Excess body weight as a risk factor to well-being and performance of flight personnel : potential strategies of prevention

Flight personnel is at risk of excessive weight and obesity. This is due to, for instance, irregular work schedules, irregular nutritional habits, excessive workload, and an inability to plan regular physical exercise or recreation. These factors lead to excessive body weight gains, and hence to obesity. Obesity directly infl uences quality of life as well as readiness to fulfi ll duties by the aircraft maintenance personnel. Obesity is an independent risk factor for various diseases such as hypertension, type 2 diabetes, coronary artery disease, atherosclerosis, each of which can lead to a loss of medical licence. Obesity is associated with extensive caloric consumption that cannot be controlled by the aff ected person. State of the art research has demonstrated not only hormonal and neuronal changes associated with obesity, but also points to deterioration of cognitive functions; these changes are likely induced by suboptimal diets. Furthermore, we will review prevention strategies, as well as treatments aimed at losing weight in fl ight personnel already aff ected by obesity. Implementation of these programs may prolong the time a pilot is fi t to fl y and improve his/her performance.