Weight-loss maintenance among SHIFT pilot study participants 30-months after intervention.
Weight-loss maintenance among SHIFT pilot study participants 30-months after intervention.
复制标题
SHIFT 试点研究参与者在干预后 30 个月维持减肥。
DOI：
10.1097/jom.0b013e31827db848
复制
发表时间：
2013
影响因子：
3.2
通讯作者：
Koren,Melanie
中科院分区：
文献类型：
--
作者：
Wipfli,Brad;Olson,Ryan;Koren,Melanie
商业卡车司机的健康状况不佳是一个危险和昂贵的公共卫生问题。卡车司机的高肥胖率增加了他们患心脏病、中风、2型糖尿病和某些癌症的风险。1驾驶员健康问题，特别是肥胖和睡眠呼吸暂停等相关疾病，与驾驶错误和事故率增加有关，2-4影响驾驶员和公众的安全。虽然卡车司机每车英里的撞车率不到乘用车司机的一半，但5起大型卡车撞车事故是致命的。2010年，有3413人死于大型卡车事故，其中85%是乘用车乘员，行人或骑自行车的人。6超重和肥胖司机的年度医疗费用也比正常体重司机高出200多美元。[7]此外，2009年，每起致命的大型卡车碰撞事故给社会造成的损失平均为774万美元（按2012年美元计算）。6，8虽然卡车运输中的肥胖是一个涉及工人、主管、公司政策、联邦法规和建筑环境的多层次公共卫生问题，9但如果我们要为司机和社会带来有意义的健康和经济改善，有效的减肥干预是必不可少的。卡车司机安全和健康参与（Safety and Health Involvement for Truckers，简称SAH）是一项为期6个月的减肥和健康促进活动，
Poor health among commercial truck drivers is a dangerous and costly public health problem. The high rate of obesity in truckers increases their risk for heart disease, stroke, type 2 diabetes, and some types of cancer. 1 Driver health problems, especially obesity and related conditions like sleep apnea, are related to driving errors and increased crash rates, 2–4 impacting the safety of both the driver and the general public. Although truck drivers have less than half the crash rate per vehicle mile compared with passenger car drivers, 5 large truck crashes are deadly. In 2010, there were 3413 fatalities in large truck crashes and 85% of those fatalities were passenger car occupants, pedestrians, or cyclists. 6 Annual health care costs for overweight and obese drivers are also more than $200 higher compared with normal-weight drivers. 7 Furthermore, the costs to society per fatal large truck crash averaged $7.74 million during 2009 (in 2012 dollars). 6, 8 Although obesity in trucking is a multilevel public health problem involving workers, supervisors, company policies, federal regulations, and built environments, 9 effective weightloss interventions are essential if we are to produce meaningful health and economic improvements for both drivers and society. The Safety and Health Involvement for Truckers (SHIFT) intervention is a 6-month weight-loss and health-promotion