Kardiologia polska 2017 12 01() doi 10.5603/KP.a2017.0229
Professional drivers are a group exposed to many cardiovascular risk factors. Non-systematic working hours, prolonged stress, low physical activity, along with irregular, in most cases, unhealthy meals are common aspects of the normal working schedule of most of the professional drivers. These translate into high risk of cardiovascular disease.
The aim of the current analysis was to establish the prevalence of dyslipidaemia in a group of continuous professional drivers.
The RACER (Risk of Adverse Cardiovascular Events among professional dRivers in Poland – Ambulatory Blood Pressure Monitoring) study is a prospective study focused on assessing cardiovascular risk factors in professional drivers. Patients included in the study were screened for the classical and non-classical cardiovascular risk factors and had an ambulatory blood pressure monitoring (ABPM) performed. Out of the whole RACER study population, 144 drivers were included into the RACER-ABPM study.
Out of this group 135 (95.7%) were male, and the mean age was 50.2±9.3 years, and mean body mass index was 32.3±3.0 kg/m2. The family history of cardiovascular disease was noted in 21.3% of patients, 28.1% were current smokers and 2.9% had diabetes mellitus. Out of those patients, 72,2% had LDL cholesterol level >115mg/dl, 85.5% had LDL-C >100mg/dl and 96.7% had LDL-C >70mg/dl. HDL cholesterol <40mg/dl in men and <45mg/dl in woman was present in 84.4% of cases. Triglycerides >150mg/dl were found in 28.9% of cases.
In conclusion, dyslipidaemia is highly prevalent in professional drivers. Obesity is one of the major contributors to the cardiovascular risk, and dyslipidaemia this along with other risk factors highly prevalent in this subgroup accounts for poorer prognosis.