{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:06:31Z","timestamp":1777626391014,"version":"3.51.4"},"reference-count":28,"publisher":"Aerospace Medical Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    <jats:bold>INTRODUCTION:<\/jats:bold>\n                    Aircrew reluctance to urinate during flights, coupled with the risk of urinary tract infections (UTIs), represents an under-explored occupational health issue. The effects of UTIs on aviation-relevant tasks are not well understood; however, they may lead to disruptions and distractions, potentially affecting aviators\u2019 flight safety.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>METHODS:<\/jats:bold>\n                    This observational study sought to investigate whether UTI-like symptoms impair psychomotor vigilance. A total of 38 healthy female subjects (\n                    <jats:italic>N<\/jats:italic>\n                    = 18 symptom group;\n                    <jats:italic>N<\/jats:italic>\n                    = 20 no symptom group) completed questionnaires and a 10-min Psychomotor Vigilance Task. Stepwise linear regression models (i.e., Model 1, primary symptoms; and Model 2, secondary symptoms) assessed whether symptom presence predicted reaction time, minor lapses, or major lapses. Additionally, independent\n                    <jats:italic>t<\/jats:italic>\n                    -tests were conducted on symptom severity\/discomfort and performance to compare between groups.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    Models 1 and 2 for the linear regression did not have a statistically significant explained variance; therefore, the models were a poor fit. The factors predicting psychomotor vigilance performance cannot be interpreted. Further, there were no significant differences in psychomotor vigilance metrics between the symptom and no symptom groups.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DISCUSSION:<\/jats:bold>\n                    This study found no measurable impact of UTI-like symptoms on vigilance within the tested sample. However, UTIs remain a pertinent aeromedical concern affecting flight status and operational readiness. Proactive preventive medicine strategies, such as screening for a history of UTIs, are essential to reduce UTI incidence. While mild UTI symptoms may, under close clinical supervision, permit flight, prioritizing aircrew health and safety remain paramount.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      Borden C, Vento KA.\n                      <jats:italic>No significant effect of mild urinary tract infection-like symptoms on psychomotor vigilance<\/jats:italic>\n                      . Aerosp Med Hum Perform. 2026; 97(4):284\u2013288.\n                    <\/jats:bold>\n                  <\/jats:p>","DOI":"10.3357\/amhp.6787.2026","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:30:29Z","timestamp":1774657829000},"page":"284-288","source":"Crossref","is-referenced-by-count":0,"title":["No Significant Effect of Mild Urinary Tract Infection-Like Symptoms on Psychomotor Vigilance"],"prefix":"10.3357","volume":"97","author":[{"given":"Cammi","family":"Borden","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaila A.","family":"Vento","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"2","key":"B1","series-title":"MSMR.","first-page":"7","article-title":"Urinary tract infections, active component, U.S. Armed Forces, 2000\u20132013","volume":"21","year":"2014","unstructured":"Armed Forces Health Surveillance Center. Urinary tract infections, active component, U.S. Armed Forces, 2000\u20132013. MSMR. 2014 Feb; 21(2):7\u201311; comment, 11\u20132."},{"issue":"3-4","key":"B2","series-title":"Mil Med.","first-page":"e217","article-title":"Effect of urinary sheath use on hydration status of fighter pilots under severe thermal stress: an observational study","volume":"184","author":"Brescon C","year":"2019","unstructured":"Brescon C, Pegaz PY, Godet P, Malgoyre A, Charlot K. Effect of urinary sheath use on hydration status of fighter pilots under severe thermal stress: an observational study. Mil Med. 2019 Mar 1; 184(3-4):e217\u2013e222."},{"issue":"2","key":"B3","series-title":"Sleep Med.","first-page":"189","article-title":"Performance impairment during four days partial sleep deprivation compared with the acute effects of alcohol and hypoxia","volume":"10","author":"Elmenhorst D","year":"2009","unstructured":"Elmenhorst D, Elmenhorst E-M, Luks N, Maass H, Mueller E-W,  Performance impairment during four days partial sleep deprivation compared with the acute effects of alcohol and hypoxia. Sleep Med. 2009 Feb; 10(2):189\u201397."},{"issue":"3","key":"B4","series-title":"Eur J Nutr.","first-page":"1167","article-title":"Hydration for health hypothesis: a narrative review of supporting evidence","volume":"60","author":"Perrier ET","year":"2021","unstructured":"Perrier ET, Armstrong LE, Bottin JH, Clark WF, Dolci A,  Hydration for health hypothesis: a narrative review of supporting evidence. Eur J Nutr. 2021 Apr; 60(3):1167\u201380."},{"key":"B5","series-title":"Nutr Health.","article-title":"Effect of increased water intake on uropathogenic bacterial activity of underhydrated menstruating young adult women: a randomized crossover trial","author":"Vento KA","year":"2022","unstructured":"Vento KA, Koskan A, Lynch H, Kavouras S, Johnston C, Wardenaar FC. Effect of increased water intake on uropathogenic bacterial activity of underhydrated menstruating young adult women: a randomized crossover trial. Nutr Health. 2022 Oct 12:2601060221129159."},{"issue":"7","key":"B6","series-title":"Mil Med.","first-page":"792","article-title":"Effects of hydration on cognitive function of pilots","volume":"178","author":"Lindseth PD","year":"2013","unstructured":"Lindseth PD, Lindseth GN, Petros TV, Jensen WC, Caspers J. Effects of hydration on cognitive function of pilots. Mil Med. 2013 Jul; 178(7):792\u20138."},{"issue":"2","key":"B7","series-title":"Aerosp Med Hum Perform.","first-page":"79","article-title":"Voluntary urinary retention effects on cognitive performance","volume":"94","author":"Griswold CA","year":"2023","unstructured":"Griswold CA, Vento KA, Blacker KJ. Voluntary urinary retention effects on cognitive performance. Aerosp Med Hum Perform. 2023 Feb 1; 94(2):79\u201385."},{"issue":"3","key":"B8","series-title":"BJU Int.","first-page":"350","article-title":"Validation of a patient-administered questionnaire to measure the severity and bothersomeness of lower urinary tract symptoms in uncomplicated urinary tract infection (UTI): The UTI symptom assessment questionnaire","volume":"96","author":"Clayson D","year":"2005","unstructured":"Clayson D, Wild D, Doll H, Keating K, Gondek K. Validation of a patient-administered questionnaire to measure the severity and bothersomeness of lower urinary tract symptoms in uncomplicated urinary tract infection (UTI): The UTI symptom assessment questionnaire. BJU Int. 2005 Aug; 96(3):350\u20139."},{"issue":"4","key":"B9","series-title":"Spat Vis.","first-page":"433","article-title":"The psychophysics toolbox","volume":"10","author":"Brainard DH.","year":"1997","unstructured":"Brainard DH. The psychophysics toolbox. Spat Vis. 1997; 10(4):433\u20136."},{"issue":"4","key":"B10","series-title":"Spatial Vis.","first-page":"437","article-title":"The video toolbox software for visual psychophysics: transforming numbers into movies","volume":"10","author":"Pelli DG.","year":"1997","unstructured":"Pelli DG. The video toolbox software for visual psychophysics: transforming numbers into movies. 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