{"title":"中国民航飞行员患病率的meta分析","authors":"Yi-qing Yang, L. Pan, Jian Gao, Xiaorong Liu","doi":"10.3760/CMA.J.ISSN.1007-6239.2017.01.013","DOIUrl":null,"url":null,"abstract":"Objective \nTo evaluate and analyze the prevalence of various diseases in Chinese civil aviation pilots, and to provide the basis of improving the fitness of pilots. \n \n \nMethods \nThe information of physical examinations of civil aviation pilots up to June of 2016 was extracted from the literatures included by CBM, China Journal Fulltext Database, China Scientific Journal Database and Wanfang Data. Open Meta [Analyst] software was used to incorporate the single rate and the outcomes were expressed as prevalence and 95% CI, and to analyze the subgroups according to different characteristics of pilots. STATA software was used for publication bias. \n \n \nResults \nTwenty-six literatures were included for meta-analysis and 122 424 persons involved (aging from 16 to 73 yr). The diseases were mainly cardiovascular diseases, liver diseases, eye diseases and abnormal blood biochemical indexes. The Meta-analysis showed that the prevalence of various diseases in Chinese civil aviation pilots were: hypertension 9.2% (95% CI was 7.1%-11.4%, I2=98%), overweight and obesity 42.2% (95% CI was 29.0%-55.5%, I2=100%), dyslipidemia 38.2% (95% CI was 24.1%-52.4%, I2=100%), in which the prevalence of TG was 28.0% (I2=98%), TC was 19.9% (I2=99%), HDL-C was 23.4% (I2=97%), and LDL-C was 19.3% (I2=98%). The prevalence of hyperglycemia and hyperuricemia was respectively 3.1% (95% CI was 0.7%-5.6%, I2=95%) and 22.6% (95% CI was 18.5%-26.6%, I2=79%). The prevalence of fatty liver and gallbladder polyp was respectively 20.2% (95% CI was 10.4%-30.0%, I2=98%) and 5.2% (95% CI was 4.7%-5.8%, I2=0%). The prevalence of cataracts and poor vision was respectively 0.2% (95% CI was 0.1%-0.3%, I2=80%) and 9.4% (95% CI was 9.0%-9.7%, I2=0%). 10.2% pilots were diagnosed as hearing loss (I2=54%). Pilots at different age had different prevalence of hypertension. \n \n \nConclusions \nThe high incidences of overweight/obesity, dyslipidemia, hyperuricemia, fatty liver and hypertension are found in Chinese civil aviation pilots, and these suggest the importance of countermeasures for improving their healthiness. \n \n \nKey words: \nPhysical examination; Prevalence rate; Meta-analysis; Pilots","PeriodicalId":9904,"journal":{"name":"中华航空航天医学杂志","volume":"21 1","pages":"52-59"},"PeriodicalIF":0.0000,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Meta-analysis of prevalence in Chinese civil aviation pilots\",\"authors\":\"Yi-qing Yang, L. Pan, Jian Gao, Xiaorong Liu\",\"doi\":\"10.3760/CMA.J.ISSN.1007-6239.2017.01.013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo evaluate and analyze the prevalence of various diseases in Chinese civil aviation pilots, and to provide the basis of improving the fitness of pilots. \\n \\n \\nMethods \\nThe information of physical examinations of civil aviation pilots up to June of 2016 was extracted from the literatures included by CBM, China Journal Fulltext Database, China Scientific Journal Database and Wanfang Data. Open Meta [Analyst] software was used to incorporate the single rate and the outcomes were expressed as prevalence and 95% CI, and to analyze the subgroups according to different characteristics of pilots. STATA software was used for publication bias. \\n \\n \\nResults \\nTwenty-six literatures were included for meta-analysis and 122 424 persons involved (aging from 16 to 73 yr). The diseases were mainly cardiovascular diseases, liver diseases, eye diseases and abnormal blood biochemical indexes. The Meta-analysis showed that the prevalence of various diseases in Chinese civil aviation pilots were: hypertension 9.2% (95% CI was 7.1%-11.4%, I2=98%), overweight and obesity 42.2% (95% CI was 29.0%-55.5%, I2=100%), dyslipidemia 38.2% (95% CI was 24.1%-52.4%, I2=100%), in which the prevalence of TG was 28.0% (I2=98%), TC was 19.9% (I2=99%), HDL-C was 23.4% (I2=97%), and LDL-C was 19.3% (I2=98%). The prevalence of hyperglycemia and hyperuricemia was respectively 3.1% (95% CI was 0.7%-5.6%, I2=95%) and 22.6% (95% CI was 18.5%-26.6%, I2=79%). The prevalence of fatty liver and gallbladder polyp was respectively 20.2% (95% CI was 10.4%-30.0%, I2=98%) and 5.2% (95% CI was 4.7%-5.8%, I2=0%). The prevalence of cataracts and poor vision was respectively 0.2% (95% CI was 0.1%-0.3%, I2=80%) and 9.4% (95% CI was 9.0%-9.7%, I2=0%). 10.2% pilots were diagnosed as hearing loss (I2=54%). Pilots at different age had different prevalence of hypertension. \\n \\n \\nConclusions \\nThe high incidences of overweight/obesity, dyslipidemia, hyperuricemia, fatty liver and hypertension are found in Chinese civil aviation pilots, and these suggest the importance of countermeasures for improving their healthiness. \\n \\n \\nKey words: \\nPhysical examination; Prevalence rate; Meta-analysis; Pilots\",\"PeriodicalId\":9904,\"journal\":{\"name\":\"中华航空航天医学杂志\",\"volume\":\"21 1\",\"pages\":\"52-59\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华航空航天医学杂志\",\"FirstCategoryId\":\"1087\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2017.01.013\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华航空航天医学杂志","FirstCategoryId":"1087","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2017.01.013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Meta-analysis of prevalence in Chinese civil aviation pilots
Objective
To evaluate and analyze the prevalence of various diseases in Chinese civil aviation pilots, and to provide the basis of improving the fitness of pilots.
Methods
The information of physical examinations of civil aviation pilots up to June of 2016 was extracted from the literatures included by CBM, China Journal Fulltext Database, China Scientific Journal Database and Wanfang Data. Open Meta [Analyst] software was used to incorporate the single rate and the outcomes were expressed as prevalence and 95% CI, and to analyze the subgroups according to different characteristics of pilots. STATA software was used for publication bias.
Results
Twenty-six literatures were included for meta-analysis and 122 424 persons involved (aging from 16 to 73 yr). The diseases were mainly cardiovascular diseases, liver diseases, eye diseases and abnormal blood biochemical indexes. The Meta-analysis showed that the prevalence of various diseases in Chinese civil aviation pilots were: hypertension 9.2% (95% CI was 7.1%-11.4%, I2=98%), overweight and obesity 42.2% (95% CI was 29.0%-55.5%, I2=100%), dyslipidemia 38.2% (95% CI was 24.1%-52.4%, I2=100%), in which the prevalence of TG was 28.0% (I2=98%), TC was 19.9% (I2=99%), HDL-C was 23.4% (I2=97%), and LDL-C was 19.3% (I2=98%). The prevalence of hyperglycemia and hyperuricemia was respectively 3.1% (95% CI was 0.7%-5.6%, I2=95%) and 22.6% (95% CI was 18.5%-26.6%, I2=79%). The prevalence of fatty liver and gallbladder polyp was respectively 20.2% (95% CI was 10.4%-30.0%, I2=98%) and 5.2% (95% CI was 4.7%-5.8%, I2=0%). The prevalence of cataracts and poor vision was respectively 0.2% (95% CI was 0.1%-0.3%, I2=80%) and 9.4% (95% CI was 9.0%-9.7%, I2=0%). 10.2% pilots were diagnosed as hearing loss (I2=54%). Pilots at different age had different prevalence of hypertension.
Conclusions
The high incidences of overweight/obesity, dyslipidemia, hyperuricemia, fatty liver and hypertension are found in Chinese civil aviation pilots, and these suggest the importance of countermeasures for improving their healthiness.
Key words:
Physical examination; Prevalence rate; Meta-analysis; Pilots
期刊介绍：
The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties.
Topics of interest for Chinese Journal of Aerospace Medicine include:
-The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc.
-Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal.
-The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote.
-The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.
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