Causal & Contributing Factors
Several million commercial truckers operate within a transportation environment encompassed with multicomponent workplaces that have policies and regulations which govern them. Truckers’ “burden” of disease, inaccessibility to health-promoting resources, and the number of occupational hazards within their profession, indicate that trucking is among the most underserved occupational segments.
Obesity is a significant contributing risk factor for a higher prevalence of fatigue and excessive daytime sleepiness (EDS) in the general population. Obesity is also linked to obstructive sleep apnea (OSA). These associations represent significant occupational hazards during the performance of complex tasks such as, piloting an aircraft, driving trucks, and operating public transit vehicles, which require workers to have constant focus, attention and vigilance (Dinges et al., 1997; Dagan et al., 2006; Cohen et al., 2010). Therefore, even a slight increase in risk could have substantial impact on the population attributable risk, given the incidence rate of fatigue related crashes and the high prevalence of obesity among drivers (Dixon et al., 2007). The Institute of Medicine (IOM) provided estimates that approximately 20% of all serious injuries caused by motor vehicle crashes are associated with drowsy driving (Garbarino et al., 2001). The National Transportation Safety Board (NTSB) gave evidence that over 30% of truck driver fatal crashes are fatigue
Obesity is one of the main topics in America including one of the main reasons of death.-(begin with a subject) Detecting obesity is easy, but treating it can be very hard to do. Never have there have been so many teens and children not only overweight but obese. In some ways, it could be called the plague of the twenty- first century due to adolescents and teenagers indulging themselves in a plethora of food for every meal they have, therefore becoming overweight and morbidly obese. In the eighteen hundreds there was not a fast food place to go to unlike these days, so children were not obese like they are
Obesity occurs in all countries and it is one of the gravest problems in modern society. Mankinds around the world are concerned about obesity. One of the chief causes is unhealthy diets. Obesity is also due to lack of exercise and lack of education and awareness. Therefore obesity has various effects include risk of suffering from a range of health conditions, large fiscal expenditure on medical insurance and lack of self-esteem.
America is facing a growing danger that has been gradually taking more and more years off of the life expectancy of its citizens. Obesity has been a growing issue throughout the United States over the last few decades and is one of the leading causes of preventable deaths in the country. This health issue, particularly childhood obesity, is definitely a health equity issue that needs to be addressed. Being overweight stems from and creates its own complexities that undoubtedly affect the determinants of health. There are two main angles public health can attack this issue from; developing a healthy public policy and developing personal skills with regards to health.
According to Vila (2006), data through the year 2003 indicated that more officers were killed by “unattended adverse events than during the commission of felonies.” Fatigue resulting from reduced sleep, both in duration and quality, is a significant factor in unintentional injuries and fatalities in the law enforcement community. Two hundred eighty seven (287) of the officers involved in the study reported being involved in a motor vehicle collision during the follow up period. Fatigue and drowsiness resulting from sleep disorders is believed to be a contributing factor in a significant number of these collisions. Across 2009-2010, more than a third of line of duty deaths were attributed to motor vehicle crashes (NLEMF, 2010). Sleepiness and fatigue are major factors in motor vehicle collisions and drivers suffering from excessive sleepiness are not only involved in more collisions, but the collisions are often more serious and result in more severe injuries (Drake, 2010). While, officers involved in the study regarded drowsy driving to be as serious and as dangerous as drunk driving, almost half of the participants reported falling asleep while driving 1-2 times a month due to excessive sleepiness (JAMA, 2011). The loss of only two hours of sleep over just a one week period was found to have the same decrease in performance comparable with individuals after 24 hours of staying awake.
A drive down the road in any given American city and one can observe at least one reason that the United States is struggling with obesity. One would be hard pressed to find a community that is not teeming with fast food restaurants. However, it might surprise some that the obesity epidemic in our country has reached the most vulnerable population of all and they aren’t even capable of driving themselves to these bastions of unhealthy food. The childhood obesity level has reached 34% of children in the United States (SHUMEI, 2016).Obesity is caused by consistently consuming more calories than are needed for the level of physical activity one has on a daily basis. Although there are several indicators of obesity, the CDC and The American Academy of Pediatrics use the body mass index (BMI). Childhood obesity is defined as a BMI at or above the 95th percentile for children of the same age and sex (Perpich, 2011). Childhood obesity has been linked to an increase in Type 2 diabetes mellitus, asthma, hypertension, increased risk for cardiovascular disease and even affects children in psychosocial terms with low self-esteem and fewer friends than their non-obese contemporaries (Hispanic Health Care International, 2011). There are a variety of causes that work together for contributing to childhood obesity from the income level of the home to gender to even the location of the child’s home. Although there are many factors that can cause childhood obesity, we
The Centers of Disease Control and Prevention defines obesity as having a BMI over 30 (CDC). In the year 2000, roughly 30 percent of 20 year olds in America were obese. By 2003 that number had risen to 32 percent. That is a small window of increase. From the 1970s to the early 2000s, the percent of obese Americans doubled. This means that in 1970, only 15 percent of Americans were obese, and in the thirty years following, obesity took a sharp rise. In 1960, 13 percent of Americans were obese. The mean percent rise per year in the 1960s was 0.2 percent. The mean percent rise per year in the three decades following the 60s was 0.5, and then in 2000, the percent rise per year again increased, this time to 0.6 percent. This does not seem like
There is an on-going controversy about who is to blame for obesity- individuals, parents, or fast-food restaurants and manufacturers. A scholarly article “Who is to Blame for the rise in obesity” by Jayson Lusk and Brenna Ellison discusses the research done to reveal who the majority of the people in the United States believe is responsible for the increased rates of obesity. The researchers asked the participants to put food manufacturers, grocery stores, restaurants, government policies, farmers, individuals, and parents in three categories: primarily, somewhat, and not at all to be blamed for the rise in obesity. Lusk and Ellison states, “eighty percent said individuals were primarily to blame for the rise in obesity and another 14% said
Obesity basically means having too much body fat. Not being overweight for your height, having too much muscle, or water in your body. What exactly is obesity? “Obesity is a condition that is associated with having an excess of body fat, defined by genetic and environmental factors that are difficult to control when dieting. Obesity is classified as having a Body Mass Index (BMI) of 30 or greater. BMI is a tool used to measure obesity. Obesity increases your risk of developing related conditions such as diabetes, hypertension and sleep apnea, to name a few. Many individuals are affected by obesity and are not aware of it” (O.A.C, 2016). Causes of obesity vary from person to person, but most are from the same reasons. Taking in more calories than your body can burn leads to obesity because your body stores the unused calories as fat. Typical causes are eating too much food than your body can use, drinking too much alcohol, and not getting enough exercise. Many obese people who lose large amounts of weight and gain it back think it is their fault. They blame themselves for not having the willpower to keep the weight off. Many people regain more weight than they lost. Today, we know that biology is a big reason why some people cannot keep the weight off. Some people who live in the same place and eat the same foods become obese, while others do not. Our bodies have a complex system to help keep our
Obesity is known to produce a number of stress and inflammation responses in the body that lead to the activation of the inflammatory signalling molecules, Jun NH2-terminal kinase (JNK) and inhibitory kB kinase (IKK). Activation of these pathways plays a key part in the development of insulin resistance followed by progression to diabetes as they greatly affect inflammatory responses, insulin signalling, and lipid and glucose homeostatis (Nakamura et al. 2014). For example, activating the JNK pathway leads to serine phosphorylation of insulin receptor substrate (IRS) proteins which results in inhibited insulin signalling and thus insulin resistance. Double-stranded RNA-dependent protein kinase (PKR) has recently been shown to control the JNK and other major inflammatory pathways, to directly inhibit insulin signalling, to be activated by fatty acids as well as endoplasmic reticulum (ER) stress, and to be necessary for the activity of inflammasomes (Nakamura et al. 2010; Komiya et al. 2010; Lu et al. 2012). Moreover, PKR has been found to be highly activated in obese people as well as mice with genetically and diet-induced obesity, especially in adipose and hepatic tissues (Boden et al. 2008; Nakamura et al. 2010; Carvalho-Filho et al. 2012). Finally, recent studies have found that PKR knockout obese mice were protected against both IR and obesity-triggered inflammation and that administration of PKR inhibitors reduced JNK activation, reduced inflammation in adipose
Predisposing Factors- Predisposing factors precede the behavior and provide rationale or motivation for the behavior. They can either support or discourage behavioral motivation. These factors can include an individual’s knowledge attitudes, beliefs and skills.
Obesity refers to the condition of having an extra amount of body fat. Obesity is caused by eating too much and moving too little. When an individual’s amount of body fat becomes too high, they are at a greater risk of being affected with life changing diseases such as heart failure, hypertension, type II diabetes, cancer, gallbladder disease, osteoarthritis, and others. This shows that people should become more physically active and attempt to make healthier choices because their life depends on the decisions, they make.
The everyday routines of life can and will be more difficult if encumbered with obesity.
The epidemic of obesity is a medical circumstance defined as excess weight in the form of fat which may impair health. (World Obesity Federation, 2012). Obesity can be calculated by BMI which is body mass index. Obesity means BMI greater than 30. (ibid). This essay will outline the causes and effects of obesity. Diet, lifestyle, toxic environment and the causes of obesity are physical, psychological and economic are impacts.
Obesity is a condition in which the over accumulation of adipose fat tissue causes the weight of a person to increase abnormally. Their weight exceeds by 20%, as a factor of their ideal body weight. According to recent analysis, statistics show that more than one third of the world’s population is targeted by obesity. Research shows that overweight and obesity kills more people than underweight. Obesity occurs greatly amongst adults who are 18 years or older. An estimated 600 million adults were obese out of the 1.9 billion that were overweight, around the world in 2014. One in three adults in Mexico, New Zealand and United States are obese, and one in four adults in Australia, Canada, Chile and Hungary are obese. In contrast, rates of obesity are much lower in Asian countries, where approximately 2-4% of adults have obesity. In countries such as Mexico and the United States, Latino and Africans have the highest rates of obesity amongst all the individuals. However, along with adults, statistics show that the rates for obesity are also high among children within and below the age of 5. As calculated in 2013, the number of children across the world that were either overweight or obese was 42 million. Since then, the rates have increased by 30% more in in low- and middle-income countries than in developed countries. Due to the fact that this condition continues at higher rates across the world, several organizations, such as the World Health Organization, are working with and
We are conditioned at a young age to believe the only way to be normal is to be