Prevalence of renal dysfunction among evacuees and non-evacuees after the great east earthquake: Results from the Fukushima health management survey

Hiroaki Satoh, Tetsuya Ohira, Masato Nagai, Mitsuaki Hosoya, Akira Sakai, Tsuyoshi Watanabe, Akira Ohtsuru, Yukihiko Kawasaki, Hitoshi Suzuki, Atsushi Takahashi, Gen Kobashi, Kotaro Ozasa, Seiji Yasumura, Shunichi Yamashita, Kenji Kamiya, Masafumi Abe

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Objective We conducted the present study to evaluate the prevalence of chronic kidney disease (CKD) and CKD complications among evacuees and non-evacuees after the Great East Japan Earthquake and Fukushima Daiichi nuclear disaster. Methods Twenty-seven thousand and eighty-eight subjects who were living near the Fukushima Daiichi Nuclear Power Plant in Fukushima Prefecture in Japan, aged ≥40 years by the Heath Care Insures, were included in the analyses. Metabolic factors were compared between the evacuees and non-evacuees stratified by the eGFR and proteinuria grades. Results The prevalence of CKD with a low eGFR (<60 mL/min/1.73 m2) and proteinuria were 21.59% and 1.85%, respectively. The risk of CKD complications was classified into four grades according to the eGFR and proteinuria grades. The prevalence of diabetes, hypertension, and dyslipidemia were significantly higher in the very high risk group than in the low risk group. The prevalence of diabetes and dyslipidemia were significantly higher in evacuees than in non-evacuees in only the low risk group. However, a multivariate logistic regression analysis showed that evacuation was not significantly associated with the risk of a low eGFR or proteinuria. Conclusion This study did not reach the definitive conclusion that evacuation elevated the risk of CKD complication, although evacuation might lead to increased CKD complications in the future. We believe that this information is important for follow-up and lifestyle change recommendations for evacuees.

Original languageEnglish
Pages (from-to)2563-2569
Number of pages7
JournalInternal Medicine
Volume55
Issue number18
DOIs
Publication statusPublished - 2016

Keywords

  • Chronic kidney disease
  • Fukushima Daiichi nuclear power plant accident
  • Fukushima health management survey
  • Great east earthquake

ASJC Scopus subject areas

  • Internal Medicine

Fingerprint Dive into the research topics of 'Prevalence of renal dysfunction among evacuees and non-evacuees after the great east earthquake: Results from the Fukushima health management survey'. Together they form a unique fingerprint.

Cite this