The effect of workload and other risk factors of metabolic syndrome among short-haul commercial pilots in Indonesia

Inne Yuliawati, Minarma Siagian, Thamrin Abudi, Bastaman Basuki

Abstract


Abstrak

Latar belakang: Sindroma metabolik (MS) dapat menyebabkan kecacatan di antara pilot di Indonesia.Tujuan dari penelitian ini adalah untuk mengidentifikasi faktor-faktor risiko MS antara pilot komersialjarak pendek di Indonesia.

Metode: Penelitian potong lintang dengan sampling purposif yang dilakukan di antara pilot komersial yangmelakukan uji medik di Balai Kesehatan Penerbangan Sipil, Jakarta tanggal 27 Juli-30 Agustus 2014. Sindromametabolik dinilai menurutkriterian National Cholesterol Education Program Adult Treatment Panel III. Faktorrisiko diperoleh dengan menggunakan kuesioner self-reporting anonim. Data laboratorium diperoleh daricatatan medis. Regresi Cox digunakan untuk mengidentifikasi faktor-faktor risiko yang dominan dari MS.

Hasil: Selama pengumpulan data, 2135 pilot melakukan uji medik. Jumlah pilot Asia laki-laki memenuhi kriteriainklusi adalah 864 pilot. Prevalensi MS adalah 18,28%. Dibandingkan dengan kelompok 20-35 tahun, yangberusia berusia 56-65 tahun memiliki risiko 88% lebih tinggi untuk MS [risiko relatif sesuaian (RRa) = 1,88;P = 0,019]. Jika ditinjau dari jumlah sektor dalam 24 jam terakhir, dibandingkan dengan 0-3 sektor, subyekyang memiliki 6-7 sektor mempunyai risiko 66% lebih tinggi untuk MS (RRa = 1,66; P = 0,033), sedangkanyang memiliki 8 atau lebih sektor dalam 24 jam memiliki 82% lebih berisiko untuk MS (RRa = 1,82; P = 0,072).

Kesimpulan: Pilot berusia tahun-56-65, yang memiliki 6 atau lebih sektor dalam 24 jam terakhir, memilikirisiko lebih tinggi untuk sindroma metabolik antara jarak pendek pilot komersial di Indonesia. (HealthScience Journal of Indonesia 2015;6:81-6)

Kata kunci: Sindroma metabolik, jumlah sektor, pilot, Indonesia

 

Abstract

Background: Metabolic syndrome (MS) could cause sudden incapacitation among pilots in Indonesia.The aim of this study was to identify risk factors of MS among short-haul commercial pilots in Indonesia.

Methods: A cross-sectional study with purposive sampling was conducted among commercial pilotstaking medical examination at the Civil Aviation Medical Center, Jakarta from July 27-August 30th,2014. Metabolic syndrome was assessed according to the National Cholesterol Education Program AdultTreatment panel III criteria and criteria. Risk factors were collected using anonymous self-reportingquestionnaire. The laboratory data were extracted from medical records. Cox regression was used toidentify dominant risk factors of MS.

Results: During data collection, 2135 pilots taking medical examination, Total male Asian pilots metthe inclusion criteria was 864 pilots. Prevalence of MS was 18.28%. Compared to 20-35 year-old group,subjects aged 56-65 years-old had 88% higher risk for MS [adjusted relative risk (RRa) = 1.88; P = 0.019].In term of number of sectors in the last 24 hours, compared to 0-3 sectors, subjects who had 6-7 sectors inthe last 24 hours had 66% higher risk for MS (RRa = 1.66; P = 0.033), while subjects who had 8 or moresectors in 24 hours had 82% more risk for MS (RRa = 1.82; P = 0.072).

Conclusions: The pilot aged 56-65 years-old, who had 6 or more sectors in the last 24 hours, had higherrisk for metabolic syndrome among short-haul commercial pilots in Indonesia. (Health Science Journalof Indonesia 2015;6:81-6)

Keyword: metabolic syndrome, number of sectors, pilots, Indonesia


References


Reini SA. Hypercortisolism as a potential concern for submariners. Aviat Sp Environ Med. 2010;81(12):1114–22.

Chandola T, Brunner E, Marmot M. Chronic stress at work and the metabolic syndrome: prospective study. BMJ. 2006;332(7540):521–5

Costa G. Fatigue and biological rhythms. In: Wise JA, Hopkin VD, J GD, editors. Handbook of aviation human factor. Second Edition. Boca Raton, Florida: CRC Press Taylor & Francis Group; 2010: p. 11-1-23.

Jackson CA, Earl L. Prevalence of fatigue among commercial pilots. Occup Med. 2006;56:263–8.

Bourgeois-bougrine S, Carbon P, Gounelle C, et al. Perceived fatigue for short- and long-haul flights : A Survey of 739 airline pilots. Aviat space environ med. 2003;74:1072-7.

Powell DMC, Spencer MB, Holland D, et al. Pilot fatigue in short-haul operations: effects of number of sectors, duty length, and time of day. Aviat space environ med. 2007 Jul;78:698–701.

Steptoe A, Bostock S. A survey of fatigue and well-being among commercial airline pilots. Final Report 7th February 2011. UCL psychology group department of epidemiology and public health, London, WC1E6BT: Survey commissioned by BALPA. 2011:1–39.

Kuntjoroadi W, Safitri N. Analysis of competitive strategy in the commercial aviation business competition. Business bureaucracy. J Ilmu Adm dan Organ. 2009;16:45–52.

Civil Aviation Safety Regulations (PKPS) part 121 (amdt.8). Certification and operating requirements: domestic, flag, and supplemental air carriers. Subpart Q flight and duty time limitation and rest requirements. Nomor: PM Year 2013 Republik Indonesia; 2013:p. Q–1 – 4. Indonesian.

McCleland JC, Intoccia GF. A New Baseline for Chronic Fatigue: Why Measuring Flight Time is The Wrong Approach. 2013;AU/ACSC/20(April):1–47

Hulley SB, Cummings SR, Browner WS, et al. Designing clinical research. Third edition. Philladelphia, USA: Lippincott Williams & Wilkins; 2001.

International Standards and Recommended Practices. International Civil Aviation Organization (ICAO). Annex 6 to the Convention on International Civil Aviation. Operation of Aircraft Part I International Commercial Air Transport-Aeroplanes. Attachment A. Flight time and flight duty period limitations. Eight Edition. July 2001. ICAO; 2001:p.ATT1-2.


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Health Science Journal of Indonesia

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