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Drivers with and without obesity respond differently to a multi-component health intervention in heavy goods vehicle drivers

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posted on 30.11.2022, 09:54 authored by Katharina RuettgerKatharina Ruettger, Stacy ClemesStacy Clemes, Yu-Ling Chen, Charlotte Edwardson, Amber GuestAmber Guest, Nicholas Gilson, Laura Gray, Vicki Johnson, Nicola PaineNicola Paine, Aron SherryAron Sherry, Mohsen SayyahMohsen Sayyah, Jacqui Troughton, Veronica Varela-MatoVeronica Varela-Mato, Thomas Yates, James KingJames King

Physical inactivity and obesity are widely prevalent in Heavy Goods Vehicle (HGV) drivers. We analysed whether obesity classification influenced the effectiveness of a bespoke structured lifestyle intervention (‘SHIFT’) for HGV drivers. The SHIFT programme was evaluated within a cluster randomised controlled trial, across 25 transport depots in the UK. After baseline assessments, participants within intervention sites received a 6-month multi-component health behaviour change intervention. Intervention responses (verses control) were stratified by obesity status (BMI < 30 kg/m2, n = 131; BMI ≥ 30 kg/m2, n = 113) and compared using generalised estimating equations. At 6-months, favourable differences were found in daily steps (adjusted mean difference 1827 steps/day, p < 0.001) and sedentary time (adjusted mean difference −57 min/day, p < 0.001) in drivers with obesity undertaking the intervention, relative to controls with obesity. Similarly, in drivers with obesity, the intervention reduced body weight (adjusted mean difference −2.37 kg, p = 0.002) and led to other favourable anthropometric outcomes, verses controls with obesity. Intervention effects were absent for drivers without obesity, and for all drivers at 16–18-months follow-up. Obesity classification influenced HGV drivers’ behavioural responses to a multi-component health-behaviour change intervention. Therefore, the most at-risk commercial drivers appear receptive to a health promotion programme.

Funding

National Institute for Health Research (NIHR) Public Health Research programme (reference: NIHR PHR 15/190/42)

NIHR Leicester Biomedical Research Centre which is a partnership between University Hospitals of Leicester NHS Trust, Loughborough University, and the University of Leicester

National Institute for Health Research (NIHR) Applied Research Collaboration East Midlands (ARC EM)

Higher Education Innovation Fund, via the Loughborough University Enterprise Projects Group

Colt Foundation (reference: JD/618

History

School

  • Sport, Exercise and Health Sciences

Published in

International Journal of Environmental Research and Public Health

Volume

19

Issue

23

Publisher

MDPI AG

Version

VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by MDPI under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/

Acceptance date

17/11/2022

Publication date

2022-11-23

Copyright date

2022

ISSN

1660-4601

Language

en

Depositor

Dr James King. Deposit date: 18 November 2022

Article number

15546