Luciane Cesira Cavagioni

Síndrome metabólica em motoristas profissionais de transporte de cargas da rodovia BR-116 no trecho Paulista-Régis Bittencourt

The objective of this study was to determine the Metabolic Syndrome prevalence as well as identify variables related in truck drivers who work on Highway BR-116 (Sao Paulo, Brazil). A total of 258 truck drivers were assessed and the variables studied were: body mass index, waist circumference, blood pressure, triglycerides, total and fraction cholesterol, glycemia and C reactive protein. Cardiovascular disease risk was evaluated by Framinghams risk score whereas the Metabolic Syndrome based on the First Brazilian Guideline for Diagnosis and Treatment of the Metabolic Syndrome. The significance level adopted was p or =25 kg/m(2) in 82%, waist circumference > or =94 cm in 58%, total cholesterol >240 mg/dL in 9%, LDL-c >160 mg/dL in 10%; HDL-c 200mg/dL in 22%, glycemia >110 mg/dL in 7%, and C reactive protein >0.5 mg/dL in 19%. Hypertension prevalence was 37%, 9% were identified at the highest/medium Framinghams risk score and 24% showed Metabolic Syndrome. The logistical regression analysis indicated independent association of the Metabolic Syndrome for the following variables (OD odds ratio, CI confidence interval at 95%): body mass index (OR = 1.4007 CI 95% 1.192-1.661), use to check cholesterol (OR = 0.1020 CI 0.017-0.589) and Framinghams risk score (OR = 26.389 CI 2.520-276.374). As a conclusion, it was observed a quite expressive prevalence of cardiovascular risk factors as well as Metabolic Syndrome in truck drivers.

Hipertensão arterial e obesidade em motoristas profissionais de transporte de cargas

Objectives: To verify the prevalence of hypertension and obesity among professional freight truck drivers and associate them with studied variables. Methods: It is a cross-sectional study covering a sample of 258 professional freight truck drivers, traveling on the highway BR116, on the Regis Bittencourt portion, in Sao Paulo state. Results: Drivers were young adults (37.5±10 years), 19% were smokers, 55% reported drinking alcohol, 74% were sedentary, 57% used sleep-inhibiting drugs; they traveled an average of 800 km/day and drove 10 hours/day. The prevalence of hypertension was 37%, 46% were overweight, 36% were obese and 58% had high waist circumference. The logistic regression analysis indicated that hypertension was associated (OD: Odds ratio, CI: confidence interval 95%) with: increased body mass index (OR = 1.183 CI 1.065 to 1.314); blood glucose (OR = 1.039 CI 1.004 to 1.076); and habit of using drugs that inhibit sleep (OR = 0.322 CI 0.129 to 0.801). Conclusion: Among professionals was significant the presence of hypertension, overweight and obesity.

Hypertension and obesity among professional drivers who work transporting loads

Objectives: To verify the prevalence of hypertension and obesity among professional freight truck drivers and associate them with studied variables. Methods: It is a cross-sectional study covering a sample of 258 professional freight truck drivers, traveling on the highway BR116, on the Regis Bittencourt portion, in Sao Paulo state. Results: Drivers were young adults (37.5±10 years), 19% were smokers, 55% reported drinking alcohol, 74% were sedentary, 57% used sleep-inhibiting drugs; they traveled an average of 800 km/day and drove 10 hours/day. The prevalence of hypertension was 37%, 46% were overweight, 36% were obese and 58% had high waist circumference. The logistic regression analysis indicated that hypertension was associated (OD: Odds ratio, CI: confidence interval 95%) with: increased body mass index (OR = 1.183 CI 1.065 to 1.314); blood glucose (OR = 1.039 CI 1.004 to 1.076); and habit of using drugs that inhibit sleep (OR = 0.322 CI 0.129 to 0.801). Conclusion: Among professionals was significant the presence of hypertension, overweight and obesity.

Agravos à saúde, hipertensão arterial e predisposição ao estresse em motoristas de caminhão

El estudio investigo agravios de salud que predisponen al estres mediante el uso del Self Reporting Questionnaire (SRQ-20), que evalua posibles trastornos mentales comunes no psicoticos. La muestra abarco a 258 conductores profesionales de trasporte de cargas en una carretera nacional brasilena (37,5±10,0 anos, el 55% ingeria bebidas alcoholicas, El 37% con hipertension arterial y el 57% refirio uso anterior de medicamentos para mantener el estado de alerta). Los conductores indicaron sentir-se nervioso, tenso o preocupado (56%), dormir mal (47%), dolores de cabeza (37%), tener dificultad de tomar decision (38%) y dificultad de pensar con claridad (20%). El SRQ-20 mostro que el 33% era portador de posibles trastornos mentales comunes y fue encontrada asociacion (p<0,05) con referencia de cansancio, disminucion de la concentracion, considerarse nervioso o estresado, tener problemas personales o en el trabajo y transportar carga de horario. Se concluye que fue expresiva la presencia de probables trastornos mentales comunes que probablemente transcurren de las condiciones laborales estresantes.This study approached the health problems which were involved with stress using Self reporting Questionnaires (SRQ-20) in order to evaluate mental disorders. The sample was constituted of 258 trucker drivers in Brazilian roadway (37,5±10,0 years old, 55% drink alcohol, 37% with arterial hypertension e 57% used drugs to get alert). The drivers informed they were nervous, tense and worried (56%), disturbed sleep (47%), headaches (37%), difficulties in making decisions (38%) and difficulties in thinking clearly (20%). The results of SRQ-20 showed that 33% were probably with common mental disorders and an association (p<0.05) with fatigue, diminished concentration, being nervous and worried, personal problems at work, and trucker transportation. As conclusion, the presence of common mental disorders was considered probably as consequence of stresseful conditions at work.

[Cardiovascular risk among health professionals working in pre-hospital care services].

The objective of this study was to assess the cardiovascular risk factors among health professionals, particularly hypertension, and stratify them according to the Framingham Risk Score (FRS). The participants were 154 professionals working in pre-hospital care in São Paulo, Brazil, and on the Br-116 highway. Values were considered significant for p<0.05. The prevalence of hypertension was 33%, 20.1% were smokers, 47% consumed alcoholic beverages, 64% were sedentary, 66% were obese/overweight and 70% had an altered abdominal circumference. In terms of laboratory values: glucose>110mg/dL- 11%, total cholesterol >200mg/dL- 36%, LDL-c>130mg/dL- 33%, HDL-c<60mg/dL- 89%, triglycerides>150mg/dL- 30% and C reactive protein>0.5mg/dL- 16%. The FRS was average in 10.3% and high in 1.3%. In logistic regression analysis, it was verified that hypertension was associated with: HDL-c (odds ratio: 0.257,) and FRS (odds ratio: 23.159). There was strong correlation between hypertension and FRS. Data are noteworthy, as this is a relatively young sample of health professionals.The objective of this study was to assess the cardiovascular risk factors among health professionals, particularly hypertension, and stratify them according to the Framingham Risk Score (FRS). The participants were 154 professionals working in pre-hospital care in Sao Paulo, Brazil, and on the Br-116 highway. Values were considered significant for p 110mg/dL- 11%, total cholesterol >200mg/dL- 36%, LDL-c>130mg/dL- 33%, HDL-c 150mg/dL- 30% and C reactive protein>0.5mg/dL- 16%. The FRS was average in 10.3% and high in 1.3%. In logistic regression analysis, it was verified that hypertension was associated with: HDL-c (odds ratio: 0.257,) and FRS (odds ratio: 23.159). There was strong correlation between hypertension and FRS. Data are noteworthy, as this is a relatively young sample of health professionals.

Hipertensão arterial em profissionais que atuam em serviços de atendimento pré-hospitalar

Avaliou-se a prevalencia de hipertensao e variaveis relacionadas em 154 profissionais de servico pre-hospitalar pela medida casual da pressao e monitorizacao ambulatorial da pressao. A prevalencia de hipertensao na medida casual foi 33,1% e 26,6% na monitorizacao ambulatorial da pressao arterial. A presenca de hipertensao se associou (odds ratio=OR): a) medida casual da pressao, com o HDL-c >40 mg/dL (OR=0,25); b) monitorizacao ambulatorial (24 h) com glicemia > 110 mg/dL (OR:9,98), sexo masculino (OR=2,71), trabalhar cansado raramente/nunca (OR=0,19) e as vezes (OR=0,17); c) monitorizacao ambulatorial (vigilia) com glicemia > 110 mg/dL (OR=11,18), sexo masculino (OR=3,24), trabalhar cansado raramente/nunca (OR=0,14) e as vezes (OR=0,16), indice de massa corporal (OR=1,10), trabalhar cansado raramente/nunca (OR=0,14) e as vezes (OR=0,16); e d) monitorizacao ambulatorial (sono) com sono diurno (OR=0,14) e indice de massa corporal (OR=1,11). Foi elevada a prevalencia de hipertensao e fatores de risco associados.

Risco cardiovascular em profissionais de saúde de serviços de atendimento pré-hospitalar

The objective of this study was to assess the cardiovascular risk factors among health professionals, particularly hypertension, and stratify them according to the Framingham Risk Score (FRS). The participants were 154 professionals working in pre-hospital care in São Paulo, Brazil, and on the Br-116 highway. Values were considered significant for p<0.05. The prevalence of hypertension was 33%, 20.1% were smokers, 47% consumed alcoholic beverages, 64% were sedentary, 66% were obese/overweight and 70% had an altered abdominal circumference. In terms of laboratory values: glucose>110mg/dL- 11%, total cholesterol >200mg/dL- 36%, LDL-c>130mg/dL- 33%, HDL-c<60mg/dL- 89%, triglycerides>150mg/dL- 30% and C reactive protein>0.5mg/dL- 16%. The FRS was average in 10.3% and high in 1.3%. In logistic regression analysis, it was verified that hypertension was associated with: HDL-c (odds ratio: 0.257,) and FRS (odds ratio: 23.159). There was strong correlation between hypertension and FRS. Data are noteworthy, as this is a relatively young sample of health professionals.The objective of this study was to assess the cardiovascular risk factors among health professionals, particularly hypertension, and stratify them according to the Framingham Risk Score (FRS). The participants were 154 professionals working in pre-hospital care in Sao Paulo, Brazil, and on the Br-116 highway. Values were considered significant for p 110mg/dL- 11%, total cholesterol >200mg/dL- 36%, LDL-c>130mg/dL- 33%, HDL-c 150mg/dL- 30% and C reactive protein>0.5mg/dL- 16%. The FRS was average in 10.3% and high in 1.3%. In logistic regression analysis, it was verified that hypertension was associated with: HDL-c (odds ratio: 0.257,) and FRS (odds ratio: 23.159). There was strong correlation between hypertension and FRS. Data are noteworthy, as this is a relatively young sample of health professionals.

Hypertension in professionals working in prehospital care services

Avaliou-se a prevalencia de hipertensao e variaveis relacionadas em 154 profissionais de servico pre-hospitalar pela medida casual da pressao e monitorizacao ambulatorial da pressao. A prevalencia de hipertensao na medida casual foi 33,1% e 26,6% na monitorizacao ambulatorial da pressao arterial. A presenca de hipertensao se associou (odds ratio=OR): a) medida casual da pressao, com o HDL-c >40 mg/dL (OR=0,25); b) monitorizacao ambulatorial (24 h) com glicemia > 110 mg/dL (OR:9,98), sexo masculino (OR=2,71), trabalhar cansado raramente/nunca (OR=0,19) e as vezes (OR=0,17); c) monitorizacao ambulatorial (vigilia) com glicemia > 110 mg/dL (OR=11,18), sexo masculino (OR=3,24), trabalhar cansado raramente/nunca (OR=0,14) e as vezes (OR=0,16), indice de massa corporal (OR=1,10), trabalhar cansado raramente/nunca (OR=0,14) e as vezes (OR=0,16); e d) monitorizacao ambulatorial (sono) com sono diurno (OR=0,14) e indice de massa corporal (OR=1,11). Foi elevada a prevalencia de hipertensao e fatores de risco associados.

Health problems, hypertension and predisposition to stress in truck drivers

El estudio investigo agravios de salud que predisponen al estres mediante el uso del Self Reporting Questionnaire (SRQ-20), que evalua posibles trastornos mentales comunes no psicoticos. La muestra abarco a 258 conductores profesionales de trasporte de cargas en una carretera nacional brasilena (37,5±10,0 anos, el 55% ingeria bebidas alcoholicas, El 37% con hipertension arterial y el 57% refirio uso anterior de medicamentos para mantener el estado de alerta). Los conductores indicaron sentir-se nervioso, tenso o preocupado (56%), dormir mal (47%), dolores de cabeza (37%), tener dificultad de tomar decision (38%) y dificultad de pensar con claridad (20%). El SRQ-20 mostro que el 33% era portador de posibles trastornos mentales comunes y fue encontrada asociacion (p<0,05) con referencia de cansancio, disminucion de la concentracion, considerarse nervioso o estresado, tener problemas personales o en el trabajo y transportar carga de horario. Se concluye que fue expresiva la presencia de probables trastornos mentales comunes que probablemente transcurren de las condiciones laborales estresantes.This study approached the health problems which were involved with stress using Self reporting Questionnaires (SRQ-20) in order to evaluate mental disorders. The sample was constituted of 258 trucker drivers in Brazilian roadway (37,5±10,0 years old, 55% drink alcohol, 37% with arterial hypertension e 57% used drugs to get alert). The drivers informed they were nervous, tense and worried (56%), disturbed sleep (47%), headaches (37%), difficulties in making decisions (38%) and difficulties in thinking clearly (20%). The results of SRQ-20 showed that 33% were probably with common mental disorders and an association (p<0.05) with fatigue, diminished concentration, being nervous and worried, personal problems at work, and trucker transportation. As conclusion, the presence of common mental disorders was considered probably as consequence of stresseful conditions at work.

Agravios de la salud, hipertensión arterial y predisposición al estrés en conductores de camión

El estudio investigo agravios de salud que predisponen al estres mediante el uso del Self Reporting Questionnaire (SRQ-20), que evalua posibles trastornos mentales comunes no psicoticos. La muestra abarco a 258 conductores profesionales de trasporte de cargas en una carretera nacional brasilena (37,5±10,0 anos, el 55% ingeria bebidas alcoholicas, El 37% con hipertension arterial y el 57% refirio uso anterior de medicamentos para mantener el estado de alerta). Los conductores indicaron sentir-se nervioso, tenso o preocupado (56%), dormir mal (47%), dolores de cabeza (37%), tener dificultad de tomar decision (38%) y dificultad de pensar con claridad (20%). El SRQ-20 mostro que el 33% era portador de posibles trastornos mentales comunes y fue encontrada asociacion (p<0,05) con referencia de cansancio, disminucion de la concentracion, considerarse nervioso o estresado, tener problemas personales o en el trabajo y transportar carga de horario. Se concluye que fue expresiva la presencia de probables trastornos mentales comunes que probablemente transcurren de las condiciones laborales estresantes.This study approached the health problems which were involved with stress using Self reporting Questionnaires (SRQ-20) in order to evaluate mental disorders. The sample was constituted of 258 trucker drivers in Brazilian roadway (37,5±10,0 years old, 55% drink alcohol, 37% with arterial hypertension e 57% used drugs to get alert). The drivers informed they were nervous, tense and worried (56%), disturbed sleep (47%), headaches (37%), difficulties in making decisions (38%) and difficulties in thinking clearly (20%). The results of SRQ-20 showed that 33% were probably with common mental disorders and an association (p<0.05) with fatigue, diminished concentration, being nervous and worried, personal problems at work, and trucker transportation. As conclusion, the presence of common mental disorders was considered probably as consequence of stresseful conditions at work.