Takahashi Shuko, Yonekura Yuki, Sasaki Ryohei, Yokoyama Yukari, Tanno Kozo, Sakata Kiyomi, Ogawa Akira, Kobayashi Seichiro, Yamamoto Taro
Department of International Health, Nagasaki University, Graduate School of Biomedical Sciences, Sakamoto, Nagasaki, Japan.
Department of International Health, Institute of Tropical Medicine, Nagasaki University, Sakamoto, Nagasaki, Japan.
PLoS One. 2016 Dec 1;11(12):e0166817. doi: 10.1371/journal.pone.0166817. eCollection 2016.
Survivors who lost their homes in the Great East Japan Earthquake and Tsunami were forced to live in difficult conditions in temporary housing several months after the disaster. Body weights of survivors living in temporary housing for a long period might increase due to changes in their life style and psychosocial state during the medium-term and long-term recovery phases. The aim of this study was to determine whether there were differences between body weight changes of people living in temporary housing and those not living in temporary housing in a tsunami-stricken area during the medium-term and long-term recovery phases.
Health check-ups were performed about 7 months after the disaster (in 2011) and about 18 months after the disaster (in 2012) for people living in a tsunami-stricken area (n = 6,601, mean age = 62.3 y). We compared the changes in body weight in people living in temporary housing (TH group, n = 2,002) and those not living in temporary housing (NTH group, n = 4,599) using a multiple linear regression model.
While there was no significant difference between body weights in the TH and NTH groups in the 2011 survey, there was a significant difference between the mean changes in body weight in both sexes. We found that the changes in body weight were significantly greater in the TH group than in the NTH group in both sexes. The partial regression coefficients of mean change in body weight were +0.52 kg (P-value < 0.001) in males in the TH group and +0.56 kg (P-value < 0.001) in females in the TH group (reference: NTH group).
Analysis after adjustment for life style, psychosocial factors and cardiovascular risk factors found that people living in temporary housing in the tsunami- stricken area had a significant increase in body weight.
在东日本大地震及海啸中失去家园的幸存者,在灾难发生数月后被迫在临时住房中生活,条件艰苦。在中期和长期恢复阶段,长期居住在临时住房中的幸存者体重可能会因生活方式和心理社会状态的变化而增加。本研究的目的是确定在中期和长期恢复阶段,海啸受灾地区居住在临时住房中的人群与未居住在临时住房中的人群体重变化是否存在差异。
对海啸受灾地区的人群(n = 6601,平均年龄 = 62.3岁)在灾难发生后约7个月(2011年)和灾难发生后约18个月(2012年)进行了健康检查。我们使用多元线性回归模型比较了居住在临时住房中的人群(TH组,n = 2002)和未居住在临时住房中的人群(NTH组,n = 4599)的体重变化。
在2011年的调查中,TH组和NTH组的体重没有显著差异,但两性的平均体重变化存在显著差异。我们发现,TH组两性的体重变化均显著大于NTH组。TH组男性体重平均变化的偏回归系数为+0.52 kg(P值<0.001),TH组女性为+0.56 kg(P值<0.001)(参考:NTH组)。
在对生活方式、心理社会因素和心血管危险因素进行调整后分析发现,海啸受灾地区居住在临时住房中的人群体重显著增加。