Effects of Psychological and Lifestyle Factors on Metabolic Syndrome Following the Fukushima Daiichi Nuclear Power Plant Accident: The Fukushima Health Management Survey

  • Takahashi Atsushi
    Department of Gastroenterology, Fukushima Medical University School of Medicine Radiation Medical Science Center for the Fukushima Health Management Survey
  • Ohira Tetsuya
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Epidemiology, Fukushima Medical University School of Medicine
  • Okazaki Kanako
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Epidemiology, Fukushima Medical University School of Medicine
  • Yasumura Seiji
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Public Health, Fukushima Medical University School of Medicine
  • Sakai Akira
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Radiation Life Sciences, Fukushima Medical University School of Medicine
  • Maeda Masaharu
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Disaster Psychiatry, Fukushima Medical University School of Medicine
  • Yabe Hirooki
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Neuropsychiatry, Fukushima Medical University School of Medicine
  • Hosoya Mitsuaki
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Pediatrics, Fukushima Medical University School of Medicine
  • Ohtsuru Akira
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Radiation Health Management, Fukushima Medical University School of Medicine
  • Kawasaki Yukihiko
    Radiation Medical Science Center for the Fukushima Health Management Survey
  • Shimabukuro Michio
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Diabetology and Endocrinology, Fukushima Medical University School of Medicine
  • Kazama Junichiro
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Nephrology and Hypertension, Fukushima Medical University School of Medicine
  • Hashimoto Shigeatsu
    Radiation Medical Science Center for the Fukushima Health Management Survey
  • Watanabe Kazuyuki
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
  • Nakano Hironori
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Epidemiology, Fukushima Medical University School of Medicine
  • Hayashi Fumikazu
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Epidemiology, Fukushima Medical University School of Medicine
  • Ohto Hitoshi
    Radiation Medical Science Center for the Fukushima Health Management Survey
  • Kamiya Kenji
    Radiation Medical Science Center for the Fukushima Health Management Survey
  • Ohira Hiromasa
    Department of Gastroenterology, Fukushima Medical University School of Medicine

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<p>Aim: The Fukushima Daiichi Nuclear Power Plant accident dramatically changed the lifestyle of residents who lived near the plant. We evaluated the association of metabolic syndrome (MetS) with specific lifestyle- and disaster-related factors in residents following the accident. </p><p>Methods: This cross-sectional study included 20,920 residents who underwent both the Comprehensive Health Check and the Mental Health and Lifestyle Survey from June 2011 to March 2012. Associations between MetS and lifestyle- and disaster-related factors, including psychological distress (post-traumatic stress disorder [PTSD]), were estimated using logistic regression analysis, adjusted for demographic and lifestyle factors, in 2019. </p><p>Results: MetS was present in 30.4% of men and 11.5% of women. There were significant differences in smoking, drinking status, and PTSD prevalence between subjects with and without MetS. Multivariable logistic regression analysis showed that age, quitting smoking, and low physical activity were significantly associated with MetS. Moreover, PTSD and light to moderate drinking were also significantly associated with MetS in women.</p><p>Conclusions: Lifestyle- and disaster-related factors, including PTSD, were associated with MetS among subjects who lived near the Fukushima Daiichi Nuclear Power Plant accident.</p>

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