Risk factors for depression in truck drivers

Silva‐Júnior, Francisco Pereira da; Pinho, Raquel Saraiva Nunes de; Mello, Marco Túlio de; Bruin, Veralice Meireles Sales de; Bruin, Pedro Felipe Carvalhedo de

doi:10.1007/s00127-008-0412-3

Cited by 70 publications

(51 citation statements)

References 35 publications

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“…This is a subject that needs further clarification. Prospective studies could test the effects of antidepressants in daytime somnolence, cognitive function, reduced alertness, and driving ability (29). We confirm that poor sleep quality affects more than half of diabetic patients (16).…”

Section: Discussionsupporting

confidence: 58%

Excessive daytime sleepiness in type 2 diabetes

Medeiros

Bruin

Férrer

et al. 2013

Arq Bras Endocrinol Metab

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Objective: To examine excessive daytime sleepiness (EDS) in type 2 diabetes. Subjects and methods: Patients (N = 110) were evaluated regarding Epworth Sleepiness Scale (EDS), sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Beck Depression Inventory), Restless Legs Syndrome (RLS), risk of obstructive sleep apnea (OSA) (Berlin questionnaire), and comorbidity severity (Charlson Comorbidity Index). Patients were compared with indivi duals with arterial hypertension and without diabetes. Results: Diabetic patients had more EDS, depressive symptoms, and higher comorbidity severity than hypertensive patients (p < 0.005). In diabetic patients, poor quality sleep (53.3%), and high risk of OSA (40.9%) and RLS (14.5%) were found; EDS (55.5%) was associated with depressive symptoms present in 44.5% indivi duals (OR = 1.08; 95% CI: 1.01 1.15), and remained so after data were controlled for age, gender, body mass index, and glycated hemoglobin (OR = 2.27; 95% CI 1.03 5.03). Conclusions: Sleep abnormalities are frequent. EDS affects most of the patients and is independently associated with depressive symptoms. Adequate antidepressant therapy should be tested for the effects on EDS. Arq Bras Endocrinol Metab. 2013;57(6):425-30 Keywords Diabetes; sleep; depression; apnea; comorbidity RESUMO Objetivo: Em pacientes com diabetes tipo 2, avaliar a sonolência excessiva diurna (SED). Sujeitos e métodos: Pacientes (N = 110) foram investigados com relação a Escala de Sonolência de Epworth (SED), qualidade do sono (Índice de Qualidade de Sono Pittsburgh), sintomas depres sivos (Inventário de Depressão de Beck), Síndrome das Pernas Inquietas (SPI), risco de apneia obstrutiva do sono (AOS) (Questionário de Berlim) e comorbidades (Índice de Comorbidade de Charlson), e foram comparados com indivíduos com hipertensão arterial sem diabetes. Resultados: Pacientes diabéticos apresentavam mais SED, sintomas depressivos e comorbidades que os hipertensos (p < 0,005). Em pacientes diabéticos, má qualidade do sono (53,3%), risco de AOS (40,9%) e SPI (14,5%) foram encontrados. SED (55,5%) associou se com os sintomas depressivos em 44,5% (OR = 1,08; 95% IC 1,01 1,15) e permaneceu após controle para idade, sexo, índice de massa corporal e hemoglobina glicosilada (OR = 2,27 95% IC 1,03 5,03). Conclusões: Anormalidades do sono são frequentes. SED afeta a maioria dos pacientes e associa se de forma independente com os sintomas depressivos. Terapia antidepressiva pode melhorar a SED. Arq Bras Endocrinol Metab. 2013;57(6):425-30

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Section: Discussionsupporting

confidence: 58%

Excessive daytime sleepiness in type 2 diabetes

Medeiros

Bruin

Férrer

et al. 2013

Arq Bras Endocrinol Metab

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“…In the study carried out by Teles et al, 19 the prevalence of amphetamine use was of 30%. In the work of Silva-Júnior et al, 13 35% of the interviewees reported using stimulants, of whom 90.6% reported consumption of these substances by their colleagues. In these three studies, the prevalence that was found is higher than in the present research.…”

Section: Discussionmentioning

confidence: 98%

“…Penteado et al 12 identifi ed a prevalence of 43% of alcohol use in the Northeast of Brazil. In the study conducted by Silva-Júnior et al, 13 carried out in the city of Fortaleza (Northeastern Brazil), 48.3% of the interviewees reported consuming alcohol during workdays and 88.6% reported that their colleagues maintained this practice. Ferreira et al 4 showed that 41.9% of the truck drivers who traveled along routes in the interior of the State of São Paulo reported using alcohol in the seven days that preceded the research.…”

Section: Discussionmentioning

confidence: 99%

Manter-se acordado: a vulnerabilidade dos caminhoneiros no Rio Grande do Sul

et al. 2012

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OBJECTIVE:To analyze factors associated with the use of stimulants by truck drivers to stay awake. METHODS:A survey with 854 drivers was carried out at eight truck stops (seven gas stations and one border patrol post) located at fi ve cities in the State of Rio Grande do Sul (Southern Brazil) in 2006. The outcome "amphetamine use" was categorized as "yes" or "no". Poisson regression analysis with robust variance was conducted in order to select variables that would be included in the model, which was composed of variables regarding socioeconomic and demographic characteristics, information on profession and on alcohol consumption. RESULTS:Amphetamine was used by 12.4% of truck drivers in order to stay awake, either by itself or together with other substances (coffee, guaraná powder, energy drinks, snorted cocaine). Amphetamine was the most cited substance by those who consumed something to stay awake. Consumption of alcoholic drinks was mentioned by more than 70% of the interviewees. Among those who declared drinking alcohol, 45.1% reported drinking at least once a week. Once a week. Amphetamine use was associated with younger age, higher income, longer trips, and alcohol use. CONCLUSIONS:Truck drivers' higher income implies increased workloads, which can result in physical and emotional stress, with consequent use of stimulants, as a temporary solution. The reduction in abusive consumption of alcohol and in the use of illicit substance, like amphetamines, by truck drivers depends not only on policies addressing prevention and treatment for drug abuse, but also on integrated policies ensuring better working and health conditions.

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“…Em termos ocupacionais, os participantes tinham larga experiência como motoristas profissionais, com excessiva carga diária de trabalho, percorrendo longas distâncias. Esses dados são consistentes com os de estudos prévios, particularmente no que diz respeito a idade 23,24,25 , estado civil 23,25 , anos de experiên-cia 26,27 , carga diária de trabalho 26,28,29,30 e turno de trabalho 26 .…”

Section: Discussionunclassified