Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey.
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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DOI：
10.1155/2015/627390
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发表时间：
2015
影响因子：
4.3
通讯作者：
Abe M
中科院分区：
文献类型：
--
作者：
Satoh H;Ohira T;Hosoya M;Sakai A;Watanabe T;Ohtsuru A;Kawasaki Y;Suzuki H;Takahashi A;Kobashi G;Ozasa K;Yasumura S;Yamashita S;Kamiya K;Abe M
2011年的东日本大地震和福岛第一核电站灾难迫使大量居民撤离，并使撤离者的生活方式发生了变化。这些变化可能影响了撤离者的葡萄糖代谢，从而导致糖尿病发病率增加。这项研究的对象是灾难发生前居住在福岛县福岛第一核电站附近的日本男性和女性。受试者随后接受了年度健康检查，重点是代谢综合征，这是在医疗保险公司下进行的。利用综合健康检查调查，我们分析了灾难前后葡萄糖代谢的变化。共有27,486名受试者在灾难发生后接受了随访检查，平均随访时间为1.6年。灾难发生后，糖尿病的患病率显著增加，我们观察到疏散人员的糖尿病发病率明显高于非疏散人员。多因素Logistic回归分析显示，疏散时间与糖尿病发病率显著相关。总之，这是第一项证明疏散与糖尿病发病率相关的研究。这些信息可用于指导对撤离人员的后续建议。
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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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
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
影响因子：
158.5
作者：
Holman, Rury R.;Paul, Sanjoy K.;Neil, H. Andrew W.
通讯作者：
Neil, H. Andrew W.
影响因子：
158.5
作者：
Gaede, Peter;Lund-Andersen, Henrik;Pedersen, Oluf
通讯作者：
Pedersen, Oluf
影响因子：
16.2
作者：
Fonseca VA;Smith H;Kuhadiya N;Leger SM;Yau CL;Reynolds K;Shi L;McDuffie RH;Thethi T;John-Kalarickal J
通讯作者：
John-Kalarickal J