Attenuated cardiovascular reactivity to acute psychological stress predicts future fatigue symptoms in truck drivers

Amber J Guest; Stacy A. Clemes; James A. King; Yu-Ling Chen; Katharina Ruettger; Mohsen Sayyah; Aron Sherry; Veronica Varela-Mato; Nicola J. Paine

doi:10.1097/jom.0000000000002715

Attenuated cardiovascular reactivity to acute psychological stress predicts future fatigue symptoms in truck drivers

Amber J Guest, Stacy A. Clemes, James A. King, Yu-Ling Chen, Katharina Ruettger, Mohsen Sayyah, Aron Sherry, Veronica Varela-Mato, Nicola J. Paine

Applied Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives
This study aimed to investigate the impact of a 6-month health intervention on truck drivers’ CVR to stress and whether CVR was predictive of depression, anxiety, or fatigue symptoms at 6-months follow-up.
Methods
238 truck drivers completed a 6-month cluster RCT to increase physical activity and completed a stress protocol (Stroop and Mirror tracing tasks) with measurements of heart rate (HR), systolic (SBP), and diastolic (DBP) blood pressure taken, alongside fatigue, anxiety, and depressive symptoms assessment. Measures were taken at 0-months and 6-months.
Results
Analyses showed a negative relationship between 0-month DBP reactivity and 6-month persistent fatigue. Trends towards negative relationships between SBP reactivity and future anxiety and fatigue symptoms at 6-months were evident.
Conclusions
Our findings may have serious implications, as fatigue can be a major cause of road traffic collisions in truck drivers.

Original language	English
Journal	Journal of Occupational and Environmental Medicine
DOIs	https://doi.org/10.1097/jom.0000000000002715
Publication status	E-pub ahead of print - 26 Sep 2022

Keywords

fatigue
truck drivers
stress reactivity
cardiovascular stress
psychological stress

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10.1097/jom.0000000000002715

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@article{9b23c0498d3645b8a06ca1f2fc02d466,

title = "Attenuated cardiovascular reactivity to acute psychological stress predicts future fatigue symptoms in truck drivers",

abstract = "Objectives This study aimed to investigate the impact of a 6-month health intervention on truck drivers{\textquoteright} CVR to stress and whether CVR was predictive of depression, anxiety, or fatigue symptoms at 6-months follow-up.Methods 238 truck drivers completed a 6-month cluster RCT to increase physical activity and completed a stress protocol (Stroop and Mirror tracing tasks) with measurements of heart rate (HR), systolic (SBP), and diastolic (DBP) blood pressure taken, alongside fatigue, anxiety, and depressive symptoms assessment. Measures were taken at 0-months and 6-months.Results Analyses showed a negative relationship between 0-month DBP reactivity and 6-month persistent fatigue. Trends towards negative relationships between SBP reactivity and future anxiety and fatigue symptoms at 6-months were evident.Conclusions Our findings may have serious implications, as fatigue can be a major cause of road traffic collisions in truck drivers.",

keywords = "fatigue, truck drivers, stress reactivity, cardiovascular stress, psychological stress",

author = "Guest, {Amber J} and Clemes, {Stacy A.} and King, {James A.} and Yu-Ling Chen and Katharina Ruettger and Mohsen Sayyah and Aron Sherry and Veronica Varela-Mato and Paine, {Nicola J.}",

note = "Funding: NIHR PHR Project: 15/190/42 (ISRCTN10483894). Colt Foundation PhD Studentship: (reference: JD/618). This research was supported by the National Institute for Health Research NIHR Leicester Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of Loughborough University, the NHS, the NIHR or the Department of Health and Social Care. The funders had no involvement in designing the study; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.",

year = "2022",

month = sep,

day = "26",

doi = "10.1097/jom.0000000000002715",

language = "English",

journal = "Journal of Occupational and Environmental Medicine",

issn = "1076-2752",

publisher = "Lippincott Williams & Wilkins",

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TY - JOUR

T1 - Attenuated cardiovascular reactivity to acute psychological stress predicts future fatigue symptoms in truck drivers

AU - Guest, Amber J

AU - Clemes, Stacy A.

AU - King, James A.

AU - Chen, Yu-Ling

AU - Ruettger, Katharina

AU - Sayyah, Mohsen

AU - Sherry, Aron

AU - Varela-Mato, Veronica

AU - Paine, Nicola J.

N1 - Funding: NIHR PHR Project: 15/190/42 (ISRCTN10483894). Colt Foundation PhD Studentship: (reference: JD/618). This research was supported by the National Institute for Health Research NIHR Leicester Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of Loughborough University, the NHS, the NIHR or the Department of Health and Social Care. The funders had no involvement in designing the study; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.

PY - 2022/9/26

Y1 - 2022/9/26

N2 - Objectives This study aimed to investigate the impact of a 6-month health intervention on truck drivers’ CVR to stress and whether CVR was predictive of depression, anxiety, or fatigue symptoms at 6-months follow-up.Methods 238 truck drivers completed a 6-month cluster RCT to increase physical activity and completed a stress protocol (Stroop and Mirror tracing tasks) with measurements of heart rate (HR), systolic (SBP), and diastolic (DBP) blood pressure taken, alongside fatigue, anxiety, and depressive symptoms assessment. Measures were taken at 0-months and 6-months.Results Analyses showed a negative relationship between 0-month DBP reactivity and 6-month persistent fatigue. Trends towards negative relationships between SBP reactivity and future anxiety and fatigue symptoms at 6-months were evident.Conclusions Our findings may have serious implications, as fatigue can be a major cause of road traffic collisions in truck drivers.

AB - Objectives This study aimed to investigate the impact of a 6-month health intervention on truck drivers’ CVR to stress and whether CVR was predictive of depression, anxiety, or fatigue symptoms at 6-months follow-up.Methods 238 truck drivers completed a 6-month cluster RCT to increase physical activity and completed a stress protocol (Stroop and Mirror tracing tasks) with measurements of heart rate (HR), systolic (SBP), and diastolic (DBP) blood pressure taken, alongside fatigue, anxiety, and depressive symptoms assessment. Measures were taken at 0-months and 6-months.Results Analyses showed a negative relationship between 0-month DBP reactivity and 6-month persistent fatigue. Trends towards negative relationships between SBP reactivity and future anxiety and fatigue symptoms at 6-months were evident.Conclusions Our findings may have serious implications, as fatigue can be a major cause of road traffic collisions in truck drivers.

KW - fatigue

KW - truck drivers

KW - stress reactivity

KW - cardiovascular stress

KW - psychological stress

UR - http://dx.doi.org/10.1097/jom.0000000000002715

U2 - 10.1097/jom.0000000000002715

DO - 10.1097/jom.0000000000002715

M3 - Article

JO - Journal of Occupational and Environmental Medicine

JF - Journal of Occupational and Environmental Medicine

SN - 1076-2752

ER -

Attenuated cardiovascular reactivity to acute psychological stress predicts future fatigue symptoms in truck drivers

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