DOT Physicals: A Focus on Heart Health for American Heart Month 2026
Here are three ways you can help drivers improve their cardiovascular health.
Heart disease is the leading cause of death in the U.S., claiming 700,000 lives each year. While many factors play a role in developing this disease, anyone who sits for long periods—like truck drivers—increases their risk.
This is precisely why it's so important for employers to promote healthy habits year-round, especially every February during American Heart Month.
Below, we'll share tips and other info for doing exactly that.
1. Promote "Rigs Without Cigs."
Designed specifically for drivers with active CDLs, Rigs Without Cigs is a smoking cessation program created by The St. Christopher Truckers Development and Relief Fund, which is a non-profit that helps truckers who are out of work due to illness or injury.
What makes Rigs Without Cigs different from other smoking cessation programs? The cool incentives drivers get when they reach certain milestones (like three months tobacco-free, for example—you get a 12-volt soft-sided cooler).
Employers could take this program to the next level by offering their own incentives on top of the ones their drivers receive from Rigs Without Cigs. Employer-backed smoking cessation programs do work—and even more so when cash incentives are involved
In fact, according to one study published in JAMA, "In a randomized controlled trial involving 878 employees, financial incentives worth a total of $750 increased long-term smoking cessation rates from 5.0% to 14.7% at the end of 9–12 months."
A more recent study reaffirms this conclusion, saying bluntly: "Paying smokers to quit is effective."
And any money you spend on incentives now will be worth it since you'll save more money over the long haul.
Don't believe us? Just consider this: According to the Centers for Disease Control and Prevention (CDC), in 2018 (the most recent data available on the CDC website), cigarette smoking cost the United States more than $600 billion, including more than $240 billion in health care spending and nearly $372 billion in lost productivity from smoking-related illness, disability, and premature death.
Whether you push a program like Rigs Without Cigs or create your own company-wide smoking cessation program, your business—and most importantly, your drivers—will reap the benefits either way.
2. Encourage proper rest.
Proper rest is linked to better heart health. Columbia University Irving Medical Center reports the following: "The heart likes consistent sleep, according to some of the most recent research on sleep and heart health. In a study that followed older adults for five years, those with the most irregular sleep schedules were nearly twice as likely to develop heart disease as those with more regular sleep patterns."
Beyond improved heart health, proper rest improves overall wellness and makes for safer roadways. And yet truck driver fatigue continues to be something that plagues the transportation industry. Check out this article about the CVSA's plan to combat driver fatigue—and what employers can do to support it.
3. Educate drivers about the acceptable ranges for blood pressure.
According to the American Heart Association, high blood pressure (also called hypertension) can lead to things like heart attacks, strokes, and even vision loss—all of which are dire situations, but even more so when someone is operating a big rig.
Blood pressure requirements for passing DOT physicals are straightforward: Anything below 140/90, and the driver will pass. Anything above, and some action is necessary.
And that's where it can get tricky since many things can contribute to high blood pressure, including genetics, diet, weight, age, and lack of exercise.
This is why constant education around all aspects of high blood pressure—including heart-healthy lifestyle changes drivers can implement ASAP—is critical.
Consider offering training on wellness topics, particularly around nutrition, easy exercises drivers can do on the road, and stress-management techniques.
Provide heart-healthy suggestions for snacks to keep in the cab. Kudos if you reimburse drivers or if you make heart-healthy snacks, like nuts or whole grain crackers, available for truckers to grab before they hit the road.
Remind drivers to hydrate with water (and to ditch the soda and excessive coffees). Give them sturdy water bottles emblazoned with your company logo. It's good advertising for your company and even better for your drivers.
BONUS TIP: Make sure you're staying on top of your drivers' DOT physicals.
Managing your drivers' DOT physical exams gets exponentially harder as your fleet grows. And here's the thing: If you're still using paper files, your blood pressure is bound to surge thanks to all the stress that comes from maintaining paper records. Let us help.
Dash, Foley's all-in-one DOT compliance platform, makes it easy to track, order, review, and manage your drivers' DOT physicals — as well as other important DOT assets, like medical card renewals, license renewals, and drug tests. Request a demo and discover how easy it is to manage DOT physicals (and everything else!) with Dash
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