Life as an evacuee after the Fukushima Daiichi nuclear power plant accident is a cause of polycythemia: the Fukushima Health Management Survey.
Life as an evacuee after the Fukushima Daiichi nuclear power plant accident is a cause of polycythemia: the Fukushima Health Management Survey.
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DOI：
10.1186/1471-2458-14-1318
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发表时间：
2014-12-23
影响因子：
4.5
通讯作者：
Fukushima Health Management Survey Group
中科院分区：
文献类型：
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作者：
Sakai A;Ohira T;Hosoya M;Ohtsuru A;Satoh H;Kawasaki Y;Suzuki H;Takahashi A;Kobashi G;Ozasa K;Yasumura S;Yamashita S;Kamiya K;Abe M;Fukushima Health Management Survey Group
东日本大地震和福岛第一核电站灾难迫使人们撤离家乡。许多从政府指定的疏散区撤离的人被迫改变他们的生活方式、饮食、锻炼和其他个人习惯。全面健康检查（CHC）是福岛健康管理调查（FHMS）的4项详细调查之一，旨在支持预防生活方式相关疾病。本研究的目的是通过比较40岁以上的人在灾难前后的医疗健康检查数据，分析红细胞计数（RBC），血红蛋白（Hb）水平和红细胞压积（Ht）水平的变化。研究对象为居住在福岛县福岛第一核电站附近的日本男性和女性。自2008年以来，医疗保险公司每年为40岁或40岁以上的被保险人/家属进行健康检查，重点是代谢综合征。本研究中的所有分析均限于40-90岁的男性和女性。比较灾前灾后红细胞、血红蛋白、血红蛋白水平的变化及红细胞增多症患病率。首先，RBC，Hb和Ht显着增加，男性和女性撤离。在校正年龄、性别、吸烟状况、过量乙醇摄入、BMI和基线Hb水平后，排空与Hb水平升高显著相关（β = 0.16，p < 0.001）。此外，按吸烟状况或肥胖分层的红细胞增多症患病率在撤离组中也有所增加。据我们所知，这是第一份报告显示疏散与红细胞增多症的风险有关。这些信息对于未来定期健康检查和撤离人员的生活方式建议非常重要。本文的在线版本（doi：10.1186/1471-2458-14-1318）包含补充材料，可供授权用户使用。
The Great East Japan Earthquake and the Fukushima Daiichi nuclear disaster forced people to evacuate their hometowns. Many evacuees from the government-designated evacuation zone were forced to change their lifestyle, diet, exercise, and other personal habits. The Comprehensive Health Check (CHC), 1 of 4 detailed surveys of The Fukushima Health Management Survey (FHMS), was implemented to support the prevention of lifestyle-related disease. The aim of this study was to analyze changes in red blood cell count (RBC), hemoglobin (Hb) levels, and hematocrit (Ht) levels by comparing data from the medical health checkup before and after the disaster in individuals who were 40 years old or older. Subjects in this study were Japanese men and women living in the vicinity of the Fukushima Daiichi Nuclear Power Plant in Fukushima prefecture. Annual health checkups with a focus on metabolic syndrome for insured persons/dependents aged 40 or older by Health Care Insurers have been conducted since 2008. All analyses in this study were limited to men and women aged 40–90 years. Changes in RBC, Hb levels, Ht levels, and prevalence of polycythemia before and after the disaster were compared. First, RBC, Hb, and Ht significantly increased in both men and women evacuees. The evacuation was significantly associated with increased Hb levels after adjustment for age, gender, smoking status, excess ethanol intake, BMI, and baseline Hb level (β = 0.16, p < 0.001). Furthermore, the prevalence of polycythemia stratified by smoking status or obesity also increased in the evacuee group. To our knowledge, this is the first report revealing that the evacuation was associated with the risk of polycythemia. This information could be very important for periodic health checkup and lifestyle recommendations for evacuees in the future. The online version of this article (doi:10.1186/1471-2458-14-1318) contains supplementary material, which is available to authorized users.
影响因子：
4.7
作者：
Yasumura S;Hosoya M;Yamashita S;Kamiya K;Abe M;Akashi M;Kodama K;Ozasa K;Fukushima Health Management Survey Group
通讯作者：
Fukushima Health Management Survey Group
DOI：
10.2471/blt.11.094474
发表时间：
2012-08-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Sugimoto, A;Krull, S;Tsubokura, M
通讯作者：
Tsubokura, M