title: Fitness-for-work assessment of train drivers of Yazd railway, central Iran.
abstract: BACKGROUND
  National Transport Commission (NTC) classifies train driving as a high-level safety critical job.
  
  
  OBJECTIVE
  To assess fitness-for-work among train drivers in Yazd, central Iran.
  
  
  METHODS
  We evaluated 152 train drivers for their fitness for duty. The results were then compared with NTC guidelines.
  
  
  RESULTS
  63.8% of subjects were fit for duty, 34.2% fit subject to review, and 2.0% were temporarily unfit. The most common reason for fit subject to review was a Kessler score >19. The prevalence of overweight and obesity was 48.0% and 15.0%, respectively. The prevalence of dyslipidemia was 69.7%, diabetes 10.0%, impaired fasting glucose 36.0%, and hypertension was 19.0%, respectively.
  
  
  CONCLUSIONS
  Most studied train drivers can continue their work safely. The prevalence of some risk factors such as overweight and dyslipidemia were high among train drivers. This warrants further evaluation and establishment of control programs.
authors.affiliation: Occupational Medicine Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Z
authors.initials: Z
authors.lastname: Loukzadeh
authors.forename: Z
authors.initials: Z
authors.lastname: Zare
authors.forename: A H
authors.initials: AH
authors.lastname: Mehrparvar
authors.forename: S J
authors.initials: SJ
authors.lastname: Mirmohammadi
authors.forename: M
authors.initials: M
authors.lastname: Mostaghaci
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis; D050171:Dyslipidemias / Q000175:diagnosis; D006801:Humans; D006973:Hypertension / Q000175:diagnosis; D007492:Iran; D008875:Middle Aged; D009784:Occupational Diseases / Q000175:diagnosis*; D016272:Occupational Health; D050177:Overweight / Q000175:diagnosis; D010809:Physical Fitness; D011890:Railroads; D012307:Risk Factors; D011795:Surveys and Questionnaires