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民航機師的健康危險評估與疾病預防

Health Risks Assessment and Disease Prevention for Airline Transport Pilots

摘要


Introduction: Factors of aviation safety are mostly related to human. To maintain airline pilots' health in every aspect and ensure high-quality aviation safety, categorization and control of physical fitness and examination ofphysical conditions should be implemented on a regular basis. This study aimed to investigate airline transport pilots' work-related physical activity, exercise habits, risk factors of metabolic syndrome, and tendency in chronic fatigue syndrome. Furtherrnore, the impact of age, body mass index (BMI), and metabolic physiologies (blood pressure, blood sugar cholesterol, and triglyceride) were also analyzed. Methods: A subjective questionnaire survey and subjective records of physiologies were conducted on a total of 199 airline transport pilots in Taiwan. Percentage and Pearson Chi-Square Test were adopted in data analysis. Results: It was discovered that most of the airline transport pilots (92.3%) had an excessively long period of working at a sitting position. However, a majority (56.9%) ofthem still maintained the habit of doing regular exercises. In addition, as high as 27.3% ofthe pilots were at a high risk for metabolic syndrome. Most ofthem reported to have the symptom of ”having no regular exercises”. Fortunately, in this special working environment, most ofthe pilots (91.5%) did not suffer from chronic fatigue syndrome, and only 2.2% ofthem are at a high risk. Most of them reported to suffer from ”loss of short-terrn memory or distraction”. Moreover, the impact of age (p<0.05) and BMI (p<0.001) was statistically correlated with the risk factors of metabolic syndrome. Exercise habits and chronic fatigue syndrome were also correlated (p<0.01). On the other hand, the objective examination of airline transport pilots' physiological parameters showed that 6%, 11.6%, and 16.1% of the pilots had the symptoms of hypertension, excessive triglyceride value and total cholesterol. In a cοmparison of the impact of age and BMI on blood sugar before meal, a significant correlation was observed with both factors (p<0.05). And the impact of BMI and systolic pressure (p<0.05) or the impact of BMI and triglyceride (p<00.1) was statistical1y significant. Conclusions: According to the research findings, it was suggested that flight surgeons monitor the blood pressure, triglyceride, and blood sugar of pilots who are at a higher age level, who have no exercise habit, and who suffer from obesity, and try to prevent them from the high risks of metabolic or chronic fatigue syndrones.

並列摘要


Introduction: Factors of aviation safety are mostly related to human. To maintain airline pilots' health in every aspect and ensure high-quality aviation safety, categorization and control of physical fitness and examination ofphysical conditions should be implemented on a regular basis. This study aimed to investigate airline transport pilots' work-related physical activity, exercise habits, risk factors of metabolic syndrome, and tendency in chronic fatigue syndrome. Furtherrnore, the impact of age, body mass index (BMI), and metabolic physiologies (blood pressure, blood sugar cholesterol, and triglyceride) were also analyzed. Methods: A subjective questionnaire survey and subjective records of physiologies were conducted on a total of 199 airline transport pilots in Taiwan. Percentage and Pearson Chi-Square Test were adopted in data analysis. Results: It was discovered that most of the airline transport pilots (92.3%) had an excessively long period of working at a sitting position. However, a majority (56.9%) ofthem still maintained the habit of doing regular exercises. In addition, as high as 27.3% ofthe pilots were at a high risk for metabolic syndrome. Most ofthem reported to have the symptom of ”having no regular exercises”. Fortunately, in this special working environment, most ofthe pilots (91.5%) did not suffer from chronic fatigue syndrome, and only 2.2% ofthem are at a high risk. Most of them reported to suffer from ”loss of short-terrn memory or distraction”. Moreover, the impact of age (p<0.05) and BMI (p<0.001) was statistically correlated with the risk factors of metabolic syndrome. Exercise habits and chronic fatigue syndrome were also correlated (p<0.01). On the other hand, the objective examination of airline transport pilots' physiological parameters showed that 6%, 11.6%, and 16.1% of the pilots had the symptoms of hypertension, excessive triglyceride value and total cholesterol. In a cοmparison of the impact of age and BMI on blood sugar before meal, a significant correlation was observed with both factors (p<0.05). And the impact of BMI and systolic pressure (p<0.05) or the impact of BMI and triglyceride (p<00.1) was statistical1y significant. Conclusions: According to the research findings, it was suggested that flight surgeons monitor the blood pressure, triglyceride, and blood sugar of pilots who are at a higher age level, who have no exercise habit, and who suffer from obesity, and try to prevent them from the high risks of metabolic or chronic fatigue syndrones.

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