Investigation on the anomaly characteristics of metabolic indexes of flying personnel
10.3760/cma.j.issn.1007-6239.2017.04.005
- VernacularTitle:飞行人员代谢指标异常特征调查分析
- Author:
Chao QIAN
1
;
Shujuan LU
1
;
Binbin SHI
1
;
Zhifeng HAN
1
;
Yunli DONG
1
;
Yilong YANG
1
;
Yujia CHEN
1
;
Bin ZHOU
1
Author Information
1. 解放军第四五四医院,南京,210002
- Publication Type:Journal Article
- Keywords:
Body mass index;
Metabolic syndrome X;
Health surveys;
Flying personnel
- From:
Chinese Journal of Aerospace Medicine
2017;28(4):266-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and analyze the anomaly characteristics of metabolic indexes of the active flying personnel with different BMI and different age and to provide the basis for health management of the flying personnel.Methods The cross-sectional study was applied to the collected data of 339 flying personnel who were hospitalized or in outpatient health examination in the 454th Hospital of PLA.The data included height,weight,blood pressure (BP),the serum levels of fasting plasma glucose (FPG),triglyceride (TG),total cholesterol (TC),high-density lipoprotein cholesterol (HDL-C),low-density lipoprotein cholesterol (LDL-C) and uric acid (UA).Body mass index (BMI) of the flying personnel was calculated.The flying personnel were divided into 2 BMI groups (BMI<25 kg/m2 and BMI≥25 kg/m2) and 3 age groups (<35 yr,35-45 yr,and >45 yr).The differences of all the indexes between different BMI and age groups were analyzed.Results The abnormal rate of the indexes in flying personnel respectively was BMI:42.77 %,TG:22.71%,UA:8.26%,BP:7.67%,HDL-C:7.08%,LDL-C:6.49%,TC:4.42% and FPG:1.77%.The abnormal rates of BP and TG in BMI≥25 kg/m2 group (13.79%,32.41%) were higher than those in BMI<25 kg/m2 group (3.09%,15.46%) (x2 =13.417,13.580,P<0.01).The average serum level of FPG,TG,TC and LDL-C in BMI≥25 kg/m2 group [(5.20-k0.56),(1.55±0.92),(4.86±0.84),(3.09±0.69) mmol/L] were higher than those in BMI<25 kg/m2 group [(5.02±0.40),(1.28± 1.17),(4.67±0.87),(2.85±0.73) mmol/L],but the average serum level of HDL-C [(1.20±0.25) mmol/L] was lower than that in BMI<25 kg/m2 group [(1.33±0.31) mmol/L] (t=2.028-4.058,P<0.01 or P<0.05).There was significant difference on the abnormal rates of FPG,TG and BMI among 3 age groups (x2 =7.158-12.408,P<0.01 or 0.05).The abnormal rate of FPG (8.33%) in >45 yr group was higher than that in 35-45 yr group(0.00%) (P<0.05).The abnormal rate of TG in <35 yr group (17.34%) was lower than that in other 2 groups (37.50%,26.76%) (P<0.05).The abnormal rate of BMI in 35-45 yr group (52.82%) was higher than that in <35 yr group (33.53%) (P<0.05).There were significant differences on the average serum level of FPG,TG and BMI in 3 age groups (F=3.343-3.801,P<0.05).The average level of FPG in ages >45 yr group [(5.34±0.90) mmol/L] was higher than that in other 2 age groups [(5.07±0.44),(5.08±0.42) mmol/L,(P<0.05)].The level of TG in >45 yr group [(1.86± 1.40) mmol/L] was higher than that in <35 yr group [(1.29±1.16) mmol/L] (P<0.05).The BMI in 35-45 yr group [(25.01±2.18)kg/m2] was higher than that in <35 yr group [(24.38± 2.23)kg/m2] (P <0.05).Conclusions Overweight or obesity is a common problem in flying personnel.Overweight or obesity is closely related to metabolic disturbance.Attention should be paid to the health management and education of flying personnel,and the treatment plan should be adopted according to each patient's own situation.Promoting healthy lifestyle,learning to relieve psychological pressure,paying attention to weight control and taking corresponding active prevention measures are recommended to flying personnel.