourable anthropometric outcomes, verses controls with obesity. Intervention effects were absent for drivers without obesity, and for all drivers at 16–18-months follow-up. Obesity classification influenced HGV drivers’ behavioural responses to a multi-component health-behaviour change intervention. Therefore, the most at-risk commercial drivers appear receptive to a health promotion programme.

Suggested Citation

  • Katharina Ruettger & Stacy A. Clemes & Yu-Ling Chen & Charlotte L. Edwardson & Amber Guest & Nicholas D. Gilson & Laura J. Gray & Vicki Johnson & Nicola J. Paine & Aron P. Sherry & Mohsen Sayyah & Jac, 2022. "Drivers with and without Obesity Respond Differently to a Multi-Component Health Intervention in Heavy Goods Vehicle Drivers," IJERPH, MDPI, vol. 19(23), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15546-:d:981704
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    References listed on IDEAS

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    1. Jean-Pierre Després & Isabelle Lemieux, 2006. "Abdominal obesity and metabolic syndrome," Nature, Nature, vol. 444(7121), pages 881-887, December.
    2. Olson, R. & Wipfli, B. & Thompson, S.V. & Elliot, D.L. & Anger, W.K. & Bodner, T. & Hammer, L.B. & Perrin, N.A., 2016. "Weight control intervention for truck drivers: The SHIFT Randomized controlled trial, United States," American Journal of Public Health, American Public Health Association, vol. 106(9), pages 1698-1706.
    3. Anderson, Jon E. & Govada, Manjari & Steffen, Tricia K. & Thorne, Chris P. & Varvarigou, Vasileia & Kales, Stefanos N. & Burks, Stephen V., 2012. "Health Behavior and Accident Risk: Obesity Is Associated with the Future Risk of Heavy Truck Crashes among Newly Recruited Commercial Drivers," IZA Discussion Papers 6408, Institute of Labor Economics (IZA).
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