Jayaweera Jayaweera Arachchige Asela Sampath, Joseph Anpalaham
Department of Microbiology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka.
BMC Res Notes. 2018 Jul 13;11(1):474. doi: 10.1186/s13104-018-3590-4.
Military personnel, because of the unique nature of their duties, are reluctant to face stressors. Living in hot and humid conditions they frequently suffer dehydration. Army soldiers living in dry zone of Sri Lanka, were screened for chronic kidney disease (CKD), common non-communicable diseases and methicillin resistant Staphylococcus aureus (MRSA) colonization. Albumin creatinine ratio > 30 mg/g urine taken as cut-off for detection of CKD.
Screened 417 soldiers, all were men and body mass index were 21.4 ± 2.2 kg/m. They smoke 0.5 ± 0.1 pack years while consume alcohol 32 ± 3 units/week and were having 100/min average daily moderate physical activity. Eight of them (0.2%) were having essential hypertension, 4 (0.1%) of them were having diabetes mellitus. Blood cholesterol was within normal range. CKD unknown etiology (CKDu) prevalence among screened army soldiers was 0.009. All were from native army recruits. Further, 71.2% had MRSA colonization. In a group of middle aged army recruits, despite tobacco smoking and moderate level of alcohol consumption while continuously having healthy dietary practices with physical activities would leads to low prevalence of communicable diseases. Further, compared to native group of solders, visitors but living long time recruits CKDu incidence is zero.
军事人员因其职责的独特性质，不愿面对压力源。生活在炎热潮湿的环境中，他们经常遭受脱水。对生活在斯里兰卡干旱地区的陆军士兵进行慢性肾脏病（CKD）、常见非传染性疾病和耐甲氧西林金黄色葡萄球菌（MRSA）定植的筛查。以尿白蛋白肌酐比值>30mg/g作为检测CKD的临界值。
筛查了417名士兵，均为男性，体重指数为21.4±2.2kg/m²。他们的吸烟史为0.5±0.1包年，每周饮酒32±3单位，平均每天进行100分钟的适度体育活动。其中8人（0.2%）患有原发性高血压，4人（0.1%）患有糖尿病。血液胆固醇在正常范围内。筛查的陆军士兵中不明原因慢性肾脏病（CKDu）的患病率为0.009。所有患者均为本地新兵。此外，71.2%的人有MRSA定植。在一组中年陆军新兵中，尽管吸烟和饮酒适度，但持续保持健康的饮食习惯并进行体育活动会导致传染病的低患病率。此外，与本地士兵组相比，访客但长期服役的新兵CKDu发病率为零。
