Fukushima health management survey group: influence of post-disaster evacuation on incidence of metabolic syndrome

• Hashimoto Shigeatsu

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University

• Nagai Masato

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Epidemiology, Fukushima Medical University

• Fukuma Shingo

  Department of Healthcare Epidemiology, Kyoto University School of Public Health Center for Innovative Research for Communities and Clinical Excellence (CIRC²LE), Fukushima Medical University

• Ohira Tetsuya

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Epidemiology, Fukushima Medical University

• Hosoya Mitsuaki

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Pediatrics, Fukushima Medical University

• Yasumura Seiji

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Public Health, Fukushima Medical University

• Satoh Hiroaki

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Nephrology, Hypertension, Diabetology, and Endocrinology, Fukushima Medical University

• Suzuki Hitoshi

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Cardiology and Hematology, Fukushima Medical University

• Sakai Akira

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Radiation Life Sciences, Fukushima Medical University

• Ohtsuru Akira

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Radiation Health Management, Fukushima Medical University

• Kawasaki Yukihiko

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Pediatrics, Fukushima Medical University

• Takahashi Atsushi

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Department of Gastroenterology and Rheumatology, Fukushima Medical University

• Ozasa Kotaro

  Department of Epidemiology, The Radiation Effects Research Foundation

• Kobashi Gen

  Department of Public Health, Dokkyo Medical University School of Medicine

• Kamiya Kenji

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Research Institute for Radiation Biology and Medicine, Hiroshima University

• Yamashita Shunichi

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University Atomic Bomb Disease Institute, Nagasaki University

• Fukuhara Shun-ichi

  Department of Healthcare Epidemiology, Kyoto University School of Public Health Center for Innovative Research for Communities and Clinical Excellence (CIRC²LE), Fukushima Medical University

• Ohto Hitoshi

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University

• Abe Masafumi

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University

• the Fukushima Health Management Survey Group

  Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University

書誌事項

タイトル別名

• Influence of Post-disaster Evacuation on Incidence of Metabolic Syndrome
• Influence of post-disaster evacuation on incidence of metabolic syndrome: the Fukushima Health Management Survey

抄録

Aim: After the Great East Japan Earthquake, over 160,000 residents near the Fukushima Daiichi Nuclear Power Plant were forced to evacuate due to a nuclear accident. Health problems in these evacuees have since become major issues. We examined the association between evacuation and incidence of metabolic syndrome (METS) among residents in Fukushima. Methods: We conducted a cohort study among residents aged 40-74 years without METS at the time of the disaster in Fukushima. Among 20,269 residents who met the inclusion criteria before the disaster, 8,547 residents (3,697 men and 4,850 women; follow-up proportion: 42.2%) remained available for follow-up examinations after the disaster by the end of March 2013. The main outcome was incidence of METS, defined by guidelines from the Japanese committee, using data from the Comprehensive Health Check before and after the disaster. We divided participants by evacuation status and compared outcomes between groups. Using a logistic regression model, we estimated the odds ratio for incidence of METS, adjusting for potential confounders, age, gender, waist circumference, exercise habit, and alcohol consumption. Results: Incidence of METS was higher in evacuees (men 19.2%, women 6.6%) than in non-evacuees (men 11.0%, women 4.6%). Evacuees had higher body mass index, waist circumference, triglycerides, and fasting plasma glucose after the disaster than non-evacuees. We found a significant association between evacuation and incidence of METS (adjusted odds ratio 1.72, 95% confidence interval; 1.46-2.02). Conclusion: This is the first study to demonstrate that evacuation after a disaster is associated with increased incidence of METS.

収録刊行物

• Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓ

  Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓ 24 (3), 327-337, 2017

  一般社団法人 日本動脈硬化学会

キーワード

• Metabolic syndrome
• Disaster
• Evacuation
• Life style

詳細情報

• CRID: 1390282679409344768
• NII論文ID: 130005397946
• DOI: 10.5551/jat.35824
• ISSN: 18803873
• ISSN: 13403478
• HANDLE: 2433/227674
• PubMed: 27629253
• Web Site: https://www.jstage.jst.go.jp/article/jat/24/3/24_35824/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018081970
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
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