Alterations in physique among young children after the Great East Japan Earthquake: Results from a nationwide survey.

Alterations in physique among young children after the Great East Japan Earthquake: Results from a nationwide survey.
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DOI:
10.1016/j.je.2016.09.012
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发表时间:
2017-10
影响因子:
4.7
通讯作者:
Kuriyama S
Kuriyama S
中科院分区:
医学3区
文献类型:
--
作者:
Kikuya M;Matsubara H;Ishikuro M;Sato Y;Obara T;Metoki H;Isojima T;Yokoya S;Kato N;Tanaka T;Chida S;Ono A;Hosoya M;Yokomichi H;Yamagata Z;Tanaka S;Kure S;Kuriyama S

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发达国家幼儿与地震相关的体质变化的数据缺乏。东日本大地震给日本东北部的岩手县、宫城县和福岛县造成了严重破坏。我们分别于 2008 年 10 月和 2010 年 10 月回顾性地获得了幼儿园 40,046 名(第 1 组,历史对照)和 53,492 名 3.5-4.5 岁无超重儿童(第 2 组)的人体测量数据。 2011年3月地震时,第一组的孩子已经从幼儿园毕业;然而,第二组的儿童此时仍在幼儿园就读。我们使用逻辑回归模型比较了三个目标县之一的学校入学儿童与其他县的儿童在基线后一年时超重的发生情况,并对基线时的性别、年龄、病史和肥胖指数进行了调整。超重定义为肥胖指数>+15%,计算公式为(体重减去特定性别和身高的标准体重)/特定性别和身高的标准体重。三个目标县发生超重的比值比 (OR) 在队列 2 中显着(OR 1.25;95% 置信区间 [CI],1.01–1.55),但在队列 1 中不显着。当将两个队列合并时(n = 93,538),学校地点 × 队列的交互项 OR 显着(OR 1.56;95% CI,1.01-1.55)。 1.09–2.23)。在受东日本大地震影响的三个县中,幼儿超重事件明显比灾后其他县更为常见。我们获得了 93,538 名 3.5-4.5 岁儿童的人体测量数据。人体测量数据是在东日本大地震前后测量的。我们将岩手县、宫城县和福岛县的数据与其他县进行了比较。这三个县的超重事件高于其他县。
Data for earthquake-related alterations in physique among young children in developed countries is lacking. The Great East Japan Earthquake caused severe damage in Iwate, Miyagi, and Fukushima Prefectures in northeastern Japan. We retrospectively obtained anthropometric measurements in nursery school from 40,046 (cohort 1, historical control) and 53,492 (cohort 2) children aged 3.5–4.5 years without overweight in October 2008, and in October 2010, respectively. At the time of the earthquake in March, 2011, children in cohort 1 had already graduated from nursery school; however, children in cohort 2 were still enrolled in nursery school at this time. We compared the onset of overweight at 1 year after the baseline between children enrolled in their school located in one of the three target prefectures versus those in other prefectures using a logistic regression model, with adjustment for sex, age, history of disease, and obesity index at baseline. Overweight was defined as an obesity index of >+15%, which was calculated as (weight minus sex- and height-specific standard weight)/sex- and height-specific standard weight. The odds ratio (OR) for the onset of overweight in the three target prefectures was significant in cohort 2 (OR 1.25; 95% confidence interval [CI], 1.01–1.55) but not in cohort 1. When the two cohort were pooled (n = 93,538), the OR of the interaction term for school location × cohort was significant (OR 1.56; 95% CI, 1.09–2.23). Incident overweight in young children was significantly more common in the three prefectures affected by the Great East Japan Earthquake than in other prefectures after the disaster. We obtained anthropometric data from 93,538 children aged 3.5–4.5 years. Anthropometric data were measured before and after the Great East Japan Earthquake. We compared the data in Iwate, Miyagi, and Fukushima vs. the other prefectures. Incident overweight was higher in the three prefectures than the other prefectures.
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发表时间: 2005-10-27
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