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Clots
More Common in Overweight People
New research suggests the risk of potentially
deadly blood clots from long airline flights is small but rises
sharply in people who are older, overweight or taking birth control
pills.
In one study, blood clots in the lung
- the most serious travel-related kind - occurred more frequently
on flights lasting longer than eight hours.
In that study, 16 cases were detected
among international passengers arriving at Spain's Madrid-Barajas
Airport from 1995 to 2000. All of them involved flights longer
than six hours.
The overall lung blood-clot risk was
0.39 cases per one million passengers, compared with 1.65 per
million passengers on flights longer than eight hours, researchers
said.
"The low incidence . . . does not justify
social alarm," said the researchers, led by Dr. Esteban Perez-Rodriguez
of Madrid's Ramon y Cajal Hospital.
The study was published with two smaller
ones on clots and air travel in Monday's issue of Archives of
Internal Medicine.
The clot problem, sometimes called "economy-class
syndrome," appears to stem from prolonged sitting in cramped quarters
without getting up and walking around. Clots that form in the
legs can travel to the lungs and cause sudden death.
Another study involved 210 patients with
limb and lung blood clots and 210 healthy people. Clots were twice
as common in patients who had recently travelled and significantly
higher in patients already at risk, including women taking birth
control pills, who were 14 times more likely to develop blood
clots than non-travellers not on the pill, Dr. Ida Martinelli
and colleagues at the University of Milan reported.
In the third study, German researchers
found varicose veins and being overweight were common among travellers
with blood clots. Advanced age is also a risk factor; the average
age of travellers with clots was 66.
On the
Net:
Archives of Internal Medicine: archinternmed.com
Reference
Source 102
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