Hypertension and Obesity Among Civil Aviation Pilots

Bhat, Keshavamurthy Ganapathy; Verma, Shipra; Pant, Pankaj; Marwaha, Manvinder Pal Singh

doi:10.3357/amhp.5374.2019

Cited by 8 publications

(7 citation statements)

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“…Comparatively, this incidence rate is lower than previously reported hypertension rates of 28.3% in Chinese pilots, 10 28.7% in UK pilots 2 and 38% in Spanish pilots 37 . Conversely, a much lower hypertension rate of 4.1% was reported in a sample of Indian pilots 36 …”

Section: Discussioncontrasting

confidence: 59%

“…Similarly, a previous cross-sectional UKbased study reported significantly lower overweight and obesity in pilots (46.8% and 12.4%, respectively) compared to the general population (47% and 21%, respectively), with a significantly lower overall mean BMI in pilots. 2 The prevalence in other countries have been reported as 39% 36 and 53.7% 37 for overweight, and 7.3% 36 and 14.6% 37 for obesity in Indian and Spanish pilots, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…37 Conversely, a much lower hypertension rate of 4.1% was reported in a sample of Indian pilots. 36 A limited number of studies have reported sleep duration, dietary behaviours and physical activity within airline pilots and there are no studies comparing these health behaviours of pilots with the general population. There is a dearth of literature pertaining to the distribution of sleep duration among different pilot age groups.…”

Section: General Population Pilotsmentioning

confidence: 99%

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The prevalence and distribution of health risk factors in airline pilots: a cross‐sectional comparison with the general population

Driller

Johnston²,

Gill

2022

Australian and New Zealand Journal of Public Health

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Objective: To explore the prevalence and distribution of health risk factors in airline pilots and compare these with the general population. Methods: Health risk measures: age, sex, weight, height, body mass index (BMI), blood pressure, sleep, physical activity (PA) and fruit and vegetable intake (FV) were analysed to determine the prevalence and distribution of health risk. Results: Obesity prevalence and BMI was lower in pilots (p=<0.001, −17.5%, d=−0.41, and p=<0.05, −1.8, d=−0.37, respectively), yet overall overweight and obesity prevalence did not differ between groups (p=0.20). No difference was observed between groups for hypertension (p=0.79, h=−0.01), yet a higher proportion of pilots were ‘at risk’ for hypertension (p=<0.001, h=−0.34). The general population had longer sleep duration (p=<0.001, d=0.12), achieved more total PA minutes (p=<0.001, d=0.75), and had a higher prevalence of positive self‐rated health (p=<0.001, h=0.31). More pilots achieved >5 servings of FV daily (p=0.002, h=0.16). Conclusion: Pilots had lower obesity prevalence, higher FV, yet lower positive self‐health ratings and total PA minutes, and shorter sleep duration overall. Implications for public health: The results indicate notable health risk factor prevalence in airline pilots and the general population. Based on present findings, aviation health researchers should further examine targeted, cost‐effective intervention methods for promoting healthy bodyweight, managing blood pressure, and enhancing health behaviours to mitigate the risks of occupational morbidity, medical conditions causing loss of licence, medical incapacity, and to support flight safety.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: General Population Pilotsmentioning

confidence: 99%

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The prevalence and distribution of health risk factors in airline pilots: a cross‐sectional comparison with the general population

Driller

Johnston²,

Gill

2022

Australian and New Zealand Journal of Public Health

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“…A recent Brazilian study (2) found a prevalence of 53.7% of pilots being defined as overweight and 14.6% being obese. This is similar to other study results (3,4).…”

Section: Obesitysupporting

confidence: 93%

Obesity in Aviation Medicine

Balfour

2021

Journal of the Australasian Society of Aerospace Medicine

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This paper will examine the impacts of obesity in aviation medicine. The World Health Organisation (WHO) has described the problems of obesity and being overweight as one of the greatest public health challenges of the 21 st century (1) and this will certainly lead to increasing numbers of obese aviators (or potential aviators) presenting for medical certification. These people may not realise the impact their increased weight could have on their flying career and is often going to be an incidental finding in their examination rather than the specific problem they present with. This leads to the question for the medical examiner, does being overweight/obese matter in aviation and how might it increase a person's risk of incapacitation in the cockpit?

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“…Longer night work hours, difficulty relaxing after work, short sleep duration, chronic diseases, and a sedentary lifestyle were associated with excess weight. These problems, according to Bhat et al [ 39 ], can lead to the development of other diseases. The authors found a positive correlation between overweight and hypertension among pilots, especially in individuals aged 26–35 years ( Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

Organizational Risk Factors for Aircrew Health: A Systematic Review of Observational Studies

Marqueze

Benevides

Russo

et al. 2023

IJERPH

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Addressing the field of health and safety at work, the primary objective of the present systematic review was to analyze the organizational risk factors for aircrew health according to professional category (flight attendants and pilots/co-pilots) and their consequences. The secondary objective was to identify the countries in which studies were carried out, focusing on the quality of content of the publications. The Medline/Pubmed, Cochrane, Web of Science, and Scopus databases were searched for eligible studies according to PRISMA statements. The risk of bias and the methodological quality of the studies were assessed using the Newcastle-Ottawa scale and Loney tools. Of the 3230 abstracts of articles screened, 36 studies met the inclusion criteria. Most of the research conducted on risk factors for the work organization of aircrew was carried out in the United States and the European Union and had moderate or low-quality methodology and evidence. However, the findings are homogeneous and allow the most prevalent organizational risk factors for the health of aircrew to be determined, namely, high work demand, long hours, and night work. Consequently, the most pervasive health problems were sleep disturbances, mental health disorders, musculoskeletal disorders, and fatigue. Thus, the regulation of the aircrew profession must prioritize measures that minimize these risk factors to promote better health and sleep for these professionals and, consequently, to provide excellent safety for workers and passengers.

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Hypertension and Obesity Among Civil Aviation Pilots

Cited by 8 publications

References 0 publications

The prevalence and distribution of health risk factors in airline pilots: a cross‐sectional comparison with the general population

The prevalence and distribution of health risk factors in airline pilots: a cross‐sectional comparison with the general population

Obesity in Aviation Medicine

Organizational Risk Factors for Aircrew Health: A Systematic Review of Observational Studies

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