title: Factors affecting maritime pilots' health and well-being: a systematic review.
abstract: BACKGROUND
  Maritime pilotage is a demanding occupation where pilots are required to perform complex procedures in sometimes unfamiliar working environments. These psychological stressors, in addition to the physical demands associated with the role (e.g., reduced sleep, boarding, and departing vessels), may over time have a damaging effect on pilots' physical and mental health. Therefore the aim of this paper was to systematically review the existing literature on maritime pilots' health and well-being.
  
  
  METHODS
  The databases academic search complete, MEDLINE and MEDLINE complete, PsycINFO, PsycARTICLES, PubMed, and ScienceDirect were searched from the earliest available record until 1 May 2015. From an initial pool of 167 manuscripts retrieved, only 18 were peer-reviewed original research and discussed topics associated with maritime pilots' health and well-being.
  
  
  RESULTS
  In total, 29 factors associated with maritime pilot health and well-being were identified. These were loosely categorised into physical (n = 14), psychosocial (n = 8), and workplace issues (n = 7). The most commonly investigated factors were blood pressure or heart rate, sleep or fatigue, smoking and alcohol consumption, perceived stress, and shift duration or cycle.
  
  
  CONCLUSIONS
  Findings from the review suggest that the prevention of cardiovascular diseases and associated cardio-metabolic risk factors seems to be of paramount importance, with ample evidence indicating that modern-day pilots present as being overweight or obese. What remains unknown is whether these physical factors are associated with variations in psychosocial functioning. Therefore, it is recommended that future pilotage investigations adopt a multidisciplinary approach to better quantify the impact of maritime pilotage on long-term health and well-being.
authors.affiliation: Centre for Physical Activity and Nutrition Research, Deakin University, Australia. Luana_main_@op.pl.
authors.forename: Luana C
authors.initials: LC
authors.lastname: Main
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Chambers
mesh_terms: D003132:Commerce / Q000458:organization & administration; D006304:Health Status; D010549:Personal Satisfaction; D012767:Ships
keywords: fatigue; health; maritime; pilot; review; stress; well-being