Military pilots are exposed to severe physiological challenges during their missions that may affect cognitive and physical performance. Therefore, continuous monitoring potentially provides critical insights about the impact of extreme condition exposure on the fitness for duty of military pilots. We applied a textile-based monitoring system during training sessions with pilot aspirants to investigate the impact of hypobaric hypoxia and high G-force exposures on the signal quality obtained for a 1-lead electrocardiogram (ECG) and chest excursions. The physiological variables considered were heart rate, heart rate variability, as well as respiratory frequency and respiratory amplitude. In general, 92% and 82% of the recorded ECG time segments during hypoxia and G-force exposure, respectively, were classified as plausible for further analysis. For respiratory data, 72% and 76% were classified as accurate for further data analysis and interpretation. Detailed information about signal quality was found to be critical for the assessment of physiological variables recorded in extreme conditions. Furthermore, the combination of various physiological signals allows for a more holistic interpretation of body responses, for the assessment of body tolerances and an early detection of possible physical and cognitive impairments.

The authors have declared no competing interest.

This study did not receive any funding.

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

The Institutional Review Board of the Swiss Aeromedical Center approved the conduct of routine training and qualification modules that are part of pilot education, including the concomitant monitoring of vital signs.

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