Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.

<h4>Introduction</h4>On March 11, 2011, the Great East Japan Earthquake occurred in Japan, with a nuclear accident subsequently occurring at the Fukushima Daiichi Nuclear Power Plant. The disaster forced many evacuees to change particular aspects of their lifestyles. However, the effect...

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Main Authors: Kazuya Honda, Kanako Okazaki, Kenichi Tanaka, Eri Kobari, Sakumi Kazama, Shigeatsu Hashimoto, Tetsuya Ohira, Akira Sakai, Seiji Yasumura, Masaharu Maeda, Hirooki Yabe, Mitsuaki Hosoya, Atsushi Takahashi, Mayumi Harigane, Hironori Nakano, Fumikazu Hayashi, Masanori Nagao, Michio Shimabukuro, Hitoshi Ohto, Kenji Kamiya, Junichiro J Kazama
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0293459
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author Kazuya Honda
Kanako Okazaki
Kenichi Tanaka
Eri Kobari
Sakumi Kazama
Shigeatsu Hashimoto
Tetsuya Ohira
Akira Sakai
Seiji Yasumura
Masaharu Maeda
Hirooki Yabe
Mitsuaki Hosoya
Atsushi Takahashi
Mayumi Harigane
Hironori Nakano
Fumikazu Hayashi
Masanori Nagao
Michio Shimabukuro
Hitoshi Ohto
Kenji Kamiya
Junichiro J Kazama
author_facet Kazuya Honda
Kanako Okazaki
Kenichi Tanaka
Eri Kobari
Sakumi Kazama
Shigeatsu Hashimoto
Tetsuya Ohira
Akira Sakai
Seiji Yasumura
Masaharu Maeda
Hirooki Yabe
Mitsuaki Hosoya
Atsushi Takahashi
Mayumi Harigane
Hironori Nakano
Fumikazu Hayashi
Masanori Nagao
Michio Shimabukuro
Hitoshi Ohto
Kenji Kamiya
Junichiro J Kazama
author_sort Kazuya Honda
collection DOAJ
description <h4>Introduction</h4>On March 11, 2011, the Great East Japan Earthquake occurred in Japan, with a nuclear accident subsequently occurring at the Fukushima Daiichi Nuclear Power Plant. The disaster forced many evacuees to change particular aspects of their lifestyles. However, the effect of evacuation on the new-onset of hyperuricemia have not been sufficiently elucidated. This study assessed the association between evacuation and new-onset hyperuricemia after the earthquake based on the Fukushima Health Management Survey from a lifestyle and socio-psychological perspective.<h4>Materials and methods</h4>This is a 7-year prospective longitudinal study included 18,140 residents (6,961 men and 11,179 women) with non-hyperuricemia who underwent both the Comprehensive Health Check and the Mental Health and Lifestyle Survey in fiscal year 2011. Associations between new-onset hyperuricemia and lifestyle- and disaster-related factors, including evacuation, were estimated using a Cox proportional hazards regression model analysis. Hyperuricemia was defined as uric acid levels > 7.0 mg/dL for men and > 6.0 mg/dL for women.<h4>Results</h4>During a median follow-up of 4.3 years, 2,996 participants (1,608 men, 23.1%, 1,388 women, 12.4%) newly developed hyperuricemia. Significant associations were observed between evacuation and onset of hyperuricemia in women (adjusted hazard ratio 1.18, 95% confidence interval, 1.05-1.32, p = 0.007), but not in men (adjusted hazard ratio 1.11, 95% confidence interval, 0.99-1.24, p = 0.067).<h4>Discussion</h4>Evacuation after a natural disaster is an independent risk factor for the new-onset of hyperuricemia in women. The possibility of hyperuricemia developing in response to natural disasters should be considered.
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spelling doaj.art-b48e66b047b94f42b934b8fdea449c872023-11-03T05:32:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e029345910.1371/journal.pone.0293459Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.Kazuya HondaKanako OkazakiKenichi TanakaEri KobariSakumi KazamaShigeatsu HashimotoTetsuya OhiraAkira SakaiSeiji YasumuraMasaharu MaedaHirooki YabeMitsuaki HosoyaAtsushi TakahashiMayumi HariganeHironori NakanoFumikazu HayashiMasanori NagaoMichio ShimabukuroHitoshi OhtoKenji KamiyaJunichiro J Kazama<h4>Introduction</h4>On March 11, 2011, the Great East Japan Earthquake occurred in Japan, with a nuclear accident subsequently occurring at the Fukushima Daiichi Nuclear Power Plant. The disaster forced many evacuees to change particular aspects of their lifestyles. However, the effect of evacuation on the new-onset of hyperuricemia have not been sufficiently elucidated. This study assessed the association between evacuation and new-onset hyperuricemia after the earthquake based on the Fukushima Health Management Survey from a lifestyle and socio-psychological perspective.<h4>Materials and methods</h4>This is a 7-year prospective longitudinal study included 18,140 residents (6,961 men and 11,179 women) with non-hyperuricemia who underwent both the Comprehensive Health Check and the Mental Health and Lifestyle Survey in fiscal year 2011. Associations between new-onset hyperuricemia and lifestyle- and disaster-related factors, including evacuation, were estimated using a Cox proportional hazards regression model analysis. Hyperuricemia was defined as uric acid levels > 7.0 mg/dL for men and > 6.0 mg/dL for women.<h4>Results</h4>During a median follow-up of 4.3 years, 2,996 participants (1,608 men, 23.1%, 1,388 women, 12.4%) newly developed hyperuricemia. Significant associations were observed between evacuation and onset of hyperuricemia in women (adjusted hazard ratio 1.18, 95% confidence interval, 1.05-1.32, p = 0.007), but not in men (adjusted hazard ratio 1.11, 95% confidence interval, 0.99-1.24, p = 0.067).<h4>Discussion</h4>Evacuation after a natural disaster is an independent risk factor for the new-onset of hyperuricemia in women. The possibility of hyperuricemia developing in response to natural disasters should be considered.https://doi.org/10.1371/journal.pone.0293459
spellingShingle Kazuya Honda
Kanako Okazaki
Kenichi Tanaka
Eri Kobari
Sakumi Kazama
Shigeatsu Hashimoto
Tetsuya Ohira
Akira Sakai
Seiji Yasumura
Masaharu Maeda
Hirooki Yabe
Mitsuaki Hosoya
Atsushi Takahashi
Mayumi Harigane
Hironori Nakano
Fumikazu Hayashi
Masanori Nagao
Michio Shimabukuro
Hitoshi Ohto
Kenji Kamiya
Junichiro J Kazama
Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.
PLoS ONE
title Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.
title_full Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.
title_fullStr Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.
title_full_unstemmed Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.
title_short Relationship between evacuation after the Great East Japan Earthquake and new-onset hyperuricemia: A 7-year prospective longitudinal study of the Fukushima Health Management Survey.
title_sort relationship between evacuation after the great east japan earthquake and new onset hyperuricemia a 7 year prospective longitudinal study of the fukushima health management survey
url https://doi.org/10.1371/journal.pone.0293459
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