Association of age and night flight duration with sleep disorders among Chinese airline pilots
ObjectiveNight flights might aggravate sleep disorders among aging airline pilots, posing a threat to flight safety. In this study, we assess the prevalence of sleep disorders as well as the combined effects of night flight duration and aging on sleep disorders.MethodA cross-sectional study was cond...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1217005/full |
| _version_ | 1797690452256751616 |
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| author | Ruizi Shi Fang Wang Wanying Xu Li Fu |
| author_facet | Ruizi Shi Fang Wang Wanying Xu Li Fu |
| author_sort | Ruizi Shi |
| collection | DOAJ |
| description | ObjectiveNight flights might aggravate sleep disorders among aging airline pilots, posing a threat to flight safety. In this study, we assess the prevalence of sleep disorders as well as the combined effects of night flight duration and aging on sleep disorders.MethodA cross-sectional study was conducted between July and December, 2021. Participants were recruited from a commercial airline. Sleep disorders were evaluated using the Pittsburgh Sleep Quality Index (PSQI). The interaction effect of night flight duration and age on sleep disorders and their correlates were examined using logistic regression models.ResultsIn total, 1,208 male airline pilots were included in the study, with a median age of 34 (interquartile range [IQR]: 29–39) years. The overall prevalence of sleep disorders was 42.6%. The multivariate logistic regression identified an interaction between night flight duration and age on sleep disorders (adjusted odds ratio [aOR] of the interaction term was 5.85 95% CI: 2.23–15.34 for age ≥ 45 years; 1.96 95% CI:1.01–3.81 for the age group 30–44 years). Longer night flight duration (aOR: 4.55; 95%CI: 1.82–11.38) and body mass index (BMI) ≥28.0 kg/m2 (aOR: 0.16; 95% CI: 0.03–0.91) were significantly associated with sleep disorders in participants aged ≥45 years. Hyperuricemia (aOR: 1.54; 95% CI: 1.09–2.16) and regular exercise (aOR: 0.23; 95% CI: 0.08–0.70) were significantly associated with sleep disorders in the 30–44 years age group.ConclusionThe mean monthly night flight duration and aging had a synergistic effect on airline pilots’ sleep disorders, implying an aging and work-related mechanistic pathogenesis of sleep disorders in airline pilots that requires additional exploration and intervention. |
| first_indexed | 2024-03-12T01:59:48Z |
| format | Article |
| id | doaj.art-f2fb947a687143ceb9f0f53ed6cf5f97 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T01:59:48Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-f2fb947a687143ceb9f0f53ed6cf5f972023-09-07T21:10:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-09-011110.3389/fpubh.2023.12170051217005Association of age and night flight duration with sleep disorders among Chinese airline pilotsRuizi Shi0Fang Wang1Wanying Xu2Li Fu3Shanghai Institute of Aviation Medicine, Ruijin Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Hospital of Civil Aviation Administration of China, Gubei Branch of Ruijin Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai, ChinaShanghai Institute of Aviation Medicine, Ruijin Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Hospital of Civil Aviation Administration of China, Gubei Branch of Ruijin Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai, ChinaObjectiveNight flights might aggravate sleep disorders among aging airline pilots, posing a threat to flight safety. In this study, we assess the prevalence of sleep disorders as well as the combined effects of night flight duration and aging on sleep disorders.MethodA cross-sectional study was conducted between July and December, 2021. Participants were recruited from a commercial airline. Sleep disorders were evaluated using the Pittsburgh Sleep Quality Index (PSQI). The interaction effect of night flight duration and age on sleep disorders and their correlates were examined using logistic regression models.ResultsIn total, 1,208 male airline pilots were included in the study, with a median age of 34 (interquartile range [IQR]: 29–39) years. The overall prevalence of sleep disorders was 42.6%. The multivariate logistic regression identified an interaction between night flight duration and age on sleep disorders (adjusted odds ratio [aOR] of the interaction term was 5.85 95% CI: 2.23–15.34 for age ≥ 45 years; 1.96 95% CI:1.01–3.81 for the age group 30–44 years). Longer night flight duration (aOR: 4.55; 95%CI: 1.82–11.38) and body mass index (BMI) ≥28.0 kg/m2 (aOR: 0.16; 95% CI: 0.03–0.91) were significantly associated with sleep disorders in participants aged ≥45 years. Hyperuricemia (aOR: 1.54; 95% CI: 1.09–2.16) and regular exercise (aOR: 0.23; 95% CI: 0.08–0.70) were significantly associated with sleep disorders in the 30–44 years age group.ConclusionThe mean monthly night flight duration and aging had a synergistic effect on airline pilots’ sleep disorders, implying an aging and work-related mechanistic pathogenesis of sleep disorders in airline pilots that requires additional exploration and intervention.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1217005/fullagenight flight durationinteractionsleep disordersPSQI |
| spellingShingle | Ruizi Shi Fang Wang Wanying Xu Li Fu Association of age and night flight duration with sleep disorders among Chinese airline pilots Frontiers in Public Health age night flight duration interaction sleep disorders PSQI |
| title | Association of age and night flight duration with sleep disorders among Chinese airline pilots |
| title_full | Association of age and night flight duration with sleep disorders among Chinese airline pilots |
| title_fullStr | Association of age and night flight duration with sleep disorders among Chinese airline pilots |
| title_full_unstemmed | Association of age and night flight duration with sleep disorders among Chinese airline pilots |
| title_short | Association of age and night flight duration with sleep disorders among Chinese airline pilots |
| title_sort | association of age and night flight duration with sleep disorders among chinese airline pilots |
| topic | age night flight duration interaction sleep disorders PSQI |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1217005/full |
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