Objective:To explore the relationship between the exercise of cervical and lumbar muscles of military flying personnel and the prevalence of cervical and lumbar spine diseases, and to verify the protective effect of the exercise of cervical and lumbar muscles on cervical and lumbar of flying personnel.Methods:A self-made questionnaire and cluster sampling method were used. Air Force pilots of different aircraft types were selected to survey the situation of physical exercise and the prevalence of cervical and lumbar diseases by a questionnaire. Pilots were grouped by if stretching before flight, if relaxing after flight, and if regularly exercising on the strength of cervical and lumbar muscles. The prevalence of the cervical and lumbar diseases was compared. Influence factors were searched by Logistic regression analysis to investigate the protective effect of cervical and lumbar muscle exercise on the neck and waist.Results:In this study, 779 valid questionnaires out of 923 were obtained. The effective rate of the questionnaires was 84.4%. The prevalence of cervical and lumbar diseases in the flying personnel without cervical and lumbar muscles stretching before flight was 36.2%, while the prevalence of flying personnel with cervical and lumbar muscles stretching before flight was 27.6%. There were significant differences between them (χ 2=6.217, P<0.05). The prevalence rate of cervical and lumbar diseases in the flying personnel without cervical and lumbar muscles relaxation after flight was 37.9%, while the prevalence of flying personnel without cervical and lumbar muscles with relaxation after flight was 23.7%. There were significant differences between them (χ 2=16.30, P<0.01). The prevalence rate of cervical and lumbar diseases in the flying personnel without regular training was 41.1%, while the prevalence of relaxation after flight was 29.8%. There were significant differences between them (χ 2=8.89, P<0.01). Logistic regression analysis showed that age, relaxing after the flight, and regular training of cervical and lumbar muscles were all independent factors that affected cervical and lumbar diseases. Among them, increased age was the risk factor of cervical and lumbar diseases ( OR=1.073, 95 %CI: 1.033-1.114, P<0.01), cervical and lumbar relaxing after the flight ( OR=0.456, 95 %CI: 0.303-0.686, P<0.01) and regular training of cervical and lumbar muscles ( OR=0.656, 95 %CI: 0.463-0.930, P<0.05) were both protective factors for cervical and lumbar diseases. Conclusions:The stretching before flight, relaxing after flight, and regular training of cervical and lumbar muscles can significantly reduce the prevalence of cervical and lumbar diseases in flying personnel.