The presence of intestinal and extraintestinal symptoms was investigat
ed by a symptom questionnaire in crew members (n=190) - and as control
s in age and sex matched ground based administrative employees (n=100)
- of a charter carrier and was related to the actual flight schedule
of the flying staff during one month. In addition, health and illness
behaviors and personal, job and life satisfaction were assessed and re
lated to symptom scores and flight schedules. Flying staff did report
significantly more dyspeptic symptoms than did ground staff, and this
was found mainly with long-distance flying, since staff with short-hau
l experience only did not report as much upper intestinal complaints.
Also, cabin crew reported significantly more intestinal symptoms than
did cockpit members, and part of the upper GI symptoms could be explai
ned by different eating behaviors, specifically more fibre intake in f
lying staff. With increasing intestinal symptom frequency, doctor visi
ts and sick-days increased, and satisfaction with job and personal lif
e decreased. Flying staff had, however, more awareness of the importan
ce of health behaviors. It is concluded that frequent flying specifica
lly on long distances may result in increased intestinal symptoms, pre
sumably due to time-shift.