High intensity interior aircraft noise increases the risk of high diastolic blood pressure in Indonesian Air Force pilots
DOI:
https://doi.org/10.13181/mji.v18i4.375Keywords:
diastolic blood pressure, aircraft noise, resting pulse rate, military pilotsAbstract
Aim To analyze the effects of aircraft noise, resting pulse rate, and other factors on the risk of high diastolic blood pressure (DBP) in Indonesian Air Force pilots.
Methods A nested case-control study was conducted using data extracted from annual medical check-ups indoctrination aerophysiologic training records at the Saryanto Aviation and Aerospace Health Institute (LAKESPRA) in Jakarta from January 2003 â September 2008. For analysis of DBP: the case group with DBP ⥠90 mmHg were compared with contral group with DBP < 79 mmHG. One case matched to 12 controls.
Results Out of 567 pilots, 544 (95.9%) had complete medical records. For this analysis there were 40 cases of high DBP and 480 controls for DBP. Pilots exposed to aircraft noise 90-95 dB rather than 70-80 dB had a 2.7-fold increase for high DBP [adjusted odds ratio (ORa) = 2.70; 95% confidence interval (CI ) = 1.05-6.97]. Pilots with resting pulse rates of ≥ 81/minute rather than ≤ 80/minute had a 2.7-fold increase for high DBP (ORa = 2.66; 95% CI = 1.26-5.61). In terms of total flight hours, pilots who had 1401-11125 hours rather than 147-1400 hours had a 3.2-fold increase for high DBP (ORa = 3.18; 95% CI = 1.01-10.03).
Conclusion High interior aircraft noise, high total flight hours, and high resting pulse rate, increased risk for high DBP. Self assessment of resting pulse rate can be used to control the risk of high DBP. (Med J Indones 2009; 276: 276-82)
Downloads
References
World Health Organization. Guidelines for community noise. Geneva: The Organization; 2000.
Babisch W. The noise/stress concept, risk assessment and research needs. Noise & Health. 2002;4(16):1-11.
Matsui T, Miyakita T. Association between blood pressure and aircraft noise exposure around Kadena airfi elds in 282 Siagian et al. Med J Indones Okinawa. The 2001 International Congress and Exhibition on Noise Control Engineering. The Hague: The Netherlands; 2001.
Rosenlund M, Berglund N, Pershagen G, Järup L, Bluhm G. Increased prevalence of hypertension in a population exposed to aircraft noise. Occup Environ Med. 2001;58:769-73.
Järup L, Dudley M-L, Babisch W, Houthuijs D, Swart W, Pershagen G, et al. Hypertension and exposure to noise near airports (HYENA): study design and noise exposure assessment. Environ Health Perspect. 2005;113:1473-8.
Tentara Nasional Indonesia; Markas Besar Angkatan Udara. Buku petunjuk teknis TNI AU tentang uji dan pemeriksaan kesehatan. Jakarta: TNI AU; 2007.
Joint National Committee on Prevention Detection, Evaluation, and Treatment of High Blood Pressure. The seventh report of the Joint National Committee on prevention detection, evaluation, and treatment of high blood pressure. JAMA. 2003;289:2560-72.
Dinas Kesehatan TNI AU (RI). Hasil survey kebisingan dan vibrasi oleh Diskesau. Jakarta: Lakespra. 2005.
Stata Corp. Stata Statistical Software: Release 9.0. Getting started with Stata for Windows. Texas: Stata Corporation; 2007.
Hosmer DW, Lemeshow S. Applied logistic regression. 2nd edition. New York: John Wiley & Sons; 2000.
Oparil S, Weber M. Hypertension: companion to Brenner & Rector's the kidney. 2nd ed. Philadelphia: Elsevier Saunders; 2005.
Setiadji VS, Tanzil A, Siagian M, Wirosoekarto S, Dana M. Pengaruh bising pesawat udara terhadap beberapa parameter ilmu faal awak pesawat. [unpublished] 1980.
Tomei F, Papaleo B, Baccolo TP, Tomao E, Alfi P, Fantini S. Chronic noise exposure and the cardiovascular system in aircraft pilots [article in Italian]. Med Lav. 1996;87:394-410.
Tomei F, De Sio S, Tomao E, Anzelmo V, Baccolo TP, Ciarocca M, et al. Occupational exposure to noise and hypertension in pilots. Int J Environ Health Res. 2005;15:99-106.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.
