Lifestyle counseling in overweight truck and bus drivers - Effects on dietary patterns and physical activity

Jatta Puhkala, Katriina Kukkonen-Harjula, Minna Aittasalo, Kirsi Mansikkamäki, Markku Partinen, Christer Hublin, Paula Kärmeniemi, Mikael Sallinen, Seppo Olkkonen, Kari Tokola, Anna Ojala, Clas-Håkan Nygård, Mikael Fogelholm, Jatta Puhkala, Katriina Kukkonen-Harjula, Minna Aittasalo, Kirsi Mansikkamäki, Markku Partinen, Christer Hublin, Paula Kärmeniemi, Mikael Sallinen, Seppo Olkkonen, Kari Tokola, Anna Ojala, Clas-Håkan Nygård, Mikael Fogelholm

Abstract

We studied dietary patterns, physical activity (PA), and monthly goal setting in a weight reduction intervention in long-distance professional drivers. The study was conducted in Finland in 2009-2012. Male drivers with waist circumference > 100 cm were randomized to a lifestyle counseling (LIFE, N = 55) and a reference (REF, N = 58) group. During 12 months, LIFE participated in 6 face-to-face and 7 telephone counseling sessions on diet and PA. Dietary patterns were assessed using an index combining food diary and counselor interview, and PA with the number of daily steps using a pedometer. Monthly lifestyle goals, perceived facilitators and barriers, and adverse effects of PA in the LIFE participants were monitored using counselors' log books. Forty-seven (85%) LIFE participants completed the 12-month program. After 12 months, the mean dietary index score improved by 12% (p = 0.002, N = 24), and the number of daily steps increased by 1811 steps (median; p = 0.01, N = 22). The most frequent dietary goals dealt with meal frequency, plate model, and intake of vegetables, fruits, and berries. The most common PA mode was walking. Typical facilitators to reach monthly lifestyle goals were support from family and friends and ailment prevention; typical barriers were working schedules and ailments. Adverse effects, most commonly musculoskeletal pain, occurred among 83% of the LIFE participants. Positive changes in lifestyle habits were observed during counseling. Monthly lifestyle counseling combining face-to-face and phone contacts seemed appropriate to long-distance drivers. Barriers for reaching lifestyle changes, and adverse effects of PA were common and need to be addressed when planning counseling.

Trial registration: Clinical Trials NCT00893646.

Keywords: Automobile driving; BMI, body mass index; Counseling; Diet; LIFE, lifestyle counseling group; Male, life style; PA, physical activity; REF, reference group (control); Walking.

Figures

Fig. 1
Fig. 1
Flow diagram of the study. The lifestyle counseling group (LIFE) participated in 12-month lifestyle counseling program starting from baseline. Assessments took place at baseline and at 12 months. Data from weight reduction study in Finnish professional drivers in 2009–2012. The figure is adapted from Puhkala et al. (2015).

References

    1. Aittasalo M., Rinne M., Pasanen M., Kukkonen-Harjula K., Vasankari T. Promoting walking among office employees — evaluation of a randomized controlled intervention with pedometers and e-mail messages. BMC Public Health. 2012;12 (403-2458-12-403)
    1. Apostolopoulos Y., Sonmez S., Shattell M.M., Gonzales C., Fehrenbacher C. Health survey of U.S. long-haul truck drivers: work environment, physical health, and healthcare access. Work. 2013;46:113–123.
    1. Bellisle F. Meals and snacking, diet quality and energy balance. Physiol. Behav. 2014;134:38–43.
    1. Birdsey J., Sieber W.K., Chen G.X. National survey of US long-haul truck driver health and injury: health behaviors. J. Occup. Environ. Med. 2015;57:210–216.
    1. Craig C.L., Marshall A.L., Sjostrom M. International physical activity questionnaire: 12-country reliability and validity. Med. Sci. Sports Exerc. 2003;35:1381–1395.
    1. Dahl S., Kaerlev L., Jensen A. Hospitalization for lifestyle related diseases in long haul drivers compared with other truck drivers and the working population at large. Work. 2009;33:345–353.
    1. Declaration of Helsinki World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2000;284(23):3043–3045.
    1. Ferrari P., Slimani N., Ciampi A. Evaluation of under- and overreporting of energy intake in the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC) Public Health Nutr. 2002;5:1329–1345.
    1. Fogelholm M., Anderssen S., Gunnarsdottir I., Lahti-Koski M. Dietary macronutrients and food consumption as determinants of long-term weight change in adult populations: a systematic literature review. Food Nutr. Res. 2012;56 Epub 2012 Aug 13.
    1. French S.A., Harnack L.J., Hannan P.J., Mitchell N.R., Gerlach A.F., Toomey T.L. Worksite environment intervention to prevent obesity among metropolitan transit workers. Prev. Med. 2010;50:180–185.
    1. Gilson N.D., Pavey T.G., Vandelanotte C. Chronic disease risks and use of a smartphone application during a physical activity and dietary intervention in Australian truck drivers. Aust. N. Z. J. Public Health. 2016;40:91–93.
    1. Hedberg G.E., Wikstrom-Frisen L., Janlert U. Comparison between two programmes for reducing the levels of risk indicators of heart diseases among male professional drivers. Occup. Environ. Med. 1998;55:554–561.
    1. Hemio K., Puttonen S., Viitasalo K., Harma M., Peltonen M., Lindstrom J. Food and nutrient intake among workers with different shift systems. Occup. Environ. Med. 2015;72:513–520.
    1. Jack F.R., Piacentini M.G., Schroder M.J. Perception and role of fruit in the workday diets of Scottish lorry drivers. Appetite. 1998;30:139–149.
    1. Kiefer I., Rathmanner T., Kunze M. Eating and dieting differences in men and women. J. Mens Health Gend. 2005;2:194–201.
    1. Krueger G., Brewster R., Dick V., Inderbitzen R., Staplin L. Transportation Research Board of the National Academies; Washington D.C.: 2007. Commercial Truck and Bus Safety Synthesis Program (CTBSSP) synthesis 15: health and wellness programs for commercial drivers. (Web page (visited May 31, 2016))
    1. Lassen A., Bruselius-Jensen M., Sommer H.M., Thorsen A.V., Trolle E. Factors influencing participation rates and employees' attitudes toward promoting healthy eating at blue-collar worksites. Health Educ. Res. 2007;22:727–736.
    1. Lippke S., Ziegelmann J., Schwarzer R. Initiation and maintenance of physical exercise: stage-specific effects of a planning intervention. Res. Sports Med. 2004;12:221–240.
    1. Marqueze E.C., Ulhoa M.A., Moreno C.R. Irregular working times and metabolic disorders among truck drivers: a review. Work. 2012;41(Suppl. 1):3718–3725.
    1. Marqueze E.C., Ulhoa M.A., Moreno C.R. Effects of irregular-shift work and physical activity on cardiovascular risk factors in truck drivers. Rev. Saude Publica. 2013;47:497–505.
    1. McCartt A.T., Hellinga L.A., Solomon M.G. Work schedules of long-distance truck drivers before and after 2004 hours-of-service rule change. Traffic Inj. Prev. 2008;9:201–210.
    1. McDonough B., Howard M., Angeles R. Lone workers attitudes towards their health: views of Ontario truck drivers and their managers. BMC Res. Notes. 2014;7 (297-0500-7-297)
    1. Nagler E.M., Viswanath K., Ebbeling C.B., Stoddard A.M., Sorensen G. Correlates of fruit and vegetable consumption among construction laborers and motor freight workers. Cancer Causes Control. 2013;24:637–647.
    1. National Nutrition Council . Edita Prima Oy; Helsinki: 2005. Suomalaiset ravitsemussuositukset — ravinto ja liikunta tasapainoon (Finnish Nutrition Recommendations) In Finnish. Web page (visited May 31, 2016)
    1. Ng M.K., Yousuf B., Bigelow P.L., Van Eerd D. Effectiveness of health promotion programmes for truck drivers: a systematic review. Health Educ. J. 2015;74:270–286.
    1. Pagoto S.L., Schneider K.L., Oleski J.L., Luciani J.M., Bodenlos J.S., Whited M.C. Male inclusion in randomized controlled trials of lifestyle weight loss interventions. Obesity (Silver Spring) 2012;20:1234–1239.
    1. Puhkala J., Kukkonen-Harjula K., Mansikkamaki K. Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers—a randomized controlled trial. Scand. J. Work Environ. Health. 2015;41:54–64.
    1. Robertson C., Archibald D., Avenell A. Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technol. Assess. 2014;18 (v–vi, xxiii–xxix, 1–424)
    1. Sabinsky M.S., Toft U., Raben A., Holm L. Overweight men's motivations and perceived barriers towards weight loss. Eur. J. Clin. Nutr. 2007;61:526–531.
    1. Schwarzer R. Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors. Appl. Psychol. 2008;57:1–29.
    1. Schwarzer R., Lippke S., Ziegelmann J. Health action process approach. A research agenda at Freie Universität Berlin to examine and promote health behavior change. Z. Gesundh. 2008;16:157–160.
    1. Schwingshackl L., Dias S., Hoffmann G. Impact of long-term lifestyle programmes on weight loss and cardiovascular risk factors in overweight/obese participants: a systematic review and network meta-analysis. Syst. Rev. 2014;3:130.
    1. Sieber W.K., Robinson C.F., Birdsey J. Obesity and other risk factors: the national survey of U.S. long-haul truck driver health and injury. Am. J. Ind. Med. 2014;57:615–626.
    1. Sorensen G., Stoddard A., Quintiliani L. Tobacco use cessation and weight management among motor freight workers: results of the gear up for health study. Cancer Causes Control. 2010;21:2113–2122.
    1. The IPAQ group International Physical Activity Questionnaires (IPAQ) 2015. 2005. Web page (visited May 31, 2016)
    1. Thiese M.S., Effiong A.C., Ott U. A clinical trial on weight loss among truck drivers. Int. J. Occup. Environ. Med. 2015;6:104–112.
    1. Tse J.L.M., Flin R., Mearns K. Bus driver well-being review: 50 years of research. Transp. Res. F. 2006;9:89–114.
    1. Tudor-Locke C., Craig C.L., Brown W.J. How many steps/day are enough? For adults. Int. J. Behav. Nutr. Phys. Act. 2011;8 (79-5868-8-79)
    1. Turner L.M., Reed D.B. Exercise among commercial truck drivers. AAOHN J. 2011;59:429–436.
    1. U.S. Department of Health and Human Services . U.S. Department of Health and Human Services 2015. 2008. 2008 Physical activity guidelines for Americans. (Web page (visited May 31, 2016))
    1. van der Beek A.J. World at work: truck drivers. Occup. Environ. Med. 2012;69:291–295.
    1. Varela-Mato V., Yates T., Stensel D.J., Biddle S.J.H., Clemes S.A. Time spent sitting during and outside working hours in bus drivers: a pilot study. Prev. Med. Rep. 2016;3:36–39.
    1. Wipfli B., Olson R., Koren M. Weight-loss maintenance among SHIFT pilot study participants 30-months after intervention. J. Occup. Environ. Med. 2013;55:1–3.
    1. Wong J.Y., Gilson N.D., Bush R.A., Brown W.J. Patterns and perceptions of physical activity and sedentary time in male transport drivers working in regional Australia. Aust. N. Z. J. Public Health. 2014;38:314–320.
    1. Wyatt H., Peters J., Reed G. Using electronic step counters to increase lifestyle physical activity: Colorado on the Move. J. Phys. Act. Health. 2004;1:181–190.
    1. Young M.D., Morgan P.J., Plotnikoff R.C., Callister R., Collins C.E. Effectiveness of male-only weight loss and weight loss maintenance interventions: a systematic review with meta-analysis. Obes. Rev. 2012;13:393–408.

Source: PubMed

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