RESEARCH PAPER
Evaluation of overweight and obesity in Helicopter Emergency Medical Service (HEMS) worker
More details
Hide details
1
Department of Emergency Medical Services, Medical University, Warsaw, Poland
2
Military Institute of Aviation Medicine, Warsaw, Poland
Corresponding author
Robert Gałązkowski
Department of Emergency Medical Services, Medical University, Warsaw, Poland
Ann Agric Environ Med. 2015;22(3):542-545
KEYWORDS
ABSTRACT
Introduction:
Obesity now affects people from all walks of life, including those who work in the field of medical aid provision on a daily basis. So far, there has been no research assessing the nutrition status of Helicopter Emergency Medical Service (HEMS) crews.
Objectives:
To evaluate the degree to which overweight and obesity prevail among Helicopter Emergency Medical Service Air Ambulances (HEMS LPR) crew members, and determine the overall excess body fat and fatty tissue distribution in the subjects.
Material and methods:
In order to evaluate the prevalence of overweight and obesity in HEMS crew members, the following anthropometric measurements were used: height, body mass, waist and hip circumferences. Assessment of their nutritional status was made by using some generally used indicators, i.e. calculating the subjects’ BMI, WHR and WHtR.
Results:
Pilots were older than the paramedics in a statistically significant way. On the basis of using the BMI indicator, it was shown that only 36% of HEMS crew members had normal body weight. Analysis of the percentage of body fat determined that 61.5% of the paramedics and 39.4% of the pilots had normal weight. 26.2% paramedics and 28.8% pilots were diagnosed as overweight. Obesity characterised 12.3% of paramedics and 31.8% of pilots. The above were statistically significant differences (p= 0.0117). Waist circumference exceeded 102 cm in 25.9% of the subjects and WHR>1 characterised 20.6% of those examined.
Conclusions:
Analysis of the results obtained revealed that an alarmingly high percentage of crew members suffer from excessive body mass and fat, particularly in the group of pilots. Immediate action should be taken in order to reduce the body mass and introduce preventive measures among the subjects.
REFERENCES (25)
1.
WHO. Obesity: preventing and managing the global epidemic: report of a WHO consultation (ISSN 05 12–3054): WHO; Geneva, Switzerland; 1999. WHO Tech Rep Ser., 894.
2.
Kottke TE, Wu LA, Hoffman RS. Economic and psychological implications of the obesity epidemic. Mayo. Clin. Proc. 2003; 78: 92–94.
3.
Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults 1999–2000. JAMA 2002; 288: 1723–1727.
4.
Szostak WB, Białkowska M, Cybulska B i wsp. Leczenie otyłości u ludzi dorosłych. Rekomendacje Narodowego Programu Profilaktyki Cholesterolowej. Medycyna po Dyplomie 2000: 163–180 (in Polish).
5.
Pi-Sunyer FX. Obesity: criteria and classification. Proc Nutr Soc 2000; 59: 505–509.
6.
Deurenberg P, Weststrate J, Seidell J. Body Mass Index as a measure of body fatness: ag.e – and sex – specific prediction formulas. Br J Nutr, 1991; 65: 105–114.
7.
Farin HMF, Abbasi F, Reaven GM. Comparison of body mass index versus waist circumference with the metabolic changes that increase the risk of cardiovascular disease in insulin-resistant individuals. Am J Cardiol. 2006; 98: 1053–1056.
8.
Janssen I, Katzmarzyk PT, Ross R. Waist circumference and not body mass index explains obesity-related health risk. Am J Clin Nutr. 2004; 79: 379–384.
9.
Juonala M, Magnussen CG, Berenson GS, Venn A, Burns TL, Sabin MA, et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med 2011, 365(20): 1876–1885.
10.
Diet, nutrition and the prevention of chronic diseases. WHO Technical report Series, 2003; 916: 1–149.
11.
Mansour AA, Al-Jazairi MI. Cut-off Values for Anthropometric Variables That Confer Increased Risk of Type 2 Diabetes Mellitus and Hypertension in Iraq. Archiv Med Res. 2007, 38: 253–258.
12.
Kłossowski M, Stelęgowski A. Ocena związku między masą i składem ciała a sprawnością fizyczną podchorążych Wyższej Szkoły Oficerskiej Sił Powietrznych, Pol Przegl Med Lotn. 2004; 1, (10): 35–42 (in Polish).
13.
Lavie CJ, Kuruvanka T, Milani RV, Prasad A, Ventura HO. Exercise capacity in adult African-Americans referred for exercise stress testing: Is fitness affected by race? Chest. 2004; 126: 1926–1968.
14.
Kłos A, Bertrandt J, Kłos K. Występowanie nadwagi i otyłości wśród wojskowego personelu latającego. Pol Przegl Med Lotn. 2008, 4: 337–343 (in Polish).
15.
Socha M, Bolanowski M, Jonak W, Lewandowski Z. Otłuszczenie ogólne i dystrybucja tkanki tłuszczowej u mężczyzn w starszym wieku. Endokrynologia Otyłość i Zaburzenia Przemiany Materii 2007; 3(4): 73–78 (in Polish).
16.
Kłosowski M, Dębska A, Stelęgowski A. Ocena problemu nadwagi u podchorążych i pilotów wojskowych w wieku 18–45 lat. Nowiny Lekarskie 2008, 77,3, 218–222 (in Polish).
17.
Chapman IM. Obesity In old age. Front Horm Res. 2008; 36: 97–106.
18.
Kłos A, Bertrandt J. Występowanie nadwagi i otyłości oraz ocena stanu odżywienia mineralnego wojskowego medycznego personelu latającego. Lek Wojsk. 2011, 21: 93–97 (in Polish).
19.
Ganz ML. The economic evaluation of obesity interventions: its time has come. Obes Res. 2003; 11: 1275–1277.
20.
Quinn E. The most common methods to measure body composition and body fat. Guide Health Sports Medicine 2011.
21.
Prentice AM, Jebb SA. Beyond body mass index. Obes Rev. 2001; 2: 141–147.
22.
Sowers JR. Obesity as a cardiovascular risk factor. Am J Med. 2003; 115(Suppl 8A): 37–41.
23.
Reaven G, Abbasi F, McLaughlin T. Obesity, insulin resistance, and cardiovascular disease. Recent Prog. Horm Res. 2004; 59: 207–223.
24.
Kivipelto M, Ngandu T, Fratiglioni L, Viitanen M, Kåreholt I, Winblad B, Helkala EL, Tuomilehto J, Soininen H, Nissinen A. Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease. Arch Neurol. 2005; 62(10): 1556–1560.
25.
Fogelholm M, Malmberg J, Suni J, Santtila M, Kyrolainen H, Mantysaari M. Waist circumference and BMI are independently associated with the variation of cardio-respiratory and neuromuscular fitness in young adult men. Int J Obes. 2006; 30: 962–969.