Lung Diffusion Capacity of X Fighter Pilot in Madiun

Ririn Astuty Ningsih, Faisal Yunus, Triya Damayanti, Flora Ekasari, Sita Laksmi Andarini, Dicky Soehardiman, Ratnawati Ratnawati, Fathiyah Isbaniah, Erlang Samoedro

Abstract


Background: Pilot works in the high environment that exposed by G force. Increasing G force led to linear decreases in cardiac output and blood oxygenation of the brain. Thus, likely due to decreased lung gas exchange capacity in hypergravity. This study aims to investigate the pulmonary diffusing capacity test among Fighter pilots in Madiun.
Methods: This study used cross sectional method conducted on February 2019 in Madiun. The total subjects consist of 44 Fighter pilots based on total sampling. Interview was done to fill out question about sociodemografic and smoking habit, flight hour data and physical fitness. Lung function measurement was done using portable spirometry and DLCO equipment (Easyone TM Pro Lab).
Result: Spirometri result was found in the standard normal range in 41 subjects (93,2%) only 3 subject (6,8%) get obstruction abnormalities and none of them get restriction result. Average VEP1 prediction was 103,3±10,60 % and median range for VEP1/KVP was 84,5(63,5-92,5) %. Lung diffusion capacity measurement was found to be normal in 41 subject (93,2%) and to be deficient in 3 subject (6,8%) in smoker.
Conclusion: This study demosntrated that diffusion capacity and spirometry test in Fighter pilots generally in normal range. Lung diffusion capacity has no association with age, BMI, flight hour, physical fitness, Brinkman index and spirometry parameters. (J Respir Indo. 2020; 40(1): 39-47)

Keywords


Spirometry, Lung diffusion capacity test, Fighter pilot

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References


Schwarz YA, Erel J, Davidson B, Caine Y, Baum GL. An algorithm for pulmonary screening of military pilots in Israel. Chest. 1997;111:916-21.

West JB. A strategy for inflight measurements of physiology of pilots of high performance fighter aircraft. J Appl Physiol. 2013;115:145-9.

Sanches B, M. AD-T, Clemente Suarez VJ. Psychophysiological response of different aircrew in normobaric hypoxia training. Ergonomics. 2018:1-9.

Alagha B, Ahmadbeigy S, Moosavi SAJ, Jalali SM. Hypoxia symptoms during altitude training in professional Iranian fighter pilots. Air Medical Journal. 2012;31:28-32.

Nishi S. Effects of altitude-related hypoxia on aircrews in aircraft with unpressurized cabins. Mil Med J. 2011;176:79.

Legg SJ, Gilbey A, Hill S, Raman A, Dubray A, Iremonger G, et al. Effects of mild hypoxia in aviation on mood and comples cognition. J Apergo. 2015;10:1-7.

Neuhaus C, Hinkelbein J. Cognitive responses to hypobaric hypoxia: implications for aviation training. Psychol Res Behav Manag. 2014;7:297302.

Rohdin M, Sundblad P, Petersson J, Mure M, Glenny RW, Lindahl SGE, et al. Effect of gravity on lung diffusing capacity and cardiac output in prone and supine humans. J Appl Physiol. 2003;95:3-10.

Öztürk C, Savaş M, İlbasmış, Akın A. Cardiac responses to long duration and high magnitude +Gz exposure in pilots: An observational study. Anadolu Kardiyol Derg. 2012;12:668-74.

Kowalczuk K, Puchalska L, Sobotnicki A, Czerw M, Janewicz M, Wylezol M, et al. Effect of gradual onset +Gz on hemodynamic parameters and brain oxygenation in military pilots: preliminary study. Military Institute of Aviation Medicine. 2007:1-10.

Sucipta IJ, Adi NP, Kaunang D. Relationship of fatique, physical fitnes and cardiovascular endurance to the hypoxic response of military pilots in Indonesia. J Phys. 2018;1073:1-8.

Rochat MK, Laubender RP, Kuster D, Braendli O, Moeller A, Mansmann U, et al. Spirometry reference equations for central European populations from school age to old age. PLoS ONE. 2013.

Alagha B, Ahmadbeigy S, Moosavi SAJ, Jalali SM. Hypoxia symptoms during altitude training in professional Iranian fighter pilots. Air Med J. 2012;05:1-5.

Lad UP, Jaltade VG, Lad SS, Satyanarayana P. Correlation between body mass index (BMI), body fat percentage and pulmonary functions in underweight, overweight and normal weight adolescents. J Clin Diagn Res. 2012;6:350-3.

Vedala SR, Paul N, Mane AB. Differences in pulmonary function test among the athletic and sedentary population Natl J Physio Pharmacol. 2013;3:118-23.

Ilmi MI, Yunus F, Damayanti T, Suryokusumo MG. Comparison of lung function values of trained divers in 1.5 ATA hyperbaric chamber after inhaling 100% oxygen and regular air: A crossover study. Adv Respir Med. 2017;85:233-8.

Va´zquez-García JC, Pe´rez-Padilla R, Casas A, Scho¨nffeldt-Guerrero P, Pereira J, Vargas-Domínguez C, et al. Reference values for the diffusing capacity determined by the single-breath technique at different altitudes: The Latin American single-breath diffusing capacity reference project. Respir Care. 2016;61:1217-22.

Ahsan MA, Munir UR, Ahmad M, Shahidullah M. Effects of smoking on pilots of Bangladesh air force in Dhaka area. Armed Forces Med J. 2016;12:22-7.

Weinberger SE, Cockrill BA, Mandel J. Evaluation of the patient with pulmonary disease. Dalam: Principles of pulmonary medicine. Philadelphia: Elsevier, 2018. p.30-64.

Tzani P, Aiello M, Colella M, Verduri A, Marangio E, Olivieri D, et al. Lung diffusion capacity can predict maximal exercise in apparently healthy heavy smokers. J Sports Sci Med. 2008;7.

Jardin TD. The diffusion of pulmonary gases. Dalam: Esperti CL, ed. Cardiopulmonary anatomy and physiology: Essentials for respiratory care. 4th ed. Columbia: Delmar Thomson Learning; 2002. h.117-41.

Hughes JMB, Pride NB. Examination of the carbon monoxide diffusing capacity (DLCO) in relation to Its KCO and VA components. Am J Respir Crit Care Med. 2012;186:132-9.

Smith TG, Talbot NP, Chang RW, Wilkinson E, Nickol AH, Newman DG, et al. Pulmonary artery pressure increases during commercial air travel in healthy passengers. Aviat Space Environ Med. 2012;83:673-6.




DOI: https://doi.org/10.36497/jri.v40i1.96

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Jurnal Respirologi Indonesia
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