The Association Between Hypertension and Lifestyle in Express Bus Drivers

고속버스 운전직 근로자들의 고혈압과 생활습관 행태와의 관계

  • Lee, Jin-Woo (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Lee, Nam-Soo (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Lee, Kyung-Jae (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Kim, Joo-Ja (Department of Occupational Medicine, Soonchunhyang University Hospital)
  • 이진우 (순천향대학교 서울병원 산업의학과) ;
  • 이남수 (순천향대학교 서울병원 산업의학과) ;
  • 이경재 (순천향대학교 서울병원 산업의학과) ;
  • 김주자 (순천향대학교 서울병원 산업의학과)
  • Published : 2011.09.30

Abstract

Objectives: To examine whether or not there is an association between blood pressure and lifestyle habits in male express bus drivers. Methods: The study subjects were 249 male express bus drivers. The data was obtained from annual health surveillance. A structured questionnaire was used to assess smoking, alcohol consumption, exercise, daily hours of sleep, work duration and weekly working hours. The subjects' BMI (Body Mass Index) was classified using the World Health Organization diagnostic criteria for obesity in Asians, and their blood pressure was classified according to the JNC (Joint National Committee) 7 classification. Multiple cases of logistic regression modeling were used to determine associations between hypertension and the subjects' common characteristics, lifestyle habits and obesity were used as the independent variables. Results: We found that lack of sleep was associated with hypertension (OR 1.85, 95% CI 1.01-3.39) and obesity was also associated with hypertension (OR 2.81, 95% CI 1.59-4.98). Conclusions: These results indicate that daily hours of sleep and obesity were associated with hypertension in male express bus drivers. Due to the characteristics of this job, such as long hours and lack of exercise, it can result in obesity and lack of sleep, which can in turn influence occurrences of hypertension. Therefore, consideration of lack of sleep and obesity in their workers will be helpful for the management in the prevention of hypertension.

목적: 고속버스 운전직 남성 근로자를 대상으로 생활습관을 조사하고, 혈압과 생활습관 간의 관련성을 알아보고자 하였다. 방법: 서울소재 고속버스회사 운전직 남성근로자 249명을 대상으로 연구 대상자의 성별, 연령, 흡연, 음주, 운동여부, 일일 수면시간 등 일반적 특성과 근속년수, 주간 근무시간 등 직업적 특성을 구조화된 설문지를 이용하여 조사하였다. 비만도는 체질량지수(Body Mass Index)를 이용하여 세계보건기구의 아시아 비만 진단 기준으로 분류하였고, 혈압은 JNC (Joint National Committee) 7 classification에 따라 분류하였다. 연구 대상자의 생활습관 행태를 포함한 일반적인 특성이 고혈압에 미치는 영향을 보기 위하여 고혈압을 종속변수로, 생활습관과 비만도를 독립변수로 하여 다중 로지스틱 회귀분석을 시행하였다. 결과: 고혈압과 건강행태와의 관련성을 알아보기 위해 실시한 다중 로지스틱 회귀분석에서 나이를 보정하고 고혈압을 종속변수로, 생활습관과 비만도를 독립변수로 한 결과 수면이 부족한 군에서 교차비가 1.85(95% CI=1.01-3.39)이었고, 비만인 군의 교차비가 2.81(95% CI=1.59-4.98)로 고혈압과 유의한 관련성을 나타냈다. 결론: 고속버스 운전직 근로자들에서 수면시간 및 비만이 혈압에 영향을 미치는 것을 알 수 있었다. 장기간 운전과 운동 부족 등의 업무 특성으로 인해 수면 부족과 비만이 발생할 가능성이 높고 이러한 요인들이 그들의 고혈압 발생에 영향을 준 것으로 생각된다. 따라서 그들의 수면부족과 비만을 조절하는 것이 고혈압 관리 및 예방에 도움이 될 것이라 생각된다.

Keywords

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