Document Detail

Truck driving and risk of myocardial infarction.
MedLine Citation:
PMID:  15106466     Owner:  NLM     Status:  MEDLINE    
AIM OF THE STUDY: To investigated the effect ischemic heart disease of risk factors on elevated first myocardial infarction risk among truck drivers. MATERIALS AND METHODS: We carried out a case-control study among men aged 25-64, Kaunas in 1997-2000. We identified myocardial infarction cases (n = 448) from the myocardial infarction hospital register (International Classification of Diseases, 10-th revision, code 121). Controls (N = 1777) were selected on the basis of age, gender and city district of residence. We obtained information on sociodemographic, psychosocial and behavioral factors. We used the International Standard Classification of Occupations (ISCO) to code for occupations and conducted logistic regression analysis to evaluate the effect of ischemic heart disease risk factors on myocardial infarction risk for truck drivers. RESULTS: We found that truck rivers were at increased risk for the development of first myocardial infarction (age-adjusted odds ratio 2.36; 95% CI 1.67-3.35). After adjustment for smoking, hypertension, obesity, stress the odds ratio remained stable (2.26; 95% CI 1.58-3.24) as compared to other employed men. The logistic regression analysis within the subpopulation of truck drivers showed that the odds ratio for arterial hypertension was 3.20, for smoking--2.48. The effect of obesity and stress decreased to insignificant level. CONCLUSIONS: Truck drivers are at increased risk for the development of first myocardial infarction. Arterial hypertension and smoking are significant risk factors of myocardial infarction for truck drivers.
Vilija Malinauskiene
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Przegla̧d lekarski     Volume:  60 Suppl 6     ISSN:  0033-2240     ISO Abbreviation:  Prz. Lek.     Publication Date:  2003  
Date Detail:
Created Date:  2004-04-26     Completed Date:  2004-06-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  19840720R     Medline TA:  Przegl Lek     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  89-90     Citation Subset:  IM    
Laboratory of Environmental Epidemiology, Institute of Cardiology, Kaunas University of Medicine, Str. Sukileliu 17, Kaunas LT-3007, Lithuania.
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MeSH Terms
Case-Control Studies
Lithuania / epidemiology
Middle Aged
Myocardial Infarction / epidemiology*,  etiology
Occupational Diseases / epidemiology*,  etiology
Occupations / classification
Odds Ratio
Risk Assessment
Risk Factors
Socioeconomic Factors
Stress, Psychological / etiology

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