Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey

The Great East Japan Earthquake and Fukushima Daiichi nuclear disaster in 2011 forced the evacuation of a large number of residents and created changes in the lifestyle of the evacuees. These changes may have affected the evacuees' glucose metabolism, thereby leading to an increase in the incid...

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Main Authors:	Satoh, Hiroaki, Ohira, Tetsuya, Hosoya, Mitsuaki, Sakai, Akira, Watanabe, Tsuyoshi, Ohtsuru, Akira, Kawasaki, Yukihiko, Suzuki, Hitoshi, Takahashi, Atsushi, Kobashi, Gen, Ozasa, Kotaro, Yasumura, Seiji, Yamashita, Shunichi, Kamiya, Kenji, Abe, Masafumi
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461763/

id	pubmed-4461763
recordtype	oai_dc
spelling	pubmed-44617632015-06-23 Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey Satoh, Hiroaki Ohira, Tetsuya Hosoya, Mitsuaki Sakai, Akira Watanabe, Tsuyoshi Ohtsuru, Akira Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Kobashi, Gen Ozasa, Kotaro Yasumura, Seiji Yamashita, Shunichi Kamiya, Kenji Abe, Masafumi Research Article The Great East Japan Earthquake and Fukushima Daiichi nuclear disaster in 2011 forced the evacuation of a large number of residents and created changes in the lifestyle of the evacuees. These changes may have affected the evacuees' glucose metabolism, thereby leading to an increase in the incidence of diabetes. This study included Japanese men and women who were living near the Fukushima Daiichi Nuclear Power Plant in Fukushima prefecture before the disaster. Subjects subsequently underwent annual health checkups with a focus on metabolic syndromes, which were conducted under the Health Care Insurers. Using the Comprehensive Health Check survey, we analyzed changes in the glucose metabolism before and after the disaster. A total of 27,486 subjects underwent follow-up examinations after the disaster, with a mean follow-up period of 1.6 years. After the disaster, the prevalence of diabetes increased significantly, and we observed that the incidence of diabetes was significantly greater among evacuees than among nonevacuees. Furthermore, multivariate logistic regression analysis revealed that evacuation was significantly associated with the incidence of diabetes. In conclusion, this is the first study to demonstrate that evacuation is associated with the incidence of diabetes. This information may be used to guide follow-up recommendations for evacuees. Hindawi Publishing Corporation 2015 2015-05-27 /pmc/articles/PMC4461763/ /pubmed/26106625 http://dx.doi.org/10.1155/2015/627390 Text en Copyright © 2015 Hiroaki Satoh et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Satoh, Hiroaki Ohira, Tetsuya Hosoya, Mitsuaki Sakai, Akira Watanabe, Tsuyoshi Ohtsuru, Akira Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Kobashi, Gen Ozasa, Kotaro Yasumura, Seiji Yamashita, Shunichi Kamiya, Kenji Abe, Masafumi
spellingShingle	Satoh, Hiroaki Ohira, Tetsuya Hosoya, Mitsuaki Sakai, Akira Watanabe, Tsuyoshi Ohtsuru, Akira Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Kobashi, Gen Ozasa, Kotaro Yasumura, Seiji Yamashita, Shunichi Kamiya, Kenji Abe, Masafumi Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
author_facet	Satoh, Hiroaki Ohira, Tetsuya Hosoya, Mitsuaki Sakai, Akira Watanabe, Tsuyoshi Ohtsuru, Akira Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Kobashi, Gen Ozasa, Kotaro Yasumura, Seiji Yamashita, Shunichi Kamiya, Kenji Abe, Masafumi
author_sort	Satoh, Hiroaki
title	Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
title_short	Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
title_full	Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
title_fullStr	Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
title_full_unstemmed	Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
title_sort	evacuation after the fukushima daiichi nuclear power plant accident is a cause of diabetes: results from the fukushima health management survey
description	The Great East Japan Earthquake and Fukushima Daiichi nuclear disaster in 2011 forced the evacuation of a large number of residents and created changes in the lifestyle of the evacuees. These changes may have affected the evacuees' glucose metabolism, thereby leading to an increase in the incidence of diabetes. This study included Japanese men and women who were living near the Fukushima Daiichi Nuclear Power Plant in Fukushima prefecture before the disaster. Subjects subsequently underwent annual health checkups with a focus on metabolic syndromes, which were conducted under the Health Care Insurers. Using the Comprehensive Health Check survey, we analyzed changes in the glucose metabolism before and after the disaster. A total of 27,486 subjects underwent follow-up examinations after the disaster, with a mean follow-up period of 1.6 years. After the disaster, the prevalence of diabetes increased significantly, and we observed that the incidence of diabetes was significantly greater among evacuees than among nonevacuees. Furthermore, multivariate logistic regression analysis revealed that evacuation was significantly associated with the incidence of diabetes. In conclusion, this is the first study to demonstrate that evacuation is associated with the incidence of diabetes. This information may be used to guide follow-up recommendations for evacuees.
publisher	Hindawi Publishing Corporation
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461763/
_version_	1613233738478518272

Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey

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