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Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study
We previously reported that the lifestyle of evacuees significantly increased the prevalence of polycythemia compared with non-evacuees at an average of 1.6 years (2011–2012) from the previous annual health checkup before the Great East Japan Earthquake (GEJE). Here we analyzed how the prolonged eva...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5257186/ https://www.ncbi.nlm.nih.gov/pubmed/28127528 http://dx.doi.org/10.1016/j.pmedr.2017.01.003 |
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author | Sakai, Akira Nakano, Hironori Ohira, Tetsuya Hosoya, Mitsuaki Yasumura, Seiji Ohtsuru, Akira Satoh, Hiroaki Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Sugiura, Yoshihiro Shishido, Hiroaki Hayashi, Yoshimitsu Takahashi, Hideto Kobashi, Gen Ozasa, Kotaro Hashimoto, Shigeatsu Ohto, Hitoshi Abe, Masafumi |
author_facet | Sakai, Akira Nakano, Hironori Ohira, Tetsuya Hosoya, Mitsuaki Yasumura, Seiji Ohtsuru, Akira Satoh, Hiroaki Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Sugiura, Yoshihiro Shishido, Hiroaki Hayashi, Yoshimitsu Takahashi, Hideto Kobashi, Gen Ozasa, Kotaro Hashimoto, Shigeatsu Ohto, Hitoshi Abe, Masafumi |
author_sort | Sakai, Akira |
collection | PubMed |
description | We previously reported that the lifestyle of evacuees significantly increased the prevalence of polycythemia compared with non-evacuees at an average of 1.6 years (2011–2012) from the previous annual health checkup before the Great East Japan Earthquake (GEJE). Here we analyzed how the prolonged evacuation affected the prevalence of polycythemia an average of 2.5 years (2013–2014) after the previous data. Subjects were individuals aged 40–90 years living in the vicinity of the Fukushima Daiichi Nuclear Power Plant in Fukushima Prefecture who had attended the annual health checkups since 2008. The prevalence of polycythemia and changes in its defining factors of red blood cell count (RBC), hemoglobin (Hb) level, hematocrit (Ht) level were compared between before and after the GEJE in 7713 individuals (3349 men and 4364 women) receiving follow-up examinations both 2011–2012 and 2013–2014. RBC, Hb levels and Ht levels in 2011–2012 were higher among evacuees than non-evacuees in both men and women. However, all levels in 2013–2014 were on the decline from those in 2011–2012. On the other hand, among evacuees, Hb and Ht levels continued to be higher than before the GEJE in both men and women evacuees. The prevalence of polycythemia, which was diagnosed if one of the defining factors was beyond the standard value, was significantly higher among evacuees than non-evacuees regardless of the presence or the absence of overweight/obesity, smoking, and hypertension. Therefore, prolonged evacuation is a cause of polycythemia even 3 to 4 years after the GEJE and regular health management of evacuees is important. |
format | Online Article Text |
id | pubmed-5257186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-52571862017-01-26 Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study Sakai, Akira Nakano, Hironori Ohira, Tetsuya Hosoya, Mitsuaki Yasumura, Seiji Ohtsuru, Akira Satoh, Hiroaki Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Sugiura, Yoshihiro Shishido, Hiroaki Hayashi, Yoshimitsu Takahashi, Hideto Kobashi, Gen Ozasa, Kotaro Hashimoto, Shigeatsu Ohto, Hitoshi Abe, Masafumi Prev Med Rep Regular Article We previously reported that the lifestyle of evacuees significantly increased the prevalence of polycythemia compared with non-evacuees at an average of 1.6 years (2011–2012) from the previous annual health checkup before the Great East Japan Earthquake (GEJE). Here we analyzed how the prolonged evacuation affected the prevalence of polycythemia an average of 2.5 years (2013–2014) after the previous data. Subjects were individuals aged 40–90 years living in the vicinity of the Fukushima Daiichi Nuclear Power Plant in Fukushima Prefecture who had attended the annual health checkups since 2008. The prevalence of polycythemia and changes in its defining factors of red blood cell count (RBC), hemoglobin (Hb) level, hematocrit (Ht) level were compared between before and after the GEJE in 7713 individuals (3349 men and 4364 women) receiving follow-up examinations both 2011–2012 and 2013–2014. RBC, Hb levels and Ht levels in 2011–2012 were higher among evacuees than non-evacuees in both men and women. However, all levels in 2013–2014 were on the decline from those in 2011–2012. On the other hand, among evacuees, Hb and Ht levels continued to be higher than before the GEJE in both men and women evacuees. The prevalence of polycythemia, which was diagnosed if one of the defining factors was beyond the standard value, was significantly higher among evacuees than non-evacuees regardless of the presence or the absence of overweight/obesity, smoking, and hypertension. Therefore, prolonged evacuation is a cause of polycythemia even 3 to 4 years after the GEJE and regular health management of evacuees is important. Elsevier 2017-01-12 /pmc/articles/PMC5257186/ /pubmed/28127528 http://dx.doi.org/10.1016/j.pmedr.2017.01.003 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Sakai, Akira Nakano, Hironori Ohira, Tetsuya Hosoya, Mitsuaki Yasumura, Seiji Ohtsuru, Akira Satoh, Hiroaki Kawasaki, Yukihiko Suzuki, Hitoshi Takahashi, Atsushi Sugiura, Yoshihiro Shishido, Hiroaki Hayashi, Yoshimitsu Takahashi, Hideto Kobashi, Gen Ozasa, Kotaro Hashimoto, Shigeatsu Ohto, Hitoshi Abe, Masafumi Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study |
title | Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study |
title_full | Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study |
title_fullStr | Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study |
title_full_unstemmed | Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study |
title_short | Persistent prevalence of polycythemia among evacuees 4 years after the Great East Japan Earthquake: A follow-up study |
title_sort | persistent prevalence of polycythemia among evacuees 4 years after the great east japan earthquake: a follow-up study |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5257186/ https://www.ncbi.nlm.nih.gov/pubmed/28127528 http://dx.doi.org/10.1016/j.pmedr.2017.01.003 |
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