1
|
Takahashi A, Ohira T, Okazaki K, Yasumura S, Sakai A, Maeda M, Yabe H, Hosoya M, Ohtsuru A, Kawasaki Y, Suzuki H, Shimabukuro M, Sugiura Y, Shishido H, Hayashi Y, Nakano H, Kobashi G, Kamiya K, Ohira H. Effects of lifestyle on hepatobiliary enzyme abnormalities following the Fukushima Daiichi nuclear power plant accident: The Fukushima health management survey. Medicine (Baltimore) 2018; 97:e12890. [PMID: 30335013 PMCID: PMC6211895 DOI: 10.1097/md.0000000000012890] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 09/25/2018] [Indexed: 01/12/2023] Open
Abstract
Dramatic lifestyle changes due to the Fukushima Daiichi Nuclear Power Plant accident increased the prevalence of hepatobiliary enzyme abnormalities (HEA). We aimed to evaluate associations of HEA with specific lifestyle- and disaster-related factors in residents who lived near the Fukushima Daiichi Nuclear Power Plant.This cross-sectional study included 22,246 residents who underwent a Comprehensive Health Check and the Mental Health and Lifestyle Survey from June 2011 to March 2012. Residents were divided into 2 groups based on residential area and housing status after the accident. Associations between HEA and lifestyle- and disaster-related factors, including psychological distress, were estimated using logistic regression analysis adjusted for demographic and lifestyle factors.HEA was present in 27.3% of subjects. The prevalence of HEA was significantly higher in evacuees than controls (29.5% vs 25.7%, P < .001). There were significant differences in various lifestyle characteristics and the prevalence of post-traumatic stress disorder between evacuees and controls. Multivariable logistic regression analysis showed that age, sex, moderate to heavy drinking, and low/no physical activity were significantly associated with HEA regardless of evacuation status. Changes in jobs and unemployment were significantly associated with HEA in controls and evacuees, respectively.Lifestyle and disaster-related factors, but not psychological distress, were associated with HEA among subjects who lived near the Fukushima Daiichi Nuclear Power Plant accident.
Collapse
Affiliation(s)
- Atsushi Takahashi
- Department of Gastroenterology, Fukushima Medical University School of Medicine
- Radiation Medical Science Center for the Fukushima Health Management Survey
| | - Tetsuya Ohira
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Epidemiology
| | - Kanako Okazaki
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Epidemiology
| | - Seiji Yasumura
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Public Health
| | - Akira Sakai
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Radiation Life Sciences
| | - Masaharu Maeda
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Disaster Psychiatry
| | - Hirooki Yabe
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Neuropsychiatry
| | - Mitsuaki Hosoya
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Pediatrics
| | - Akira Ohtsuru
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Radiation Health Management
| | - Yukihiko Kawasaki
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Pediatrics
| | - Hitoshi Suzuki
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Cardiology
| | - Michio Shimabukuro
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Diabetes, Endocrinology and Metabolism
| | - Yoshihiro Sugiura
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Neurology
| | - Hiroaki Shishido
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Orthopaedic Surgery
| | - Yoshimitsu Hayashi
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Nephrology and Hypertension, Fukushima Medical University School of Medicine, Fukushima
| | - Hironori Nakano
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Epidemiology
| | - Gen Kobashi
- Radiation Medical Science Center for the Fukushima Health Management Survey
- Department of Public Health, Dokkyo Medical University School of Medicine, Shimotsuga, Japan
| | - Kenji Kamiya
- Radiation Medical Science Center for the Fukushima Health Management Survey
| | - Hiromasa Ohira
- Department of Gastroenterology, Fukushima Medical University School of Medicine
- Radiation Medical Science Center for the Fukushima Health Management Survey
| |
Collapse
|
2
|
Takahashi A, Ohira T, Uemura M, Hosoya M, Yasumura S, Hashimoto S, Ohira H, Sakai A, Ohtsuru A, Satoh H, Kawasaki Y, Suzuki H, Sugiura Y, Shishido H, Hayashi Y, Takahashi H, Nakano H, Kobashi G, Ozasa K, Ohto H, Abe M. Changes in Hepatobiliary Enzyme Abnormality After the Great East Japan Earthquake: The Fukushima Health Management Survey. Sci Rep 2017; 7:710. [PMID: 28386098 PMCID: PMC5429598 DOI: 10.1038/s41598-017-00776-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Accepted: 03/14/2017] [Indexed: 12/20/2022] Open
Abstract
Although the incidence of hepatobiliary enzyme abnormality increased immediately after the Great East Japan Earthquake and subsequent Fukushima Daiichi Nuclear Power Plant accident, longer-term trends remain unclear. The aims of this study were to determine longer-term trends in hepatobiliary enzyme abnormality and to elucidate lifestyle factors associated with such changes among residents of a nuclear-disaster-affected area. This longitudinal survey enrolled 20,395 adults living in the vicinity of Fukushima Daiichi Nuclear Power Plant. Data were obtained from the records of annual health checkups of adults aged ≥40 years between 2011 and 2012. Follow-up examinations were conducted from June 2013 to March 2014. Associations were assessed between changes in hepatobiliary enzyme abnormality immediately and 3–4 years after the disaster and lifestyle factors. The overall prevalence of hepatobiliary enzyme abnormality significantly decreased over the study period, from 29.9% to 27.1%. Multivariate logistic regression analysis revealed significant associations between improved hepatobiliary enzyme abnormality and improvements in daily physical activity and frequency of breakfast consumption. The results suggest that improvements in daily physical activity and frequency of breakfast consumption significantly reduced the incidence of hepatobiliary enzyme abnormality 3–4 years after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant accident.
Collapse
Affiliation(s)
- Atsushi Takahashi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan. .,Fukushima Medical University School of Medicine, Fukushima, Japan. .,Department of Gastroenterology, Fukushima Medical University, Fukushima, Japan.
| | - Tetsuya Ohira
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Epidemiology, Fukushima Medical University, Fukushima, Japan
| | - Mayu Uemura
- Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Epidemiology, Fukushima Medical University, Fukushima, Japan
| | - Mitsuaki Hosoya
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Pediatrics, Fukushima Medical University, Fukushima, Japan
| | - Seiji Yasumura
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Public Health, Fukushima Medical University, Fukushima, Japan
| | - Shigeatsu Hashimoto
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Nephrology, Hypertension, Diabetology, and Endocrinology, Fukushima Medical University, Fukushima, Japan
| | - Hiromasa Ohira
- Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Gastroenterology, Fukushima Medical University, Fukushima, Japan
| | - Akira Sakai
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Radiation Life Sciences, Fukushima Medical University, Fukushima, Japan
| | - Akira Ohtsuru
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan
| | - Hiroaki Satoh
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Nephrology, Hypertension, Diabetology, and Endocrinology, Fukushima Medical University, Fukushima, Japan
| | - Yukihiko Kawasaki
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Pediatrics, Fukushima Medical University, Fukushima, Japan
| | - Hitoshi Suzuki
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Cardiology, Fukushima Medical University, Fukushima, Japan
| | - Yoshihiro Sugiura
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Neurology, Fukushima Medical University, Fukushima, Japan
| | - Hiroaki Shishido
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Orthopaedic Surgery, Fukushima Medical University, Fukushima, Japan
| | - Yoshimitsu Hayashi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Nephrology, Hypertension, Diabetology, and Endocrinology, Fukushima Medical University, Fukushima, Japan
| | - Hideto Takahashi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Information Management and Statistics Office, Fukushima Medical University, Fukushima, Japan
| | - Hironori Nakano
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan.,Department of Epidemiology, Fukushima Medical University, Fukushima, Japan
| | - Gen Kobashi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Department of Public Health, Dokkyo Medical University School of Medicine, Tochigi, Japan
| | - Kotaro Ozasa
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Department of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan
| | - Hitoshi Ohto
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan
| | - Masafumi Abe
- Radiation Medical Science Center for the Fukushima Health Management Survey, Office of the Comprehensive Health Check and Health Promotion, Fukushima, Japan.,Fukushima Medical University School of Medicine, Fukushima, Japan
| |
Collapse
|