Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

Şengül, Ahmet M.; Özer, Emel; Salman, Serpil; Salman, Fatih; Sağlam, Zuhal Aydan; Sargın, Mehmet; Hatun, Şükrü; Satman, İlhan; Yılmaz, Temel

doi:10.1507/endocrj.51.407

Cited by 43 publications

(32 citation statements)

References 38 publications

(70 reference statements)

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“…Very few studies have been carried out on the effect of major disasters on diabetes and its comorbidities (6–19). Published data includes reports on hurricanes within the U.S., but these have been relatively small and short-term studies (20).…”

Section: Discussionmentioning

confidence: 99%

Impact of a Natural Disaster on Diabetes

et al. 2009

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OBJECTIVETo examine the impact of Hurricane Katrina on the health of individuals with diabetes.RESEARCH DESIGN AND METHODSThis was an observational study in 1,795 adults with an A1C measurement 6 months before and 6−16 months after Hurricane Katrina in three health care systems: private (Tulane University Hospital and Clinic [TUHC]), state (Medical Center of Louisiana at New Orleans [MCLNO]), and Veterans Affairs (VA). Glycemic control (A1C), blood pressure, and lipids before the hurricane were compared with the patients' first measurement thereafter. The CORE Diabetes Model was used to project life expectancy and health economic impact.RESULTSMean predisaster A1C levels differed between MCLNO and VA patients (mean 7.7 vs. 7.3%, P < 0.001) and increased significantly among MCLNO patients to 8.3% (P < 0.001) but not among VA and TUHC patients. Mean systolic blood pressure increased in all three systems (130–137.6 mmHg for TUHC and 130.7–143.7 for VA, P < 0.001; 132–136 for MCLNO, P = 0.008). Mean LDL cholesterol increased in the VA (97.1–104.3 mg/dl) and TUHC patients (103.4–115.5; P < 0.001). Hurricane Katrina increased modeled direct, indirect, and total health care costs and also reduced life expectancy as well as quality-adjusted life expectancy, with the economic impact being quite substantial because of the large population size affected. We estimate a lifetime cost of USD $504 million for the adult population affected, with the largest economic impact seen among MCLNO patients.CONCLUSIONSA major disaster had a significant effect on diabetes management and exacerbated existing disparities. These effects may have a lasting impact on both health and economic implications.

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Section: Discussionmentioning

confidence: 99%

Impact of a Natural Disaster on Diabetes

et al. 2009

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“…However, the health hazards of earthquakes go beyond psychological consequences. Studies have also suggested that earthquakes can impair the health related quality of life (HRQoL) of the survivors [2,8,9]. Earthquake survivors are commonly forced to live in makeshift circumstances with associated stresses but appear to have poorer physical capacity and psychological wellbeing than before the earthquake [2].…”

Section: Introductionmentioning

confidence: 99%

Social support and Quality of Life: a cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake

Liu

2010

BMC Public Health

103

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BackgroundThe 2008 Wenchuan earthquake resulted in extensive loss of life and physical and psychological injuries for survivors. This research examines the relationship between social support and health-related quality of life for the earthquake survivors.MethodsA multistage cluster sampling strategy was employed to select participants from 11 shelters in nine counties exposed to different degrees of earthquake damage, for a questionnaire survey. The participants were asked to complete the Short Form 36 and the Social Support Rating Scale eight months after the earthquake struck. A total of 1617 participants returned the questionnaires. The quality of life of the survivors (in the four weeks preceding the survey) was compared with that of the general population in the region. Multivariate logistic regression analysis and canonical correlation analysis were performed to determine the association between social support and quality of life.ResultsThe earthquake survivors reported poorer quality of life than the general population, with an average of 4.8% to 19.62% reduction in scores of the SF-36 (p < 0.001). The multivariate logistic regression analysis showed that those with stronger social support were more likely to have better quality of life. The canonical correlation analysis found that there was a discrepancy between actual social support received and perceived social support available, and the magnitude of this discrepancy was inversely related to perceived general health (rs = 0.467), and positively related to mental health (rs = 0.395).ConclusionSocial support is associated with quality of life in the survivors of the earthquake. More attention needs to be paid to increasing social support for those with poorer mental health.

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“…In the present study, unexpectedly, the mean post‐earthquake HbA1c value was lower than that measured during the pre‐earthquake period in the entire study group of 497 participants (Table ). Glycemic control of diabetic patients was previously reported to worsen after natural disasters. Ogawa et al .…”

Section: Discussionmentioning

confidence: 99%

Impacts of the Great East Japan Earthquake on diabetic patients

Tanaka

Imai

Satoh

et al. 2015

J of Diabetes Invest

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Aims/IntroductionWe investigated impacts of the Great East Japan Earthquake on diabetic patients and characterized those with disaster-susceptible diabetes.Materials and MethodsWe enrolled 497 diabetic patients who had been followed at hospitals in devastated areas. We collected metabolic parameters prospectively, 1 and 3 months after the earthquake, and retrospectively for pre-earthquake time-points. Questionnaire surveys were carried out regarding earthquake-related damage and post-earthquake lifestyle alterations. Available data were analyzed to examine associations with post-earthquake glycosylated hemoglobin alterations.ResultsThe mean glycosylated hemoglobin level of the participants was not elevated at 1 month, and was significantly decreased at 3 months as compared with the pre-earthquake glycosylated hemoglobin. There were no significant differences in earthquake-related damage or lifestyle alterations between the improved and worsened glycemic control groups according to the data obtained from the questionnaire survey. As reported, fasting serum C-peptide levels were significantly lower in the worsened glycemic control group (P < 0.05). Notably, plasma noradrenaline levels were significantly higher in the worsened glycemic control group (P < 0.05). Furthermore, at 1 month after the earthquake, the plasma noradrenaline level was significantly higher in the low C-peptide group (fasting serum C-peptide <1.0 ng/mL) than in the high C-peptide group (fasting serum C-peptide ≥1.0 ng/mL), but this difference had disappeared by 3 months after the earthquake. These findings show that post-earthquake plasma noradrenaline levels were temporarily increased in the low C-peptide group.ConclusionsSympathetic nerve activation might be elicited more easily in subjects with lower endogenous insulin secretory capacity, and could be involved in the mechanism underlying post-earthquake worsening of glycemic control.

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Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

Cited by 43 publications

References 38 publications

Impact of a Natural Disaster on Diabetes

Impact of a Natural Disaster on Diabetes

Social support and Quality of Life: a cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake

Impacts of the Great East Japan Earthquake on diabetic patients

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