การเสียชีวิตและปัจจัยที่เกี่ยวข้องกับการเสียชีวิตในกำลังพลกองทัพบกไทย ที่เป็นโรคไม่ติดต่อเรื้อรัง

Pitchaya Pattamapornpong; Krit  Pongpirul

Authors

Pitchaya Pattamapornpong Phramongkutklao Hospital
Krit Pongpirul Center of Excellence in Preventive and Integrative Medicine (CE-PIM), Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University

Keywords:

non-communicable disease, mortality, soldier, royal thai army

Abstract

Objective: To determine the mortality rate and factors associated with mortality among Royal Thai Army personnel with non-communicable diseases. Methods: A retrospective cohort study was conducted using data from 8,172 Royal Thai Army personnel who underwent annual health examinations between January 2021 and December 2023. The collected data included demographic factors, including sex, age, anthropometric measures (body mass index and waist circumference), underlying diseases, military position, health-related behaviors, and laboratory parameters, including fasting blood sugar (FBS), renal function tests (blood urea nitrogen [BUN] and creatinine), lipid profiles (triglycerides and total cholesterol), serum uric acid, and liver enzymes (AST and ALT). Descriptive statistics and multivariable logistic regression were used to identify factors associated with mortality. Results: The mortality rate was 1.1% among Royal Thai Army personnel with non-communicable diseases. Factors significantly associated with mortality included age ≥55 years (OR = 1.81, p = 0.024), non-commissioned officer rank (OR = 2.50, p = 0.001), diabetes mellitus defined as FBS ≥126 mg/dL (OR = 2.53, p = 0.001), and impaired renal function defined as creatinine ≥1.3 mg/dL (OR = 1.26, p = 0.033). Overweight status (BMI 25–29.9 kg/m²) was associated with a lower risk of death (OR = 0.53, p = 0.017). Conclusion: Among Royal Thai Army personnel with non-communicable diseases, mortality was associated with non-commissioned officer rank, diabetes mellitus, impaired renal function, and age ≥55 years, whereas overweight status was associated with a lower risk of death. These findings may serve as useful baseline information for targeted screening, health monitoring, and surveillance in high-risk personnel, and may support more appropriate health care for Royal Thai Army personnel with non-communicable diseases.

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