TY  - JOUR
PY  - 2016//
TI  - Evacuation and risk of hypertension after the Great East Japan Earthquake: the Fukushima Health Management Survey
JO  - Hypertension
A1  - Ohira, Tetsuya
A1  - Hosoya, Mitsuaki
A1  - Yasumura, Seiji
A1  - Satoh, Hiroaki
A1  - Suzuki, Hitoshi
A1  - Sakai, Akira
A1  - Ohtsuru, Akira
A1  - Kawasaki, Yukihiko
A1  - Takahashi, Atsushi
A1  - Ozasa, Kotaro
A1  - Kobashi, Gen
A1  - Hashimoto, Shigeatsu
A1  - Kamiya, Kenji
A1  - Yamashita, Shunichi
A1  - Abe, Masafumi
SP  - 558
EP  - 564
VL  - 68
IS  - 3
N2  - 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. This study assessed the hypothesis that evacuation may have increased the risk of hypertension among residents in Fukushima. A longitudinal study examined data collected from 31 252 Japanese participants aged 40 to 74 years sourced from general health checkups conducted in 13 communities between 2008 and 2010. Follow-up examinations were conducted from 2011 through 2013. A total of 21 989 participants (follow-up proportion, 70.4%) received follow-up examinations. Mean blood pressure significantly increased in both evacuees and nonevacuees after the disaster, with greater changes in blood pressure among the former. The changes in systolic and diastolic blood pressure among the evacuees and nonevacuees were +5.8/3.4 versus +4.6/2.1 mm Hg (P<0.01/P<0.0001) for men and +4.4/2.8 versus +4.1/1.7 mm Hg (P=0.33/P<0.0001) for women, respectively. Evacuation was associated with an increased risk of hypertension among men, and the age-adjusted hazard ratios of evacuation for incidence of hypertension were 1.24 (95% confidence interval, 1.11-1.39; P<0.001) for men and 1.05 (95% confidence interval, 0.94-1.17; P=0.37) for women, respectively. For men, after adjustment for confounding variables, the hazard ratio slightly decreased to 1.20, but the association was essentially unchanged. Blood pressure increased among residents, especially evacuees, in the evacuation zone of Fukushima prefecture after the Great East Japan Earthquake. Evacuation may be associated with an increased risk of hypertension among men in the 2 years after the disaster.<br><br>© 2016 American Heart Association, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0194-911X
UR  - http://dx.doi.org/10.1161/HYPERTENSIONAHA.116.07499
ID  - ref1
ER  -