Unhealthy and healthy weight control behaviours among bus operators

Escoto, Kamisha Hamilton; French, Simone A.

doi:10.1093/occmed/kqr178

Cited by 10 publications

(36 citation statements)

References 10 publications

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“…Research staff members distributed questionnaires to participating drivers and measured drivers’ height and weight. We assessed sociodemographic and work factors, body weight and related behaviors, health-related perceptions and attitudes, and support for healthy eating, physical activity, and healthy weight (3–5,13,14).…”

Section: Methodsmentioning

confidence: 99%

“…Unhealthy and healthy weight control behaviors were assessed by asking participants whether they had engaged in any of 10 dietary behaviors (eg, increasing fruit and vegetables, taking diet pills) (14). Healthy dieting behavior was defined as participants’ engaging in at least 1 healthy weight control behavior and no unhealthy weight control behaviors.…”

Section: Methodsmentioning

confidence: 99%

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Overweight and Obesity Among School Bus Drivers in Rural Arkansas

et al. 2019

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Introduction Obesity is a major public health concern. Compared with other occupational groups, transportation workers, such as school bus drivers, have higher rates of obesity. However, little is known about the body weight and related health behaviors of these drivers, and opportunities for intervention are undetermined. Methods We collected multilevel data from school bus drivers working from 4 school bus garages in Little Rock, Arkansas, and their work environment from January through July of 2017. Data on weight, height, sociodemographic characteristics, work factors, weight-related behaviors, and psychosocial variables were collected from 45 drivers. Analyses explored associations between body mass index (BMI; weight in kg/ height in m 2 ) and sociodemographic characteristics, work factors, weight-related behaviors, and psychosocial variables. Two focus groups with a total of 20 drivers explored drivers’ perspectives about healthy weight. Observational data at the bus and garage levels were collected through 2 “ride-alongs” and an environmental scan. Results Drivers in our sample were predominately overweight or obese (91.1%), and most did not meet dietary or physical activity guidelines. Drivers who were currently dieting had higher BMIs (36.4; standard deviation [SD], 8.2) than drivers who were not dieting (28.5; SD, 7.7); drivers who reported eating less to lose weight had higher BMIs (38.1; SD, 8.5) than those who did not report eating less (29.5; SD, 6.0). Drivers who did not meet physical activity recommendations had higher BMIs (36.5; SD, 9.8) than those who met recommendations (30.9; SD, 4.8). Structural barriers and work stress were significant barriers to achieving a healthy weight. Resources for healthful eating and physical activity were limited in the garage. Conclusion Our study provides preliminary data on the prevalence, risk factors, and perceptions of overweight and obesity among school bus drivers. Study data on drivers’ body weight, health-related behaviors, and psychosocial characteristics could serve as a basis for worksite interventions to improve drivers’ health.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Overweight and Obesity Among School Bus Drivers in Rural Arkansas

et al. 2019

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“…e Downgraded for indirectness. f Van de Gaar 2014 and French 2010 were cluster‐RCTs with four units, of which two were allocated by the flip of a coin to the intervention group. Given the small number of randomised units, randomisation may not have been sufficient to attain baseline comparability of the intervention and control groups.…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…of clusters or participants No. of studies Certainty of Evidence Impact F.1 Healthier default beverages in children's menus in restaurants SSB sales (6 years) 145 restaurants in 1 theme park 1 ITS study ⊕⊕⊝⊝ LOW a,b Peters 2016a (share of children's menus served with SSB): − 68 percentage points F.2 In‐store promotion of low‐calorie beverages in supermarkets SSB sales (6 months) 8 supermarkets from 2 chains 1 cluster‐RCT ⊕⊕⊕⊝ MODERATE c Foster 2014 (in‐aisle SSB sales per supermarket): − 11 l/day (95% CI − 63 to 40) Foster 2014 (check‐out cooler SSB sales per supermarket): − 2 units/day (95% CI − 5 to 1) F.3 Healthier vending machines in workplaces and schools SSB sales (18 to 24 months) 6 schools and 4 worksites 2 NRCTs d ⊕⊝⊝⊝ VERY LOW d,e,f Ermetici 2016 (SSB intake, normal weight participants): − 1.1 times/week (95% CI − 1.5 to − 0.7) Ermetici 2016 (SSB intake, participants with overweight and obesity): − 0.8 times/week (95% CI − 1.5 to − 0.1) French 2010 (SSB intake): +14 ml/day (P > 0.05) Total revenue g (5 months) 1 worksite 1 cluster‐RCT ⊕⊕⊝⊝ LOW h Hua 2017 reports that "the control machines and machines that had product guidelines and price changes both had small but significant decreases in revenue (‐$156.10 and ‐$593.55, respectively; P < 0.05). " F.4 Urban planning restrictions on new fast‐food outlets SSB intake (3 to 4 years) 11,821 inhabitants of 1 city and 1 county 1 CBA study ⊕⊝⊝⊝ VERY LOW i,j Sturm 2015 (SSB intake frequency, measure or scale not reported): − 0.9 (P > 0.05) F.5 Restrictions on the number of stores selling SSB in remote communities SSB sales (8 months) 3 stores in 1 remote community 1 ITS study ⊕⊝⊝⊝ VERY LOW k,l Minaker 2016 (community‐wide SSB sales, model controlling for the summer peak): CAD −51 /day (95% CI − 166 to 65) CBA: Controlled‐before‐after study; CI: Confidence interval; ITS : interrupted‐time‐series study; NRCT : non‐randomised controlled trial; RCT : randomised controlled trial; SSB: sugar‐sweetened beverages a Downgraded for risk of bias: In Peters 2016a, data for the first three years post‐intervention are missing, and the point of analysis is therefore not the point of intervention.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health

Philipsborn

Stratil

Burns

et al. 2019

Cochrane Database of Systematic Reviews

150

122

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BackgroundFrequent consumption of excess amounts of sugar‐sweetened beverages (SSB) is a risk factor for obesity, type 2 diabetes, cardiovascular disease and dental caries. Environmental interventions, i.e. interventions that alter the physical or social environment in which individuals make beverage choices, have been advocated as a means to reduce the consumption of SSB.ObjectivesTo assess the effects of environmental interventions (excluding taxation) on the consumption of sugar‐sweetened beverages and sugar‐sweetened milk, diet‐related anthropometric measures and health outcomes, and on any reported unintended consequences or adverse outcomes.Search methodsWe searched 11 general, specialist and regional databases from inception to 24 January 2018. We also searched trial registers, reference lists and citations, scanned websites of relevant organisations, and contacted study authors.Selection criteriaWe included studies on interventions implemented at an environmental level, reporting effects on direct or indirect measures of SSB intake, diet‐related anthropometric measures and health outcomes, or any reported adverse outcome. We included randomised controlled trials (RCTs), non‐randomised controlled trials (NRCTs), controlled before‐after (CBA) and interrupted‐time‐series (ITS) studies, implemented in real‐world settings with a combined length of intervention and follow‐up of at least 12 weeks and at least 20 individuals in each of the intervention and control groups. We excluded studies in which participants were administered SSB as part of clinical trials, and multicomponent interventions which did not report SSB‐specific outcome data. We excluded studies on the taxation of SSB, as these are the subject of a separate Cochrane Review.Data collection and analysisTwo review authors independently screened studies for inclusion, extracted data and assessed the risks of bias of included studies. We classified interventions according to the NOURISHING framework, and synthesised results narratively and conducted meta‐analyses for two outcomes relating to two intervention types. We assessed our confidence in the certainty of effect estimates with the GRADE framework as very low, low, moderate or high, and presented ‘Summary of findings’ tables.Main resultsWe identified 14,488 unique records, and assessed 1030 in full text for eligibility. We found 58 studies meeting our inclusion criteria, including 22 RCTs, 3 NRCTs, 14 CBA studies, and 19 ITS studies, with a total of 1,180,096 participants. The median length of follow‐up was 10 months. The studies included children, teenagers and adults, and were implemented in a variety of settings, including schools, retailing and food service establishments. We judged most studies to be at high or unclear risk of bias in at least one domain, and most studies used non‐randomised designs. The studies examine a broad range of interventions, and we present results for these separately.Labelling interventions (8 studies): We found moderate‐certainty evidence that traffic‐light labelli...

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“…Relação dos estudos incluídos na revisão segundo autores, ano, local, tipo do estudo, prevalência da obesidade ou estimativa do estado nutricional e associações com a obesidade. FRENCH, 2012). É um resultado alarmante, destacando a importância de intervenções nesta população, já que a obesidade é um dos principais fatores de risco para doenças crônicas não transmissíveis, como a hipercolesterolemia, diabetes, doenças cardiovasculares, algumas formas de câncer; representando, atualmente, um desafio à Saúde Pública (COSTA et al, 2011).…”

Section: Prevalências Da Obesidade Caracterização Da População E Dosunclassified

Prevalência E Fatores Ocupacionais Associados À Obesidade Em Trabalhadores Do Transporte Coletivo Urbano: Revisão Sistemática Da Literatura

Souza¹,

Pimenta²

2017

Cad. Bras. Ter. Ocup.

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Resumo:Introdução: Os trabalhadores do transporte coletivo urbano constituem uma categoria profissional importante nas sociedades urbanizadas. Entretanto, estão expostos a condições de trabalho que favorecem o desenvolvimento de doenças, destacando a obesidade. Objetivo: Objetivou-se identificar as prevalências e fatores associados à obesidade em trabalhadores do transporte coletivo urbano, com enfoque nos fatores ocupacionais. Método: Realizou-se uma revisão sistemática nas bases PubMed, Portal de Periódicos CAPES e LILACS, com artigos publicados entre 2000 e 2015, em inglês, espanhol e português, utilizando os descritores "condições de trabalho" e "obesidade" e a palavra-chave "motoristas de ônibus". Como ponto de corte para a obesidade, considerou-se IMC ≥ 30 kg/m 2 . Resultados: Dos 44 artigos, a maior parte foi conduzida na Ásia (40,9%), sendo que 31,82% foram realizados no Brasil. Em relação às prevalências da obesidade, encontraram-se valores entre 9,6% (mínimo) e 58,8% (máximo). Quanto aos fatores associados à obesidade, 9 (20,45%) se propuseram a identificá-los, sendo que, destes, 4 encontraram associação com variáveis ligadas ao trabalho, destacando: ser motorista (comparado com ser cobrador); maior tempo de serviço; maior número de horas ao volante por dia; difícil acesso a frutas e atividade física no ambiente de trabalho. Conclusão: Poucos estudos se propuseram a estudar os fatores associados à obesidade no grupo de trabalhadores escolhido e, principalmente, fatores ocupacionais. Assim, evidencia-se a necessidade de considerar este agravo na rotina dos rodoviários, levantando discussões e ações de incentivo à participação destes trabalhadores em atividades saudáveis, melhoria das condições e organização do trabalho, para que este seja um promotor de saúde nesta população. Palavras-chave: Condições de Trabalho, Saúde do Trabalhador, Obesidade, Condução de Veículo.Prevalence and occupational factors associated with obesity in urban public transportation workers: a systematic review Abstract: Introduction: Urban public transportation workers constitute an important professional category in urbanised societies. However, they are exposed to working conditions that favor the development of diseases, especially obesity. Objective: Identifying the prevalence and other factors associated with obesity in urban public transportation workers, focusing on the occupational factors. Method: Systematic review on PubMed, CAPES Journal Portal, LILACS, with articles published between 2000 and 2015, in English, Spanish and Portuguese, with descriptors "working conditions " and "obesity" and keyword "bus drivers". The cut-off for obesity was BMI≥30 kg/m 2 . Results: Most of the 44 studies were conducted in Asia (40.9%); and 31.82% were carried out in Brazil. The prevalence of obesity, met values between 9.6% (minimum) and 58.8% (maximum). Out of 9 obesity association studies, 4 found association with work-related variables, including: driver (compared to the Prevalência e fatores ocupacionais associados à obesidade em t...

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Unhealthy and healthy weight control behaviours among bus operators

Abstract: Worksite interventions should emphasize the benefit of healthy eating and physical activity but should also address the use of less healthy methods for weight control for individuals employed in transportation occupations.

Cited by 10 publications

References 10 publications

Overweight and Obesity Among School Bus Drivers in Rural Arkansas

Overweight and Obesity Among School Bus Drivers in Rural Arkansas

Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health

Prevalência E Fatores Ocupacionais Associados À Obesidade Em Trabalhadores Do Transporte Coletivo Urbano: Revisão Sistemática Da Literatura

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