Commercial Driver Medical Examinations: Prevalence of Obesity, Comorbidities, and Certification Outcomes.

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Abstract

The objective of this study was to assess relationships between body mass index (BMI) and comorbid conditions within a large sample of truck drivers.

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Most cited references 20

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Obesity and other risk factors: the national survey of U.S. long-haul truck driver health and injury.

W Karl Sieber, Cynthia F Robinson, Jan Birdsey … (2014)

Drivers of heavy and tractor-trailer trucks accounted for 56% of all production and nonsupervisory employees in the truck transportation industry in 2011. There are limited data for illness and injury in long-haul truck drivers, which prompted a targeted national survey.

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

Jon Anderson, Manjari Govada, Tricia K. Steffen … (2012)

This study estimates the dose-response relationship between body mass index (BMI) and crash risk in operators of heavy commercial motor vehicles. Intake data were collected during the first two weeks of instruction from 744 new truck drivers training for their commercial driver's licenses at a school operated by the cooperating trucking firm. Drivers were then followed prospectively on the job using the firm's operational data for two years, or until employment separation, whichever came first. Multivariate Poisson regression and Cox proportional hazards models were used to estimate the relationship between crash risk and BMI, controlling for demographic characteristics and for variations in the exposure to risks on the road. Results from the Poisson regression, which used cumulative miles driven as an exposure control, indicated that compared to normal BMI (18.5

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Truck drivers and heart disease in the United States, 1979-1990.

Iain Robinson, John C Burnett (2005)

Studies of truck drivers and cardiovascular disease (CVD), myocardial infarction, or ischemic heart disease (IHD) are limited, although studies of other professional drivers reported increased risk. US mortality data from 1979 to 1990 for ages 15-90 were used to calculate proportional mortality ratios (PMRs) for heart disease and lung cancer for short and long haul truck drivers. Analysis was performed for Black (998 short haul and 13,241 long haul) truck drivers and White (4,929 short and 74,315 long haul) truck drivers separately. The highest significantly elevated proportionate heart disease (IHD, acute myocardial infarction (AMI), and other forms of heart disease) and lung cancer mortality was found for White and Black male long haul truck drivers age 15-54. Mortality was not significantly elevated for short haul truck drivers of either race or gender, nor for truck drivers who died after age 65, except for lung cancer among White males. An indirect adjustment suggested that smoking could explain the excess IHD mortality, but no direct data for smoking or the other known risk factors for heart disease were available and occupational exposures were not measured. The highest significant excess proportionate mortality for lung cancer, IHD and AMI was found for long haul truck drivers who were under age 55 at death. A cohort or longitudinal study of heart disease among long haul truck drivers, that obtains data for occupational exposures as well as lifestyle risk factors, could help explain inconsistencies between the findings of this and previous studies.

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Journal

Journal ID (iso-abbrev): J. Occup. Environ. Med.

Title: Journal of occupational and environmental medicine

Publisher: Ovid Technologies (Wolters Kluwer Health)

ISSN (Electronic): 1536-5948

ISSN (Print): 1076-2752

Publication date (Electronic): Jun 2015

Volume: 57

Issue: 6

Affiliations

[1 ] From the Rocky Mountain Center for Occupational & Environment Health (Drs Thiese and Hegmann), Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City; Arkansas Occupational Health Clinic (Dr Moffitt), Springdale; Center for Truck and Bus Safety (Dr Hanowski), Virginia Tech Transportation Institute, Blacksburg; Department of Environmental Health (Dr Kales), School of Public Health, Harvard, Cambridge, Mass; and Utah Traffic Lab (Dr Porter), Department of Civil & Environmental Engineering, University of Utah, Salt Lake City.

Article

DOI: 10.1097/JOM.0000000000000422

PMC ID: 4448672

PubMed ID: 25710607

SO-VID: 3a73a83a-bdd0-4f30-b035-4bfd3df56b75

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Commercial Driver Medical Examinations: Prevalence of Obesity, Comorbidities, and Certification Outcomes.

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Abstract

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Medical Physics Publishing

Most cited references 20

Obesity and other risk factors: the national survey of U.S. long-haul truck driver health and injury.

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

Truck drivers and heart disease in the United States, 1979-1990.

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