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

• Main Authors: Inne Yuliawati, Minarma Siagian, Thamrin Abudi, Bastaman Basuki
• Format: Article
• Language: English
• Published: Badan Penelitian dan Pengembangan Kesehatan 2016-03-01
• Series: Health Science Journal of Indonesia
• Online Access: http://ejournal.litbang.kemkes.go.id/index.php/HSJI/article/view/4764

<p><strong>Abstrak</strong></p><p>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.</p><p>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.</p><p>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).</p><p>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)</p><p>Kata kunci: Sindroma metabolik, jumlah sektor, pilot, Indonesia</p><p> </p><p><strong>Abstract</strong></p><p><strong> </strong>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.</p><p>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.</p><p>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).</p><p>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)</p><p>Keyword: metabolic syndrome, number of sectors, pilots, Indonesia</p>