Post-Disaster Mental Health and Dietary Patterns among Older Survivors of an Earthquake and Tsunami

OBJECTIVES

Research suggests that cardiometabolic disease risks are elevated among survivors of natural disasters, possibly mediated by changes in diet. Using the Brief Dietary History Questionnaire, we examined (1) dietary patterns among older survivors of the 2011 Great East Japan Earthquake and Tsunami, and (2) the contribution of posttraumatic stress symptoms (PTSS)/depressive symptoms, as well as relocation to temporary housing on dietary patterns and (3) gender differences in the associations.

DESIGN, SETTING AND PARTICIPANTS

Data came from a prospective cohort study of 1,375 survivors aged 65-89 years (44.6% male).

MEASUREMENTS

PTSS/depression onset was evaluated in 2013, 2.5 years after the disaster. Dietary data was collected with a self-administered brief-type diet history questionnaire in 2020. A principal component analysis identified three posterior dietary patterns.

RESULTS

Diet 1 consisted of high intake of vegetables, soy products, and fruits; Diet 2 consisted of carbohydrate-rich foods and snacks/sweets; Diet 3 consisted of high intake of alcoholic beverages, meat, and seafood. Least-squares linear regression revealed that individuals with PTSS/depression were less likely to exhibit Diet 1, while individuals with PTSS were more likely to exhibit Diet 2 and 3. Especially, males who had depression showed an unhealthy dietary pattern. Those who have lived in a trailer-style temporary housing reported less consumption of Diet 3.

CONCLUSION

Survivors of disaster with symptoms of mental illness tended to exhibit less healthy dietary patterns after 9 years. Diet varied by type of post-disaster mental illness, gender, and current social circumstances. We lacked pre-disaster BDHQ data, which is a limitation.

Analysis of the Effects of Food Additives on Porphyromonas gingivalis

This study aims to investigate six food additives (octanoic acid, decanoic acid, acesulfame K, aspartame, saccharin, and sucralose) used in foods for the elderly or people with dysphagia because of the effect of these food additives on Porphyromonas gingivalis (P. gingivalis), which is a keystone pathogen of periodontal diseases. The growth of P. gingivalis was inhibited by 5 mM octanoic acid, 1.25 mM decanoic acid, 1.25% acesulfame K, 0.0625% aspartame, 0.03125% saccharin, and 0.625% sucralose. In addition, these food additives showed bactericidal activity for planktonic P. gingivalis (5 mM octanoic acid, 5 mM decanoic acid, 0.25% aspartame, 0.25% saccharin, and 5% sucralose). Moreover, biofilm formation was inhibited by 10 mM octanoic acid, 10 mM decanoic acid, 10% acesulfame K, 0.35% aspartame, 0.5% saccharin, and 7.5% sucralose. Moreover, the same concentration of these food additives without aspartame killed P. gingivalis in the biofilm. Aspartame and sucralose did not show cytotoxicity to human cell lines at concentrations that affected P. gingivalis. These findings may be useful in clarifying the effects of food additives on periodontopathogenic bacteria.

Method for absolute quantification of microbial communities by using both microarrays and competitive PCR

Methods for the robust quantification of bacterial communities are still under development. In this context, the present study aimed to evaluate a method combining competitive PCR (cPCR) and microarray assays for the determination of absolute content of total bacteria and individual bacterial species in samples. For this, a competitor DNA for cPCR and microarrays containing three types of DNA probes was prepared. A calibration curve was generated with genomic DNA samples as standards, which was then utilized for cPCR-based determination of the total number (in moles) of 16S rRNA genes in other bacterial samples. Moreover, scatter plots of species-specific probes versus total bacteria probe for each genomic DNA of known concentration was fit to the regression model, and the obtained slope value was defined as the hybridization affinity ratio. The cPCR assay was performed for both a commercially available mixed genomic DNA sample and human oral bacterial DNA samples, and the total number of moles of 16S rRNA genes was determined. These values were distributed among each species on the basis of the signal intensities of species-specific probes and the hybridization affinity ratio. The total number of bacterial genomes and those of individual species were determined by dividing the copy number of 16S rRNA genes per genome. The obtained results were confirmed by quantitative real-time PCR (qPCR). For values of >1 × 10² copies determined by qPCR, the ratio of the values measured by DNA chips to by qPCR was 1.53-fold on average and <2.6-fold for all data. These results show that the combined method of cPCR and microarray is useful to quantify the absolute numbers of several types of bacteria in a sample at one time.

Quantitation of biotin-binding immunoglobulins G, A, and M in Human Sera Using F(ab')2anti-human immunoglobulin-coated microplates

Biotin-binding IgG (B-IgG) in human sera was quantified using previously developed F(ab')(2)anti-human IgG-coated multiwell microplates (Muratsugu M. et al., 2003, Biol. Pharm. Bull., 26, 1605--1608). The levels of B-IgG in sera, however, were higher than those we predicted. In this study, we modified the assay using F(ab')2anti-human IgG-coated multiwell microplates and successfully quantified the levels of B-IgG in sera. The cause of the unpredicted results was discussed in the text. In addition, the levels of biotin-binding IgA (B-IgA) and IgM (B-IgM) in sera could be measured using F(ab')2anti-human IgA- or IgM-coated multiwell microplates. We quantified B-IgG, B-IgA, and B-IgM in sera from healthy specimens and patients with bronchial asthma, atopic dermatitis, epilepsy, and juvenile rheumatoid arthritis.

Biotin-protein ratios and stability of biotinylated immunoglobulins as standards for the quantitation of biotin-binding immunoglobulins

Biotin-binding IgG in human sera was quantitated using F(ab')(2)anti-human IgG-coated multiwell microplates (Muratsugu, M. et al. 2003, Biol. Pharm. Bull., 26, 1605-1608). The biotin-protein ratio of biotinylated IgG, which was used as standard in the assay, was very important to quantitate the level of biotin-binding IgG. We investigated a synthesis method of biotinylated human immunoglobulins, how to determine the biotin-protein ratio of the biotinylated proteins, and their stability to prepare standards for measuring biotin-binding IgG, IgA, and IgM.

[Elimination of Japanese cedar (Cryptomeria japonica) aeropollen by rainfall]

The concentration of aeropollens of Japanese cedar decreases on rainy days, due to the rainfall removing pollens from the atmosphere. An analysis was performed of the concentration of pollen grains in rain water samples from Yokohama during the period February 10 to April 30, 1991. Sampling of rain water was performed using an automatic rain water collector, and an analysis performed on each mm of rainfall, from 1 mm to 5 mm. In this collector, 1 mm of rainfall corresponds to 100 ml of accumulated rain water. The pollens in rain water were concentrated by centrifugation to 1/200 volume, and pollen grain count was performed on a Fuchs. Rosenthal hemocytometer. Pollens of Japanese cedar were detected in the rain water during the period, 22 February to 19 April, and peaked on 22 March. The number of pollens at peak was 264,000 grains per 100 ml. The pollen count contained in the 2nd to 5th mm of rainfall compared to that in the first mm of rainwater was 19.4% in the 2nd mm of rainfall, 6.7% in the 3rd, 4.4% in the 4th and 2.3% in the 5th. From a log-log graph plot of this data, a regression line was obtained for a regression equation, y = 100.x-2.29. These data indicate that rainfall quickly clears pollens of Japanese cedar from the atmosphere. Examination of pollen obtained from the rain water, showed a few % of the pollen grains had ruptured, and on the surface of the cytoplasmic membrane of the ruptured pollen were attached suspended particulate matters from atmosphere.

[The rupture of cedar pollens in nasal secretions]

Allergic rhinitis caused by pollen of Japanese cedar (Cryptomeria japonica) is found in Japan. These pollens, when inhaled into the nasal cavity, contact the nasal mucus membrane, and the allergens separate from the pollens, and pass through the nasal mucosa to interact with the mast cell-bound IgE. Patients with allergic rhinitis produce a great volume of nasal secretion from the mucosa. The morphological transformation of the cedar pollens when mixed with nasal secretion was studied. Nasal secretion was collected from two patients with allergic rhinitis. Cedar pollen gathered from a Japanese cedar tree was mixed with distilled water, and the cedar pollen suspension was mixed with a drop of nasal secretion on a slide glass at the room temperature (23 degrees C), and examined by phase-contrast microscopy. Of the pollen 20.6% were ruptured after 3 min, and 52.9% after 10 min, 84.9% after 40 min, and 81.3% after 60 min respectively. Further changes in shape of the ruptured pollens were observed with continued incubation. A hole opened in the cytoplasmic membrane through which the nucleus escaped, and crinkling of the residual cytoplasmic membrane was observed. The escaped nucleus separated into many small granules. In order to determine possible causes of the pollen rupture in nasal secretion, the relationship between pH of the nasal secretion and rupture rate was examined. The pH of the nasal secretion from two patients was 8.95 and 9.15 respectively. Salt solutions of 0.1 M NaCl, (NH4) 2SO4, NaNO3, CaCl2, Na2SO4, KCl, MgSO4, had pH range from 5.13 to 6.40.(ABSTRACT TRUNCATED AT 250 WORDS)

[Investigation of health effects associated with solvents used in dry cleaning workplace (report 2). Personal exposure to tetrachloroethylene (TCE) and TCE levels in man]

In order to understand the health effects of tetrachloroethylene (TCE) on dry cleaning workers, we surveyed personal exposure to TCE and TCE levels in man. Personal TCE exposure levels ranged from 0.6 to 100.8 ppm (time weighted average, TWA) and in winter the values were 1.1-11 times higher than that in summer. TCE levels in expired air ranged from 0.3 to 87 ppm, in blood from 0.01 to 0.73 micrograms/g, and total trichlorinated compounds (TTC) levels in urine ranged from 0.06 to 1.92 mg/dl. Correlation was highly significant between TCE concentration in blood and TTC concentration in urine (r = 0.927, p less than 0.01), and between concentration of personal exposure to TCE and TTC concentration in urine (r = 0.815, p less than 0.01). Following a three day holiday (non-exposure duration, 90 hr) TCE level in blood decreased from 0.05 to 0.006 micrograms/g, in expired air from 1.0 to 0.3 ppm and in TTC level in urine from 0.24 to 0.08 mg/dl respectively.

[Investigation of health effects associated with solvents used in dry cleaning workplace (report 1). Tetrachloroethylene concentration in working environment]

Tetrachloroethylene (TCE) level in the working environment was measured at five dry cleaning workplaces. Time weighted average (TWA) concentration of TCE collected using an activated charcoal badge were 2.3-19.1 ppm in summer and 1.3-56.9 ppm in winter. TCE level in the work place measured during the work process showed that when the dry cleaning machine was opened to remove clothes, TCE ranged from 63.2 to 85.6 ppm and while the machine was operating ranged from 50.8 to 143 ppm. TCE levels at the middle of the cleaning cycle ranged horizontally from 0.5 to 11.0 ppm (mean 3.0 ppm, 12 sampling points) in summer and from 7.7 to 85.3 ppm (mean 28.0 ppm. 12 sampling points) in winter. The values varied according to the location of the sampling point. In the living area adjacent to the workplace, TCE was found to be at the same level as the workplace. Therefore in order to prevent other family members from being affected it is recommended that the workplace be separated from the residence.