Research Article Volume 21 Issue 2 - 2026

Association Between Occupational Stress and Cardiovascular Disease Risk Factors among Commercial Drivers in North-East Region of Nigeria

Bidemi B Emmanuel1* and Nnenna O Onuoha2

1Department of Food Science and Technology, Federal University Wukari, Nigeria
2Department of Nutrition and Dietetics, University of Nigeria, Nsukka, Nigeria

*Corresponding Author: Bidemi B Emmanuel, Department of Food Science and Technology, Federal University Wukari, Nigeria.
Received: December 19, 2025; Published: February 04, 2026



Occupation-related stress is considered a possibly significant risk factor, and as a result many current research have centred on identifying cardiovascular risk factors in certain occupations. Meta-analysis showed that cardiovascular disease risk increased by approximately 50% in relation to high levels of work stress. It is more common for commercial drivers to have CVD because of the high stress they experience. This study examined the relationships between stress levels and CVD risk factors among commercial drivers. It was a cross-sectional study carried out among 924 commercial drivers in northeast Nigeria. Stress level and CVD risk factors related to lifestyle were assessed with the use of a questionnaire. Chi square and Pearson correlation analysis were performed using SPSS version 21. Many of them (47.0%) were at lower stress levels, 44.4% were stressed averagely, 6.9% were stressed moderately higher than average and 1.7% were stressed much higher than average. There was notable inverse relationship (P < 0.01) between (r = -0.120) smoking, alcohol consumption (r = -0.112) and stress level. There was strong correlation (P < 0.01) between physical activity (0.112) and the level of stress. A noteworthy inverse relationship (P < 0.05) was found between the level of stress (r = -0.072) and blood pressure. There was noteworthy positive connection (P < 0.05) between the level of stress (r = 0.118) and blood glucose levels. No discernible relationship existed between the level of stress and the lipid profile parameters. Low level of stress was recorded in this study and this was implicated in the connection between cardiovascular disease risk factors and stress.

 Keywords: Occupational Stress; Cardiovascular Disease; Commercial Drivers; Nigeria

  1. Byrne DG and Espnes GA. “Occupational stress and cardiovascular disease”. Stress Health3 (2008): 231-238.
  2. Jovanovic J., et al. “Serum lipids and glucose disturbances at professional drivers exposed to occupational stressors”. Central European Journal of Public Health 2 (2008): 54-58.
  3. Satyjeet F., et al. “Psychological stress as a risk factor for cardiovascular disease: a case-control study”. Cureus 10 (2020): e10757.
  4. Kivimaki M., et al. “Work stress in the etiology of coronary heart disease-A meta-analysis”. Scandinavian Journal of Work, Environment and Health 6 (2006): 431-442.
  5. Chidoka O. “Road traffic accident in Nigeria”. Federal Road Safety Corp, FRSC. Tribune 1 (2013): 29.
  6. Thiese MS., et al. “Commercial driver medical examinations: prevalence of obesity, comorbidities, and certification outcomes”. Journal of Occupational and Environmental Medicine 6 (2015): 659-665.
  7. Walvekar SS., et al. “A comparative study of cardiovascular disease risk among bus drivers and bus conductors of a state transport corporation in North Goa”. International Journal of Community Medicine and Public Health6 (2021): 3023-3029.
  8. Nagaya T., et al. “Incidence of type-2 diabetes mellitus in a large population of Japanese male white-collar workers”. Diabetes Research and Clinical Practice 2 (2006): 169-174.
  9. Kivimaki M and Kawachi I. “Work stress as a risk factor for cardiovascular disease”. Current Cardiology Reports 9 (2015): 630.
  10. Nabi H., et al. “Increased risk of coronary heart disease among individuals reporting adverse impact of stress on their health: the Whitehall II prospective cohort study”. European Heart Journal 34 (2013): 2697-2705.
  11. Batty GD., et al. “Psychological distress and risk of peripheral vascular disease, abdominal aortic aneurysm, and heart failure: pooling of sixteen cohort studies”. Atherosclerosis 2 (2014): 385-388.
  12. Sara JD., et al. “Association between work-related stress and coronary heart disease: a review of prospective studies through the job strain, effort-reward balance, and organizational justice models”. Journal of the American Heart Association 9 (2018): e008073.
  13. McEwen BS. “Protection and damage from acute and chronic stress: allostasis and allostatic overload and relevance to the pathophysiology of psychiatric disorders”. Annals of the New York Academy of Sciences 1032 (2004): 1-7.
  14. Kivimaki M and Steptoe A. “Effects of stress on the development and progression of cardiovascular disease”. Nature Reviews Cardiology 4 (2018): 215-229.
  15. Block JP., et al. “Psychosocial stress and change in weight among US adults”. American Journal of Epidemiology 2 (2009): 181-192.
  16. Olatunji AJ., et al. “Stress, cardiovascular health, and accident risks for commercial drivers in Abuja, Nigeria: causes and correlations”. SSRN Electronic Journal (2017).
  17. Ratnawat G and Jha P. “Impact of job related stress on employee performance: a review and research agenda”. IOSR Journal of Business and Management (IOSR-JBM) 11 (2014): 3-9.
  18. Charan J and Biswas T. “How to calculate sample size for different study designs”. Indian Journal of Psychological Medicine 2 (2013): 121-126.
  19. Allen E. “Stress management for dummies”. Dummies.com (2012).
  20. Useche SA., et al. “Job strain and road accidents in the field of public transportation: the case of city bus drivers”. Journal of Environmental and Occupational Science 1 (2017): 1-7.
  21. Vernekar S and Shah H. “A comparative study of cardiovascular disease risk among bus drivers and bus conductors of a state transport corporation in North Goa”. International Journal of Community Medicine and Public Health6 (2021): 3023-3029.
  22. Costa G. “Stress of driving: general overview”. Giornale Italiano di Medicina del Lavoro ed Ergonomia 3 (2012): 348-351.
  23. Elshatarat RA and Burgel BJ. “Cardiovascular risk factors of taxi drivers”. Journal of Urban Health 3 (2016): 589-606.
  24. Williams B. “Vascular ageing and interventions: lessons and learnings”. Therapeutic Advances in Cardiovascular Disease 3 (2016): 126-132.
  25. Mohsen AA and Hakim S. “Workplace stress and its relation to cardiovascular disease risk factors among bus drivers in Egypt”. Eastern Mediterranean Health Journal 12 (2019): 878-886.
  26. Hlotova Y and Cats O. “Measuring bus driver's occupational stress under changing working conditions”. Transportation Research Record 2415 (2014): 13-20.
  27. Cunradi CB., et al. “Occupational correlates of smoking among urban transit operators: a prospective study”. Substance Abuse Treatment, Prevention, and Policy 2 (2007): 36.
  28. Nyberg ST., et al. “Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women”. PLoS One6 (2013): e67323.
  29. Kouvonen A., et al. “Work stress, smoking status and smoking intensity: an observational study of 41,690 employees”. Journal of Epidemiology and Community Health 1 (2005): 63-69.
  30. Biglari H., et al. “Relationship between occupational stress and cardiovascular diseases risk factors in drivers”. International Journal of Community Medicine and Public Health6 (2016): 895-901.
  31. Nyberg ST., et al. “Job strain and cardiovascular disease risk factors: meta-analysis of individual-participant data from 47,000 men and women”. PLoS One6 (2013): e67323.
  32. Bello S., et al. “Social determinants of alcohol use among drivers in Calabar”. Nigerian Medical Journal 4 (2011): 244-249.
  33. Chandola T., et al. “Work stress and coronary heart disease: what are the mechanisms?” European Heart Journal 5 (2008): 640-648.
  34. Shin SY., et al. “Cardiovascular disease risk of bus drivers in a city of Korea”. Annals of Occupational and Environmental Medicine 1 (2013): 34.
  35. Balieiro LC., et al. “Nutritional status and eating habits of bus drivers during the day and night”. Chronobiology International 10 (2014): 1123-1129.
  36. Oshio T., et al. “The association between job stress and leisure-time physical inactivity adjusted for individual attributes: evidence from Japanese occupational cohort survey”. Scandinavian Journal of Work, Environment and Health 3 (2016): 228-236.
  37. Landsbergis PA., et al. “Job strain and ambulatory blood pressure: a meta-analysis and systematic review”. American Journal of Public Health 3 (2013): e61-e71.
  38. Taklikar CS. “Occupational stress and its associated health disorders among bus drivers”. International Journal of Community Medicine and Public Health 1 (2016): 208-211.
  39. Tanna K and Khatri S. “Correlation between perceived stress and blood pressure among adults”. International Journal of Recent Innovations in Medicine and Clinical Research 3 (2021): 42-47.
  40. Heikkila K., et al. “Job strain and health-related lifestyle: findings from an individual participant meta-analysis of 118,000 working adults”. American Journal of Public Health 11 (2013): 2090-2097.
  41. Nyberg ST., et al. “Job strain as a risk factor for type 2 diabetes: a pooled analysis of 124,808 men and women”. Diabetes Care8 (2014): 2268-2275.
  42. Sui H., et al. “Association between work-related stress and risk of type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies”. PLoS One8 (2016): e0159978.
  43. Hussein SM., et al. “Assessment of occupational stress index and lipid profile among professional drivers in Ismailia City, Egypt”. In: The 1st Int Electron Conf Environ Health 6.1 (2018): 5713.
  44. Djindjic N., et al. “Work stress related lipid disorders and arterial hypertension in professional drivers: a cross-sectional study”. Vojnosanitetski Pregled 6 (2013): 561-568.
  45. Song S., et al. “Dyslipidemia patterns are differentially associated with dietary factors”. Clinical Nutrition4 (2016): 885-891.

Bidemi B Emmanuel and Nnenna O Onuoha. “Association Between Occupational Stress and Cardiovascular Disease Risk Factors among Commercial Drivers in North-East Region of Nigeria”. EC Nutrition  21.2 (2026): 01-10.