Increased incidence of metabolic syndrome among older survivors relocated to temporary housing after the 2011 Great East Japan earthquake & tsunami

Metabolism Open

Haruki Shimoda¹  Kozo Tanno²  Yuki Yonekura³  Ichiro Kawachi⁴  Seiichiro Kobayashi⁴  Akira Ogawa⁴  Shuko Takahashi⁵  Kiyomi Sakata⁶ 

[1] Corresponding author. Takemi Program in International Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Building 1, Boston, MA, 02115, USA.;Department of Health and Welfare, Iwate Prefecture, Morioka, Iwate, 020-8570, Japan;Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, 02115, USA;Department of Hygiene and Preventive Medicine, Iwate Medical University, School of Medicine, Iwate 020-8505, Japan;Division of Medical Education, Iwate Medical University, Shiwa-gun, Iwate, 020-8505, Japan;St Luke International University Graduate School, Tokyo, 104-0044, Japan;

关键词: Metabolic syndrome;    Great East Japan Earthquake;    Natural disaster;    Living conditions;    Temporary housing;    Non-communicable diseases;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: Beyond the immediate toll of injuries and deaths, major disasters are often associated with long-term increased risks of chronic disease. We sought to investigate the incidence of metabolic syndrome (MetS) among survivors of the 2011 Great East Japan Earthquake and tsunami. Methods: Subjects aged ≥18 years from the tsunami-stricken area participated in a prospective cohort study of disaster survivors (the RIAS Study) from 2011 to 2015. After excluding subjects who were previously diagnosed with MetS, we observed the cumulative incidence of MetS across four annual examinations among 7318 subjects (mean age, 59.8 years; 43.5% men). We defined MetS using the International Diabetes Foundation criteria. Results: The 4-year cumulative incidence of MetS was 18.0% in the overall sample. The incidence was significantly higher among older women survivors relocated to prefabricated temporary housing (40.9%, 95% confidence interval, 36.4–44.6), and other types of housing (36.2%, 95% CI: 32.3–40.6) compared to those who were not relocated (34.1%, 95% CI: 30.9–37.4). An increase in incidence of MetS was not observed for older men, or younger survivors aged ≤64 years. Conclusion: Relocation to prefabricated temporary housing was a risk factor for increased incidence of MetS in older women.

【 授权许可】

Unknown