Association between relocation and changes in cardiometabolic risk factors: a longitudinal study in tsunami survivors of the 2011 Great East Japan Earthquake

Takahashi, Shuko; Nakamura, Motoyuki; Yonekura, Yuki; Tanno, Kozo; Sakata, Kiyomi; Kobayashi, Seiichiro

doi:10.1136/bmjopen-2016-011291

Cited by 29 publications

(23 citation statements)

References 30 publications

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“…Among the lifestyle changes of employees in this study who worked in evacuation areas, regular physical activity decreased. This might be related to increased work burden, changes in the living environment due to replacements [ 28 ], or anxiety about radiation exposure [ 29 ]. Moreover, our findings implied that deteriorating mental health status among the employees (45.4% in evacuation areas, 16.2% in the non-evacuation area; Table 3 ) could lead to difficulties in maintaining sleep duration (33.2% in evacuation areas, 12.6% in the non-evacuation area) [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Maintaining the Mental Health of Employees after the Fukushima Nuclear Disaster: Findings from Companies Located in the Evacuation Area

Orui

Suzuki

Goto

et al. 2017

IJERPH

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After the nuclear disaster in Fukushima on 11 March 2011, some businesses were permitted to continue operating even though they were located in the evacuation area designated by the Japanese government. The aim of this study was to examine differences in the mental health status, workplace, living environment, and lifestyle of employees in the evacuation and non-evacuation areas. We also investigated factors related to their mental health status. Data for this cross-sectional study were collected from the questionnaire responses of 647 employees at three medium-sized manufacturing companies in the evacuation and non-evacuation areas. Through a cross-tabulation analysis, employees who worked at companies in the evacuation areas showed an increase in the duration of overtime work, work burden, and commute time, and had experienced separation from family members due to the radiation disaster and perceived radiation risks. The results of a multivariate logistic regression analysis showed that, even in a harsh workplace and living environment, being younger, participating regularly in physical activity, having a social network (Lubben Social Network Scale-6 ≤ 12), laughing frequently, and feeling satisfied with one’s workplace and domestic life were significantly associated with maintaining a healthy mental health status after the disaster. These findings are applicable for workers’ health management measures after disasters.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Maintaining the Mental Health of Employees after the Fukushima Nuclear Disaster: Findings from Companies Located in the Evacuation Area

Orui

Suzuki

Goto

et al. 2017

IJERPH

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“…Six articles describing the development of metabolic diseases were identified, all of which described negative effects of evacuation on metabolic indexes. [162][163][164][165][166][167] The metabolic indexes of body weight, BMI, waist circumference, glycated hemoglobin (HbA1c), and HDL cholesterol level deteriorated. The prevalence of metabolic syndrome and diabetes was higher among evacuees living in temporary housing than among nonevacuees.…”

Section: Mental Health Issuesmentioning

confidence: 99%

“…The prevalence of metabolic syndrome and diabetes was higher among evacuees living in temporary housing than among nonevacuees. [162][163][164][165][166][167] Deterioration of the metabolic indexes and diseases among evacuees is expected to be related to changes in lifestyle such as poor diet, decreased physical activity, and loss of social networks. 163,164,167 Orthopedic Disease…”

Section: Mental Health Issuesmentioning

confidence: 99%

Noncommunicable Diseases After the Great East Japan Earthquake: Systematic Review, 2011–2016

Murakami

Sasaki

Pascapurnama

et al. 2017

Disaster med. public health prep.

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“…Moreover, the rate of growth of the elderly population has rapidly increased due to the outflow of the younger generation in post-disaster areas, and a considerable number of elderly people are still displaced from their homes 5 years after the disaster [ 21 ]. The extraordinary lifestyle after the disaster has had negative effects on systemic, mental, and oral health [ 22 – 24 ], and could affect the prevalence of oral Candida colonization in elderly community dwellers in the disaster areas.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Candida albicans and non-albicans on the tongue dorsa of elderly people living in a post-disaster area: a cross-sectional survey

et al. 2017

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Background Candida species are normal commensal organisms of the mouth. However, they can cause oral mucosal and severe systemic infections in persons with reduced immune function, which is common in the very elderly. In post-disaster areas, the number of elderly residents rapidly increases due to the outflow of younger generations. Hence, we examined the prevalence of Candida albicans and non-albicans in association with oral and systemic conditions, life style, medications, and living conditions.MethodsThis study was performed in 2014. Participants of this study were 266 community dwellers aged 60 years or older in Otsuchi town, which was severely damaged by the Great East Japan Earthquake and Tsunami in 2011. Oral specimens were collected from tongue dorsa by swabbing. After 48 h incubation on CHROMagar™ medium, C. albicans and non-albicans were identified by the morphology and pigmentation of the colonies. Oral and systemic health check-ups were performed to assess the following: number of remaining teeth and periodontal status, oral hygiene, use of dentures, obesity, hypertension, hyperlipidemia, and hyperglycemia. A questionnaire addressed lifestyle, medications, and living conditions. Using the variables above, the relative factors involved in the colonization and the amounts of each type of Candida were determined.Results C. albicans and non-albicans were detected in 142 (53.4%) and 63 (23.7%) participants, respectively. Multinomial logistic regression analyses revealed that the significant factors of colonization by C. albicans were “having decayed teeth” and “relocation from home”. Factors related to non-albicans colonization were “age over 80 years”, “number of remaining teeth”, “use of dentures”, and “obesity”. On the contrary, none of the parameters were related to the amount of non-albicans in the carrier, and the amount of C. albicans was significantly associated with “number of teeth” and “hypertension”.ConclusionsPrevalence-related factors differed between C. albicans and non-albicans colonization. In addition, other than oral status, systemic and living conditions affected the prevalence of both C. albicans and non-albicans in elderly people living in a post-disaster area.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-017-0342-0) contains supplementary material, which is available to authorized users.

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Association between relocation and changes in cardiometabolic risk factors: a longitudinal study in tsunami survivors of the 2011 Great East Japan Earthquake

Cited by 29 publications

References 30 publications

Factors Associated with Maintaining the Mental Health of Employees after the Fukushima Nuclear Disaster: Findings from Companies Located in the Evacuation Area

Factors Associated with Maintaining the Mental Health of Employees after the Fukushima Nuclear Disaster: Findings from Companies Located in the Evacuation Area

Noncommunicable Diseases After the Great East Japan Earthquake: Systematic Review, 2011–2016

Prevalence of Candida albicans and non-albicans on the tongue dorsa of elderly people living in a post-disaster area: a cross-sectional survey

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