Prevalence of undiagnosed diabetes mellitus and cardiovascular risk factors in Hong Kong professional drivers

Siu, SC; Wong, Kin-Sun; Lee, K.F.; Lo, Yvonne; Wong, Carlos K. H.; Chan, Angelina; Fong, Daniel Yee Tak; Lam, Cindy L. K.

doi:10.1016/j.diabres.2011.12.002

Cited by 32 publications

(39 citation statements)

References 22 publications

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“…This scenario is not unique to Brazil; similar findings were observed in studies conducted in the United States [14] and China [15]. Truck drivers are not served by public health actions, and studies demonstrate that these individuals are associated with living and working conditions that increase their risk for cardiovascular diseases [14–18].…”

Section: Discussionsupporting

confidence: 59%

“…However, the rate of increased ACs (58.2%) was higher than in other studies conducted in drivers from Hong Kong/China, Juquitiba/São Paulo-Brazil, Londrina/Parana/Brazil, which estimated that 48.2%, 27% and 18.8% of those surveyed had abnormal AC values, respectively [15, 21, 23]. The majority of studies consider there to be a cardiovascular risk associated with AC measures of less than 102 cm.…”

Section: Discussioncontrasting

confidence: 55%

“…The prevalence of abnormal blood glucose values (16.4%, CI 95% 11.8 - 21) was greater than the prevalence that was found in other studies conducted with truck drivers [15, 21]. However, the diagnostic method for glucose levels used in these previous studies was a fasting glucose test, which is a better test for the diagnosis of diabetes.…”

Section: Discussionmentioning

confidence: 65%

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Prevalence of cardiovascular risk factors among truck drivers in the South of Brazil

et al. 2014

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BackgroundTruck drivers work under conditions that predispose them to a high prevalence of risk factors for the development of cardiovascular disease (CVD); however, these factors have not been fully evaluated and are not usually considered to be within the scope of health or labor services.MethodsAn observational cross-sectional study was conducted on 250 long-distance truck drivers; the drivers were all male and were aged 18-60 years. The clinical evaluation consisted of an assessment of social habits and demographic data and an evaluation of risk factors for CVD at 3 time points separated by a one-week interval. To assess the associations with risk factors were used univariate and multivariate analysis. The suitability of the final model fit was assessed via the Hosmer-Lemeshow test. The significance level was set at 5%.ResultsAmong all of the subjects, the prevalence of physical inactivity was 72.8%; consumption of alcoholic beverages, 66.8%; routine use of some type of stimulant during work activities, 19.2%; and smoking, 29%. Only 20.8% had a healthy weight, and 58.2% had an abdominal circumference greater than 102 cm. A diagnosis of arterial hypertension was confirmed in 45.2%, and abnormal glucose levels were detected in 16.4%. Although some of the truck drivers were aware of these conditions, most were not taking specific medications. The logistic regression analysis shows that the odds of hypertension and abnormal glucose levels were increased in truck drivers with abdominal obesity. Age and the family history of premature CVD also increased the chances of hypertension and the abnormal blood glucose levels were related to II or III grade obesity.ConclusionLong-distance truck drivers showed a high prevalence of a cluster of cardiovascular risk factors; these risk factors make the drivers highly susceptible to the development of CVD. The associated risk factors, low compliance with drug treatment, and unique features of this profession suggest that traditional precautions are not sufficient to change this scenario.

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Section: Discussionsupporting

confidence: 59%

Section: Discussioncontrasting

confidence: 55%

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Prevalence of cardiovascular risk factors among truck drivers in the South of Brazil

et al. 2014

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“…This poor health status has been attributed poor diets and lack of exercise and related to occupational, lifestyle and environmental factors that are unique to this occupation. [1][2][3][4][5][6][7][8][9][10] Few studies evaluate associations between these occupational, lifestyle and environmental factors and poor health outcomes such as cardiovascular disease, obesity, and obstructive sleep apnea. One survey at Tennessee truck stops reported an average body mass index (BMI) of 30 kg/m 2 , with 37% overweight, 45% obese, and only 19% within normal weight ranges, 11 although it is unclear whether these data represent national findings.…”

mentioning

confidence: 98%

Factors Associated With Truck Crashes in a Large Cross Section of Commercial Motor Vehicle Drivers

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et al. 2015

Journal of Occupational &Amp; Environmental Medicine

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“…Figure 1 shows the map of the WPR, and Table 2 reports the temporal changes in the prevalence of diabetes in these countries. The rising trend in the developing countries is considerably steeper compared with the developed countries (1,12,14,15,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34). In recent decades, apart from the WHO STEPS studies (11), there have been very few national diabetes studies for the Pacific Ocean nations (14).…”

Section: The Diabetes Epidemic In the Pacific Region And In Asia Wprmentioning

confidence: 99%

Diabetes in Asia and the Pacific: Implications for the Global Epidemic

et al. 2016

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The last three decades have witnessed an epidemic rise in the number of people with diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80% of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150% between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions. More than 60% of the people with diabetes live in Asia, with almost one-half in China and India combined. The Western Pacific, the world’s most populous region, has more than 138.2 million people with diabetes, and the number may rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health “tsunami.” Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable.

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Prevalence of undiagnosed diabetes mellitus and cardiovascular risk factors in Hong Kong professional drivers

Cited by 32 publications

References 22 publications

Prevalence of cardiovascular risk factors among truck drivers in the South of Brazil

Prevalence of cardiovascular risk factors among truck drivers in the South of Brazil

Factors Associated With Truck Crashes in a Large Cross Section of Commercial Motor Vehicle Drivers

Diabetes in Asia and the Pacific: Implications for the Global Epidemic

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