PDF(Pubmed)
Abstract：
Traumatic experiences from disasters have enduring effects on health, both directly and indirectly by influencing health behaviours. Among potential pathways, the impact of disaster-related trauma on dietary patterns has been understudied. This study investigated the relationship between disaster-related trauma and dietary inflammatory index (DII®), and how these relationships differed by gender and whether they prepare meal by themselves or not among older survivors of the 2011 Great East Japan Earthquake and Tsunami (n 1375). Dietary data were collected in 2020 using a brief-type self-administered diet history questionnaire, from which we derived a dietary inflammatory index (DII®) based on twenty-six food/nutrient items, where higher scores indicate pro-inflammatory (i.e. unhealthy) diet. We found that the experience of housing damage due to the earthquake and tsunami was associated with slightly higher DII scores (coef. = 0·38, 95 % CI -0·05, 0·81). Specifically, women who cooked by themselves tended to have higher DII when they experienced housing damage (coef. = 1·33, 95 %CI -0·63, 3·28). On the other hand, loss of friends was associated with a lower DII score (coef. = -0·28, 95 % CI -0·54, -0·01). These findings highlight the importance of providing support to groups who are at increased risk of deterioration in dietary quality in the aftermath of disasters.
摘要：
灾难的创伤经历对健康有持久的影响，通过直接和间接影响健康行为。在潜在的途径中，与灾害相关的创伤对饮食模式的影响尚未得到充分研究。这项研究调查了与灾难相关的创伤与饮食炎症指数（DII®）之间的关系，以及这些关系如何因性别而有所不同，以及他们是否在2011年东日本大地震和海啸的较年长幸存者中自己做饭（n=1,375）。饮食数据是在2020年使用简短类型的自我管理的饮食史问卷（BDHQ）收集的，我们从其中得出了基于26种食物/营养素的膳食炎症指数（DII®），其中较高的分数表明促炎(即，不健康)的饮食。我们发现，地震和海啸造成的房屋损坏的经验与较高的DII分数有关（coef。=0.38，95%CI-0.05，0.81）。具体来说,自己做饭的妇女在遭受住房损坏时往往具有较高的DII（coef。=1.33，95CI-0.63，3.28）。另一方面,失去朋友与较低的DII评分相关(coef.=-0.28，95%CI-0.54，-0.01）。这些发现强调了为灾难后饮食质量恶化风险增加的群体提供支持的重要性。
