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 incidence...

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Main Authors: Hiroaki Satoh, Tetsuya Ohira, Mitsuaki Hosoya, Akira Sakai, Tsuyoshi Watanabe, Akira Ohtsuru, Yukihiko Kawasaki, Hitoshi Suzuki, Atsushi Takahashi, Gen Kobashi, Kotaro Ozasa, Seiji Yasumura, Shunichi Yamashita, Kenji Kamiya, Masafumi Abe
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/627390
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author Hiroaki Satoh
Tetsuya Ohira
Mitsuaki Hosoya
Akira Sakai
Tsuyoshi Watanabe
Akira Ohtsuru
Yukihiko Kawasaki
Hitoshi Suzuki
Atsushi Takahashi
Gen Kobashi
Kotaro Ozasa
Seiji Yasumura
Shunichi Yamashita
Kenji Kamiya
Masafumi Abe
author_facet Hiroaki Satoh
Tetsuya Ohira
Mitsuaki Hosoya
Akira Sakai
Tsuyoshi Watanabe
Akira Ohtsuru
Yukihiko Kawasaki
Hitoshi Suzuki
Atsushi Takahashi
Gen Kobashi
Kotaro Ozasa
Seiji Yasumura
Shunichi Yamashita
Kenji Kamiya
Masafumi Abe
author_sort Hiroaki Satoh
collection DOAJ
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.
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publishDate 2015-01-01
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spelling doaj-art-19204e595e194db5a6b9de5d85bf21112025-02-03T05:50:51ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/627390627390Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management SurveyHiroaki Satoh0Tetsuya Ohira1Mitsuaki Hosoya2Akira Sakai3Tsuyoshi Watanabe4Akira Ohtsuru5Yukihiko Kawasaki6Hitoshi Suzuki7Atsushi Takahashi8Gen Kobashi9Kotaro Ozasa10Seiji Yasumura11Shunichi Yamashita12Kenji Kamiya13Masafumi Abe14Department of Nephrology, Hypertension, Diabetology, Endocrinology, and Metabolism, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanDepartment of Nephrology, Hypertension, Diabetology, Endocrinology, and Metabolism, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanDepartment of Planning and Management, National Institute of Radiological Sciences, Fukushima Medical University, Fukushima 960-1295, JapanDepartment of Epidemiology, Radiation Effects Research Foundation, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, JapanThe 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.http://dx.doi.org/10.1155/2015/627390
spellingShingle Hiroaki Satoh
Tetsuya Ohira
Mitsuaki Hosoya
Akira Sakai
Tsuyoshi Watanabe
Akira Ohtsuru
Yukihiko Kawasaki
Hitoshi Suzuki
Atsushi Takahashi
Gen Kobashi
Kotaro Ozasa
Seiji Yasumura
Shunichi Yamashita
Kenji Kamiya
Masafumi Abe
Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey
Journal of Diabetes Research
title 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_short 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
url http://dx.doi.org/10.1155/2015/627390
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