军事飞行员健康促进生活方式与代谢指标的相关性分析

Correlation analysis of health promoting lifestyle and metabolic index in military pilots

目的探讨军事飞行员健康促进生活方式与代谢相关指标的关系。方法收集在空军杭州特勤疗养中心疗养的342例飞行员体检资料, 采用健康促进生活方式量表(Health-promoting Lifestyle Profile-Ⅱ, HPLP-Ⅱ)进行评分, 分析健康促进生活方式与代谢相关指标之间的关系。比较不同年龄组飞行员代谢指标检测结果及HPLP-Ⅱ得分。结果共回收有效问卷328份, 问卷有效率为95.91%。按年龄分为≤30岁组(159人)、31~40岁组(110人)、≥41岁组(59人)。飞行员HPLP-Ⅱ评分等级为一般, 评为不健康生活方式的87例(26.52%);评为良好的202例(61.59%);评为优的39例(11.89%)。飞行员的营养状况、体育运动、压力处理评分和HPLP-Ⅱ总分与甘油三酯水平呈负相关(r=-0.230~-0.143, P<0.01);营养状况评分与高密度脂蛋白水平呈正相关(r=0.112, P=0.043);自我实现、人际关系、健康职责、营养状况、体育运动、压力处理评分以及HPLP-Ⅱ总分均与空腹血糖水平呈负相关(r=-0.221~-0.134, P<0.01或0.05);营养状况、体育运动评分与动脉硬化指数呈负相关(r=-0.147、-0.114, P=0.008、0.039)。不同年龄组飞行员的舒张压、甘油三酯、低密度脂蛋白、总胆固醇、空腹血糖、动脉硬化指数、γ-谷氨酰转肽酶及体质指数差异均有统计学意义(F=3.59~18.81, P<0.05或0.01)。不同年龄组飞行员人际关系、体育运动、压力处理、HPLP-Ⅱ总分差异均有统计学意义(F=3.08~5.08, P<0.05或0.01)。结论飞行员健康促进生活方式与代谢指标相关。建议督促飞行员改善不良生活方式并进行相关指标监测。

Objective To explore the relationship between health promoting lifestyle and metabolic related indicators of military pilots.Methods The physical examination data of 342 pilots in Air Force Healthcare Center for Special Services,Hangzhou were collected.Health-promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)was used to score and analyze the relationship between health promoting lifestyle and metabolic related indicators.The test results of metabolic indicators and the score of HPLP-Ⅱof the pilots in different age groups were compared.Results A total of 328 effective questionnaires were obtained,with the effective rate of 95.91%.The pilots were divided into 3 groups,including≤30 years group(159 cases),31-40 years group(110 cases),and≥40 years group(59 cases).There were 87 unhealthy lifestyle cases(26.52%)with HPLP-Ⅱgrades in general,202 good cases(61.59%)and 39 excellent cases(11.89%).The scores of nutritional status,physical activity,stress management and the total score of HPLP-Ⅱof pilots were negatively correlated with triglyceride levels(r=-0.230--0.143,P<0.01).The nutritional status score was positively correlated with high-density lipoprotein(r=0.112,P=0.043).The scores of self-actualization,interpersonal relationship,health responsibility,nutritional status,physical activity,stress management and the total score of HPLP-Ⅱwere all negatively correlated with fasting plasma glucose(r=-0.221--0.134,P<0.01 or 0.05).The scores of nutritional status and physical activity were negatively correlated with arteriosclerosis index(r=-0.147,-0.114,P=0.008,0.039).There were significant differences in diastolic blood pressure,triglyceride,low-density lipoprotein,total cholesterol,fasting plasma glucose,arteriosclerosis index,γ-glutamyl transferase and body mass index among pilots in different age groups(F=3.591-18.809,P<0.05 or 0.01).There were significant differences in interpersonal relationship,physical activity,stress management and the total score of HPLP-Ⅱamong pilots in different age groups(F=3.084-5.083,P<0.05 or 0.01).Conclusion The health promoting lifestyle of pilots is related to the metabolic indicators.It is recommended that pilots should improve the unhealthy lifestyles and the relevant indicators should be tested.