Lifestyle-related diseases such as hypertension, hyperlipemia and hyperuricemia increase the risk of
cardiovascular disease, cerebrovascular disease, gout and acute pancreatitis, all of which can cause
sudden incapacitation in aircrew. Lifestyle modifications are considered to be the most important
intervention. However, medicinal therapy must be introduced in patients when the effect of lifestyle
modifications is insufficient. The purpose of this study was to review the prescription of medications
for lifestyle-related diseases in the pilots of Japan Air Self-Defense Force (JASDF) and to compare
the data related to the pilots in their 40s with those in their 50s.We reviewed the medication history
from the annual aeromedical examination for 176 JASDF pilots in their 40s and 50s. A total of 11
(6.25%) pilots in their 40s and 36 (20.45%) in their 50s were taking medications. We found that
more pilots in their 50s were receiving medications than those in their 40s: antihypertensive drugs [8
(4.55%) vs. 1 (0.57%)]; antihyperlipidemic drugs [9 (5.11%) vs. 2 (1.14%)]; and antihyperuricemic
drugs [19 (10.80%) vs. 8 (4.55%)]. The largest number of drugs was prescribed for hyperuricemia in
both age groups. This study suggests that the number of pilots taking medications for lifestyle-related
diseases increase with age.
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