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- Title
Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers - a randomized controlled trial.
- Authors
Puhkala, Jatta; Kukkonen-Harjula, Katriina; Mansikkamäki, Kirsi; Aittasalo, Minna; Hublin, Christer; Kärmeniemi, Paula; Olkkonen, Seppo; Partinen, Markku; Sallinen, Mikael; Tokola, Kari; Fogelholm, Mikael
- Abstract
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.
- Subjects
METABOLIC syndrome risk factors; HEALTH counseling; LIFESTYLES; REGULATION of body weight; HEART physiology; BUS drivers; TRUCK drivers; RANDOMIZED controlled trials; HEALTH
- Publication
Scandinavian Journal of Work, Environment & Health, 2015, Vol 41, Issue 1, p54
- ISSN
0355-3140
- Publication type
Article
- DOI
10.5271/sjweh.3463