title: Occupational health and metabolic risk factors: A pilot intervention for transport workers.
abstract: OBJECTIVE
  Heavy vehicle transport workers have a high risk of obesity and obesity-related disorders including cardiovascular disease and diabetes. Sedentary nature of their work makes a healthy work and lifestyle balance difficult to achieve. Educational interventions that promote behavioral changes have been shown to be effective in various group settings. The aims of this study were to determine the prevalence of metabolic risk factors among a population of urban bus drivers; to deliver a 3-month educational intervention specifically tailored for the workplace environment of transport workers; and to evaluate the efficacy of the intervention through quantitative measurements and qualitative feedback.
  
  
  METHODS
  Thirty-three bus drivers from depots in south Queensland were recruited for the study. Baseline metabolic data were collected through anthropometric measurements, blood collection and diet/lifestyle questionnaires. Metabolic risk factors that were analyzed included: waist circumference, blood pressure, fasting glucose, blood triglycerides and high density lipoprotein cholesterol (HDL-C). Three interactive seminars were delivered over a 3-month period. At the end of the period, data collection was repeated.
  
  
  RESULTS
  At the commencement of the study, 35% of the participants exhibited ≥ 3 of the metabolic risk factors that characterize metabolic syndrome. This is higher than the reported prevalence in the general Australian population (22.1%). A total 21 of the 33 participants remained committed to the intervention and provided pre and post intervention data. Of these, 28% (N = 6) showed a decrease in one or more of the risk factors associated with metabolic syndrome. There was a significant increase in the average HDL-C after the intervention. Qualitative feedback indicated that the workers benefited from the program, especially regarding their awareness of the risks associated with their profession.
  
  
  CONCLUSIONS
  This pilot study demonstrates that lifestyle education seminars specifically tailored for the workplace can have an impact on the health behaviors of transport workers.
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). h.naug@griffith.edu.au.
authors.forename: Helen L
authors.initials: HL
authors.lastname: Naug
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). n.colson@griffith.edu.au.
authors.forename: Natalie J
authors.initials: NJ
authors.lastname: Colson
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). a.kundur@griffith.edu.au.
authors.forename: Avinash
authors.initials: A
authors.lastname: Kundur
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). a.santhakumar@griffith.edu.au.
authors.forename: Abishek
authors.initials: A
authors.lastname: Santha Kumar
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). l.tucakovic@griffith.edu.au.
authors.forename: Lada
authors.initials: L
authors.lastname: Tucakovic
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). michael.roberts@gmail.com.
authors.forename: Michael
authors.initials: M
authors.lastname: Roberts
authors.affiliation: Griffith University, Gold Coast, Queensland, Australia (School of Medical Science). i.singh@griffith.edu.au.
authors.forename: Indu
authors.initials: I
authors.lastname: Singh
mesh_terms: D000328:Adult; D000368:Aged; D004032:Diet; D015444:Exercise; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000517:prevention & control*; D008875:Middle Aged; D016272:Occupational Health; D010865:Pilot Projects; D011793:Queensland; D012307:Risk Factors; D057185:Sedentary Behavior; D014186:Transportation
keywords: education interventions; lifestyle education; metabolic risk; obesity; sedentary behavior; transport workers