TY - JOUR
T1 - Changes in Cardiovascular Risk Factors after the Great East Japan Earthquake
T2 - A Review of the Comprehensive Health Check in the Fukushima Health Management Survey
AU - Ohira, Tetsuya
AU - Nakano, Hironori
AU - Nagai, Masato
AU - Yumiya, Yui
AU - Zhang, Wen
AU - Uemura, Mayu
AU - Sakai, Akira
AU - Hashimoto, Shigeatsu
N1 - Publisher Copyright:
© Asia-Pacific Academic Consortium for Public Health.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - The Great East Japan Earthquake occurred on March 11, 2011, and was followed by a nuclear accident at the Fukushima Daiichi Nuclear Power Plant. The government ordered a mandatory evacuation from the high radioactive concentration area in Fukushima. This evacuation may have forced many evacuees to change specific aspects of their lifestyles such as diet and physical activity, which in turn may lead to future incidence of lifestyle diseases such as cardiovascular diseases (CVDs). To address this concern, the association between the evacuation and changes in CVD risk factors before and after the disaster was examined in the Fukushima Health Management Survey. In the present study, we reviewed the results of longitudinal studies in the Fukushima Health Management Survey. The proportion of overweight/obese people and those with hypertension, diabetes mellitus, dyslipidemia, liver dysfunction, atrial fibrillation, and polycythemia increased after the disaster. Furthermore, the evacuation was associated with an increase of these cardiovascular risk factors. Therefore, evacuees may be more disposed to CVDs such as myocardial infarction and stroke after the disaster. The prevention of future CVDs among evacuees from Fukushima requires ongoing preventive programs for obesity, hypertension, diabetes mellitus, and dyslipidemia, in collaboration with local governments and communities.
AB - The Great East Japan Earthquake occurred on March 11, 2011, and was followed by a nuclear accident at the Fukushima Daiichi Nuclear Power Plant. The government ordered a mandatory evacuation from the high radioactive concentration area in Fukushima. This evacuation may have forced many evacuees to change specific aspects of their lifestyles such as diet and physical activity, which in turn may lead to future incidence of lifestyle diseases such as cardiovascular diseases (CVDs). To address this concern, the association between the evacuation and changes in CVD risk factors before and after the disaster was examined in the Fukushima Health Management Survey. In the present study, we reviewed the results of longitudinal studies in the Fukushima Health Management Survey. The proportion of overweight/obese people and those with hypertension, diabetes mellitus, dyslipidemia, liver dysfunction, atrial fibrillation, and polycythemia increased after the disaster. Furthermore, the evacuation was associated with an increase of these cardiovascular risk factors. Therefore, evacuees may be more disposed to CVDs such as myocardial infarction and stroke after the disaster. The prevention of future CVDs among evacuees from Fukushima requires ongoing preventive programs for obesity, hypertension, diabetes mellitus, and dyslipidemia, in collaboration with local governments and communities.
KW - epidemiology
KW - non-communicable diseases
KW - population studies
KW - psychological/behavioral medicine
KW - social determinants of health
UR - http://www.scopus.com/inward/record.url?scp=85018784456&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018784456&partnerID=8YFLogxK
U2 - 10.1177/1010539517695436
DO - 10.1177/1010539517695436
M3 - Review article
C2 - 28330394
AN - SCOPUS:85018784456
VL - 29
SP - 47S-55S
JO - Asia-Pacific Journal of Public Health
JF - Asia-Pacific Journal of Public Health
SN - 1010-5395
IS - 2_suppl
ER -