Risk indicators of ischemic heart disease among male professional drivers in Sweden.

Possible risk indicators of ischemic heart disease relevant to the occupation of professional driving were identified in a cohort of 440 professional drivers and 1000 referents from the Swedish countries of Västerbotten and Norrbotten. The subjects were randomly selected. Data on cardiovascular risk indicators were collected from questionnaires, blood pressure measurements, serum lipid levels, height, and weight. The results showed that significantly more drivers than referents were overweight, smokers, and shift workers; were sedentary in their leisure time; and had a work situation characterized by high demands, low decision latitude, and low social support. There were no significant differences concerning blood pressure and serum lipid levels. The odds ratio for having a high score on a cardiovascular risk index was 3.18 (95% confidence interval 2.41-4.20) for the drivers when they were compared with the referents. When adjusted for age, heredity, shift work, educational level, marital status, and working class, the odds ratio was 2.34 (95% confidence interval 1.70-3.21).

[1]  J. Manson,et al.  Body weight and longevity. A reassessment. , 1987, JAMA.

[2]  B. Folkow Physiological aspects of primary hypertension. , 1982, Physiological reviews.

[3]  M. Marmot,et al.  Social Class and Cardiovascular Disease: The Contribution of Work , 1988, International journal of health services : planning, administration, evaluation.

[4]  B. Netterstrøm,et al.  Impact of work-related and psychosocial factors on the development of ischemic heart disease among urban bus drivers in Denmark. , 1988, Scandinavian journal of work, environment & health.

[5]  P A Raffle,et al.  Coronary heart-disease and physical activity of work. , 1953, Lancet.

[6]  I. Holme,et al.  Physical activity at work and at leisure in relation to coronary risk factors and social class. A 4-year mortality follow-up. The Oslo study. , 2009, Acta medica Scandinavica.

[7]  I. Holme,et al.  Four-year mortality by some socioeconomic indicators: the Oslo study. , 1980, Journal of epidemiology and community health.

[8]  H. Hubert The nature of the relationship between obesity and cardiovascular disease. , 1984, International journal of cardiology.

[9]  K Niemi,et al.  Physical and muscular strain in Swedish tanker truck drivers. , 1986, Ergonomics.

[10]  S Bellet,et al.  The effect of automobile driving on catecholamine and adrenocortical excretion. , 1969, The American journal of cardiology.

[11]  Gudrun E. Hedberg Physical strain in Swedish lorry drivers engaged in the distribution of goods. , 1985 .

[12]  L Wilhelmsen,et al.  Coronary heart disease and mortality in middle aged men from different occupational classes in Sweden. , 1988, BMJ.

[13]  J. Garrow,et al.  Random-zero sphygmomanometer. , 1970, Lancet.

[14]  A Ahlbom,et al.  Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. , 1981, American journal of public health.