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The Impact of a Novel Structured Health Intervention for Truckers (SHIFT) on Physical Activity and Cardiometabolic Risk Factors

Varela Mato, Veronica, PhD; Caddick, Nick, PhD; King, James, A., PhD; Johnson, Vicki, BSc; Edwardson, Charlotte, PhD; Yates, Thomas, PhD; Stensel, David, J., PhD; Daly, Heather, PhD; Nimmo, Myra, A., PhD; Clemes, Stacy, A., PhD

Journal of Occupational and Environmental Medicine: April 2018 - Volume 60 - Issue 4 - p 368–376
doi: 10.1097/JOM.0000000000001128

Objective: The aim of this study was to examine the effects of implementing a lifestyle health behavior intervention on cardiovascular risk markers in a sample of lorry drivers.

Methods: Fifty-seven males participated in the pre-post evaluation of a multicomponent 12-week intervention.

Results: Favorable changes in several cardiovascular health indicators were observed, including fasting blood glucose (−0.6 mmol/L), LDL-Cholesterol (−0.7 mmol/L), total cholesterol (−0.7 mmol/L), waist-hip ratio (−0.10), and waist circumference (−2.5 cm) (P < 0.01). The proportion of participants with a more than 10% risk of a cardiovascular event in the next 10 years was reduced by 12% (P < 0.05). A 21%, 12%, and 7.5% reduction in drivers with pre-diabetes (P < 0.001), undiagnosed diabetes (P < 0.05), and the metabolic syndrome (P < 0.05), respectively, was observed.

Conclusion: This study highlights the feasibility of implementing a multicomponent health intervention within the transport setting and provides preliminary evidence of its beneficial effects on some markers of health.

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK (Dr Varela Mato, Dr King, Dr Stensel, Dr Clemes); NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Centre, Loughborough, UK (Dr Varela Mato, Dr King, Dr Edwardson, Dr Yates, Dr Stensel, Dr Clemes); Veterans and Families Institute, Anglia Ruskin University, Cambridge, UK (Dr Caddick); Leicester Diabetes Centre, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK (Ms Johnson, Dr Edwardson, Dr Yates); Reach Health Ltd, Leicester, UK (Dr Daly); College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK (Dr Nimmo).

Address correspondence to: Veronica Varela Mato, PhD, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK (

This paper has been originally developed as part of VVM's doctoral thesis. VVM, SC, JK, TY conceived the study. MN and JK established the partnership between the university and the local company. VVM, NC and JK designed and implemented the data collection. HD and VJ designed and conducted the structured education session. SC, TY, JK, and DS overviewed the data collection. CE processed the activPAL data. All authors contributed to writing and interpretation of the results.

The authors wish to state that all drivers participating in this study were medically fit to drive and comply with the DVLA requirements.

The author(s) disclosed receipt of the following financial support for the research, authorship, and/ or publication of this article: The research was supported by the National Institute for Health Research (NIHR) Diet, Lifestyle & Physical Activity Biomedical Research Unit based at University Hospitals of Leicester and Loughborough University. The views expressed are those of the authors and not necessarily those of the National Health Service (NHS), the NIHR, or the Department of Health.

No funding was received for the development of this study.

The conduct of this study was facilitated by a Loughborough University Higher Education Innovation Fund sponsored Knowledge Exchange Program and received in-kind support from the transport company.

The authors report no conflicts of interest.

Copyright © 2018 by the American College of Occupational and Environmental Medicine