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

Bibliographic Details
Title:	Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers – a randomized controlled trial
Authors:	Jatta Puhkala, Katriina Kukkonen-Harjula, Kirsi Mansikkamäki, Minna Aittasalo, Christer Hublin, Paula Kärmeniemi, Seppo Olkkonen, Markku Partinen, Mikael Sallinen, Kari Tokola, Mikael Fogelholm
Source:	Scandinavian Journal of Work, Environment & Health, Vol 41, Iss 1, Pp 54-64 (2015)
Publisher Information:	Nordic Association of Occupational Safety and Health (NOROSH), 2015.
Publication Year:	2015
Collection:	LCC:Public aspects of medicine
Subject Terms:	body weight, metabolic syndrome, nutrition, weight loss, walking, mes, lifestyle counseling, cardiometabolic risk factor, truck driver, bus driver, risk factor, professional driver, exercise, obesity, randomized controlled trial, Public aspects of medicine, RA1-1270
More Details:	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. METHODS: 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. RESULTS: The 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.
Document Type:	article
File Description:	electronic resource
Language:	English
ISSN:	0355-3140 1795-990X
Relation:	https://www.sjweh.fi/show_abstract.php?abstract_id=3463; https://doaj.org/toc/0355-3140; https://doaj.org/toc/1795-990X
DOI:	10.5271/sjweh.3463
Access URL:	https://doaj.org/article/88bc72059a4646f7b9d32c55abfc5657
Accession Number:	edsdoj.88bc72059a4646f7b9d32c55abfc5657
Database:	Directory of Open Access Journals

More Details
ISSN:	03553140 1795990X
DOI:	10.5271/sjweh.3463
Published in:	Scandinavian Journal of Work, Environment & Health
Language:	English