Influence of post-disaster evacuation on childhood obesity and hyperlipidemia
Influence of post-disaster evacuation on childhood obesity and hyperlipidemia
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DOI：
10.1111/ped.14162
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发表时间：
2020-06-01
影响因子：
1.4
通讯作者：
Kamiya, Kenji
中科院分区：
文献类型：
--
作者：
Kawasaki, Yukihiko;Nakano, Hironori;Kamiya, Kenji
本研究的目的是确定日本东部大地震发生5年后福岛县居民儿童肥胖和高脂血症的长期趋势。方法对2011 - 2015年居住在疏散区内的7-15岁居民的身高、体重、体重指数（BMI）标准差评分（BMI- sds）、低密度脂蛋白-胆固醇（LDL-CHO）、高密度脂蛋白-胆固醇（HDL-CHO）和甘油三酯（TG）的变化进行评估。结果(1)2011年居民BMI-SDS均值为0.113,2011 - 2015年居民BMI-SDS均值逐渐下降；（ii）所有BMI值为>= 2SD的居民2011年血清LDL-CHO水平和TG水平均高于BMI值为140 mg/dl的居民2012年、2013年和2014年与2011年相比均未降低，而2015年LDL-CHO水平为>= 140 mg/dl的居民频率低于2011年。居民TG水平>= 120mg /dl的频率在5年内增加。结论儿科住院医师中存在一定数量的肥胖和高脂血症。此外，长期观察表明肥胖有所改善，尽管脂质异常的改善与肥胖相比有所延迟。因此，有必要对这些有肥胖和/或高脂血症的居民继续进行健康检查。
Background The objectives of this study were to determine the longer-term trends in childhood obesity and hyperlipidemia among residents of Fukushima Prefecture 5 years after the Great East Japan Earthquake.Methods We evaluated the changes in height, weight, body mass index (BMI) standard deviation score (BMI-SDS), low-density lipoprotein-cholesterol (LDL-CHO), high-density lipoprotein-cholesterol (HDL-CHO), and triglyceride (TG) in residents aged 7-15 years who had lived in the evacuation zone between 2011 and 2015.Results (i) the mean BMI SDS in all residents in 2011 was 0.113, and the mean BMI-SDS in all residents gradually decreased from 2011 to 2015; (ii) serum LDL-CHO levels and TG levels in all residents with a BMI value >= 2SD in 2011 were higher than those in residents with a BMI value = 140 mg/dl in 2012, 2013, and 2014 did not decrease in comparison with that in 2011, whereas the frequency of residents with an LDL-CHO level of >= 140 mg/dl in 2015 was lower than that in 2011. The frequency of residents with a TG level >= 120 mg/dl increased over the 5 years.Conclusions These results suggest that a number of pediatric residents suffered from obesity and hyperlipidemia. Furthermore, the long-term observation indicated an improvement in obesity, although the improvement in lipid abnormalities was delayed compared with that in obesity. Thus, it is necessary to continue with health checks for these residents with obesity and/or hyperlipidemia.