目标:由于生活方式的改变和心理社会因素,灾难疏散会增加超重或肥胖的风险。这项研究评估了东日本大地震期间福岛县居民在7年随访期间疏散对超重的影响。
方法:这是一项前瞻性队列研究。
方法:我们分析了18,977名非超重日本参与者的数据,这些参与者完成了“全面健康检查计划”和“心理健康和生活方式调查”,作为福岛健康管理调查的一部分,2011年7月至2012年11月。疏散被定义为搬出被政府指定为疏散区的市政当局的居民,或者有自我报告的搬入避难所或临时住房的经历。2018年3月进行了随访检查,以确定超重的患者。使用Cox比例风险回归模型计算风险比(HR)和95%置信区间(95%CIs)。
结果:在接受随访检查的15,875名参与者(6091名男性和9784名女性;平均年龄63.0±11.1岁)中(平均随访,4.29年),2042(856名男性和1186名女性)变得超重。年龄-,基线体重指数-,lifestyle-,疏散后超重的心理社会地位调整后的HR(95%CI)男性为1.44(1.24-1.66),女性为1.66(1.47-1.89).
结论:疏散与灾难后7年超重的风险相关。因此,保持身体活动,健康饮食,和睡眠质量,消除灾害造成的健康行为障碍,包括关于辐射的焦虑,可以防止疏散人员中的这种健康风险。
OBJECTIVE: Disaster
evacuation increases the risk of becoming overweight or obese owing to lifestyle changes and psychosocial factors. This study evaluated the effect of
evacuation on becoming overweight during a 7-year follow-up among residents of Fukushima Prefecture during the Great East Japan Earthquake.
METHODS: This was a prospective cohort study.
METHODS: We analysed data collected from 18,977 non-overweight Japanese participants who completed the \'Comprehensive Health Checkup Program\' and \'Mental Health and Lifestyle Survey\', as part of the Fukushima Health Management Survey, between July 2011 and November 2012. An
evacuation was defined as the moving out of residents of municipalities designated as an
evacuation zone by the government or having a self-reported experience of moving into shelters or temporary housing. Follow-up examinations were conducted in March 2018 to identify patients who became overweight. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were calculated using a Cox proportional hazards regression model.
RESULTS: Among 15,875 participants (6091 men and 9784 women; mean age 63.0 ± 11.1 years) who received follow-up examination (mean follow-up, 4.29 years), 2042 (856 men and 1186 women) became overweight. Age-, baseline body mass index-, lifestyle-, and psychosocial status-adjusted HRs (95% CIs) for becoming overweight after
evacuation were 1.44 (1.24-1.66) for men and 1.66 (1.47-1.89) for women.
CONCLUSIONS: Evacuation was associated with the risk of becoming overweight 7 years after the disaster. Thus, maintaining physical activity, healthy diet, and sleep quality and removing barriers to healthy behaviour caused by disasters, including anxiety concerning radiation, may prevent this health risk among evacuees.