Drivers with and without Obesity Respond Differently to a Multi-Component Health Intervention in Heavy Goods Vehicle Drivers

Katharina Ruettger (), Stacy A. Clemes, Yu-Ling Chen, Charlotte L. Edwardson, Amber Guest, Nicholas D. Gilson, Laura J. Gray, Vicki Johnson, Nicola J. Paine, Aron P. Sherry, Mohsen Sayyah, Jacqui Troughton, Veronica Varela-Mato, Thomas Yates and James A. King
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Katharina Ruettger: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Stacy A. Clemes: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Yu-Ling Chen: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Charlotte L. Edwardson: NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK
Amber Guest: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Nicholas D. Gilson: School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia
Laura J. Gray: Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK
Vicki Johnson: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK
Nicola J. Paine: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Aron P. Sherry: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Mohsen Sayyah: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Jacqui Troughton: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK
Veronica Varela-Mato: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Thomas Yates: NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK
James A. King: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK

IJERPH, 2022, vol. 19, issue 23, 1-12

Abstract: 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/m 2 , n = 131; BMI ≥ 30 kg/m 2 , 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.

Keywords: body weight; occupational health; occupational drivers; physical activity; sedentary behaviour; workplace (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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