Obesity is associated with the future risk of heavy truck crashes among newly recruited commercial drivers

Anderson, Jon E.; Govada, Manjari; Steffen, Tricia K.; Thorne, Chris P.; Varvarigou, Vasileia; Kales, Stefanos N.; Burks, Stephen V.

doi:10.1016/j.aap.2012.02.018

Cited by 105 publications

(104 citation statements)

References 37 publications

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“…In order to understand how driver obesity is related to crash involvement, the drivers were asked about their weight and height, and the body mass index (BMI) was calculated. The drivers were classified according to BMI as underweight, normal, over weight and obese [9]. Figure 1,d shows that obese and overweight truck drivers are the most involved in traffic accidents by 40% obese, 39% over weight, 21% normal drivers.…”

Section: Analysis and Discussionmentioning

confidence: 99%

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Factors Affecting Accidents Risks among Truck Drivers In Egypt

Elshamly

El-Hakim²,

Afify³

2017

MATEC Web Conf.

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Abstract. Egypt is ranked among the countries with the highest rates of road accidents. According to the American Chamber of Commerce more than 96% of Egypt's goods are transported by trucks and due to their large volume and excessive weight, the severity and number of truck accident fatalities are much higher than other vehicles in Egypt. The present study aims at identifying truck driver's behavior and its influence on crash involvement. Due to the shortage in recording accident data and the inaccurate road accident audit, data was collected from several governorates in Egypt through questionnaire. Questionnaire forms were filled out through personal interviews with truck drivers. The total number of respondents was 643. The final analysis was made on the 615 questionnaires with complete answers. The data was analyzed and logistic regression was applied to accident related data to examine the contributing factors affecting accident occurrence of truck drivers. Results showed that fatigue in terms of driving hours (continuous and total) and lack of sleep, drug use during driving, and driver obesity are the most influencing factors on the occurrence of truck accidents in Egypt. The findings of this research highlight the important role human factors have on the risk of crash involvement amongst Egypt's truck drivers and the need to improve their work conditions.

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Section: Analysis and Discussionmentioning

confidence: 99%

“…Obesity is also a risk factor for automotive accidents. Obese truck drivers have a significantly higher risk of causing accidents than non obese truck drivers [5]. The National Transportation Safety Board concluded that more than 30 % of fatal-to-the-driver truck crashes are fatigue related [6].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Accidents Risks among Truck Drivers In Egypt

Elshamly

El-Hakim²,

Afify³

2017

MATEC Web Conf.

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“…Based on studies about actual sleeping time, truck drivers often suffer from sleep deprivation up to several hours per 24 hours compared to recommendations of 7-8 hours of sleeping time (17)(18)(19). Among professional drivers, obesity is associated with increased risk of being fatigued and involved in road traffic accident (15,20). Among the underlying pathological processes, the central ones are breathing disorders during sleep that are induced by obesity (21).…”

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confidence: 99%

Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers – a randomized controlled trial

Puhkala¹,

Kukkonen-Harjula²,

Mansikkamäki³

et al. 2014

Scand J Work Environ Health

105

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Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers -a randomized controlled trial by Puhkala J, Kukkonen-Harjula K, Mansikkamäki K, Aittasalo M, Hublin C, Kärmeniemi P, Olkkonen S, Partinen M, Sallinen M, Tokola K, Fogelholm M Our aim was to decrease body weight and cardiometabolic risk factors among overweight truck and bus drivers by structured lifestyle counseling. Our study is one of the few randomized trials to promote health of professional drivers. The study showed clinically meaningful decreases in body weight and cardiometabolic risk factors after 12 months of counseling followed by 12 months of follow-up. Original article Scand J Work Environ Health. 2015;41(1):54-64. doi:10.5271/sjweh.3463 Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers -a randomized controlled trial Objectives We conducted a randomized trial among overweight long-distance drivers to study the effects of structured lifestyle counseling on body weight and cardiometabolic risk factors. AffiliationMethods Men with waist circumference >100 cm were randomized into a lifestyle counseling (LIFE, N=55) and a reference (REF, N=58) group. The LIFE group participated in monthly counseling on nutrition, physical activity, and sleep for 12 months aiming at 10% weight loss. After 12 months, the REF group participated in 3-month counseling. Assessments took place at 0, 12, and 24 months. Between-group differences in changes were analyzed by generalized linear modeling. Metabolic risk (Z score) was calculated from components of metabolic syndrome. ResultsThe mean body weight change after 12 months was -3.4 kg in LIFE (N=47) and 0.7 kg in REF (N=48) [net difference -4.0 kg, 95% confidence interval (95% CI) -1.9--6.2]. Six men in LIFE reduced body weight by ≥10%. Changes in waist circumference were -4.7 cm in LIFE and -0.1 cm in REF (net -4.7 cm, 95% CI -6.6--2.7). Metabolic risk decreased more in the LIFE than REF group (net -1.2 points, 95% CI -0.6--2.0). After 24 months follow-up, there were no between-group differences in changes in body weight (net -0.5 kg, 95% CI -3.8-2.9) or metabolic risk score (net 0.1 points; 95% CI -0.8-1.0) compared to baseline.Conclusions Weight reduction and decreases in cardiometabolic risk factors were clinically meaningful after 12 months of counseling.

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“…Further, changes in body composition and excess weight gains related to poor sleep health and exacerbated by other interacting factors generate multiple cardio metabolic comorbidities [15][16][17]. Interacting sleep problems and cardio metabolic comorbidities further exacerbate fatigue and accident rates [18] and substantially diminish commercial drivers' life expectancies [20]. These issues continue to plague drivers and vex prevention efforts.…”

Section: Introductionmentioning

confidence: 99%

“…Resulting sleep problems generate fatigue and result in impaired driving performance due to excessive daytime sleepiness and reduced alertness [18,19]. Impaired driving performance results in injury and death for drivers and the motoring public, as well as having broad ramifications for governments, health care systems, and transportation and warehousing companies [15].…”

Section: Introductionmentioning

confidence: 99%