| アブストラクト | OBJECTIVES: The study aimed to evaluate the long-term metabolic risk profiles of Fukushima residents after the Great East Japan Earthquake of March 2011. STUDY DESIGN: This was a cross-sectional and a longitudinal design. METHODS: The Fukushima Health Database (FDB) contains 2,331,319 annual health checkup records of participants aged 40-74 years between 2012 and 2019. We checked the validity of the FDB by comparing the prevalence of metabolic factors with the National Database of Health Insurance Claims and Specific Health Checkups (NDB). We applied a regression analysis to determine the changes and project the trends of metabolic factors over the years. RESULTS: Compared to the NDB, the prevalence of metabolic factors in Fukushima was higher than the country average from 2013 to 2018, and they showed the same trends as those from the FDB. The prevalence of metabolic syndrome (MetS) increased from 18.9% in 2012 to 21.4% in 2019 (an annual increase of 2.74%) in men and from 6.8 to 7.4% (an annual increase of 1.80%) in women in Fukushima. The standardized prevalence of MetS, being overweight, and diabetes is projected to continue increasing, with disparities among subareas being higher in evacuees than in non-evacuees. An annual decrease of 0.38-1.97% in hypertension was mainly observed in women. CONCLUSIONS: The prevalence of metabolic risk is higher in Fukushima as compared to the country average. The increasing metabolic risk in subareas, including the evacuation zone, highlights the need to control MetS in Fukushima residents. |
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| 投稿者 | Ma, E; Ohira, T; Fukasawa, M; Yasumura, S; Miyazaki, M; Suzuki, T; Furuyama, A; Kataoka, M; Hosoya, M |
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| 組織名 | Health Promotion Center, Fukushima Medical University, Fukushima 960-1295, Japan;;Department of Epidemiology, Fukushima Medical University School of Medicine,;Fukushima 960-1295, Japan. Electronic address: mae@fmu.ac.jp.;Fukushima 960-1295, Japan; Radiation Medical Science Centre for Fukushima Health;Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan.;Health Promotion Center, Fukushima Medical University, Fukushima 960-1295, Japan.;Radiation Medical Science Centre for Fukushima Health Management Survey,;Fukushima Medical University, Fukushima 960-1295, Japan; Department of Public;Health, Fukushima Medical University School of Medicine, Fukushima 960-1295,;Japan.;Fukushima Medical University, Fukushima 960-1295, Japan.;Department of Computer Science and Information Systems, The University of Aizu,;Fukushima 965-8580, Japan.;Fukushima 960-1295, Japan.;Fukushima Medical University, Fukushima 960-1295, Japan; Department of;Pediatrics, Fukushima Medical University School of Medicine, Fukushima 960-1295, |
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