Extending the age limit of commercial pilots

Recommendations. It is recommended that all aircrew, especially those over the age of 40 years, should be periodically screened for cardiovascular risk using a resting ECG and risk estimating calculators that are representative and appropriate for the population to screen and provide non-fatal and fatal endpoints. Pilots with an elevated CVD...

Ranges of phenotypic flexibility in healthy subjects

Background: A key feature of metabolic health is the ability to adapt upon dietary perturbations. A systemic review defined an optimal nutritional challenge test, the "PhenFlex test" (PFT). Recently, it has been shown that the PFT enables the quantification of all relevant metabolic processes involved in maintaining or regaining homeostasis of...

Clustering of health-compromising behavior and delinquency in adolescents and adults in the Dutch population

Objective: This study investigates the clustering of a broad range of health-compromising and delinquent behaviors. We examine whether these behaviors belong to a single but broad cluster, 'risk-taking behavior', and whether the nature and degree of clustering in adolescents differs from that in adults. Method: A representative sample (N = 4395)...

Preference-based measure of social participation from the Handicap Scale for Children

Objective: To establish a model that estimates a preference-based measure (valuation) of social participation for children between 8 and 18 years of age from the Handicap Scale for Children (HSC), a validated questionnaire for children with a chronic illness. Methods: Vignettes of the HSC classification system were valued by a representative...

Older persons afraid of falling reduce physical activity to prevent outdoor falls

Objective.: The aim of this study was to test the assumption that the level of outdoor physical activity mediates the relationship between fear of falling and actual outdoor falls according to the Task Difficulty Homeostasis Theory. Method.: A prospective follow-up study of 10 months conducted in the year 2000 in three municipalities in the...

Trends in disability-free life expectancy

Purpose: To assess trends in Disability-Free Life Expectancy, in life expectancy with disabilities according to levels of severity and in Disability-Adjusted Life Expectancy in the Netherlands between 1989 and 2000. Method: The disability-free life expectancy, a composite population health status measure, was calculated with data on long-term...