著者
Hiroaki Satoh Tetsuya Ohira Masato Nagai Mitsuaki Hosoya Akira Sakai Tsuyoshi Watanabe Akira Ohtsuru Yukihiko Kawasaki Hitoshi Suzuki Atsushi Takahashi Gen Kobashi Kotaro Ozasa Seiji Yasumura Shunichi Yamashita Kenji Kamiya Masafumi Abe
出版者
一般社団法人 日本内科学会
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
vol.55, no.18, pp.2563-2569, 2016-09-15 (Released:2016-09-15)
参考文献数
16
被引用文献数
5

Objective We conducted the present study to evaluate the prevalence of chronic kidney disease (CKD) and CKD complications among evacuees and non-evacuees after the Great East Japan Earthquake and Fukushima Daiichi nuclear disaster. Methods Twenty-seven thousand and eighty-eight subjects who were living near the Fukushima Daiichi Nuclear Power Plant in Fukushima Prefecture in Japan, aged ≥40 years by the Heath Care Insures, were included in the analyses. Metabolic factors were compared between the evacuees and non-evacuees stratified by the eGFR and proteinuria grades. Results The prevalence of CKD with a low eGFR (<60 mL/min/1.73 m2) and proteinuria were 21.59% and 1.85%, respectively. The risk of CKD complications was classified into four grades according to the eGFR and proteinuria grades. The prevalence of diabetes, hypertension, and dyslipidemia were significantly higher in the very high risk group than in the low risk group. The prevalence of diabetes and dyslipidemia were significantly higher in evacuees than in non-evacuees in only the low risk group. However, a multivariate logistic regression analysis showed that evacuation was not significantly associated with the risk of a low eGFR or proteinuria. Conclusion This study did not reach the definitive conclusion that evacuation elevated the risk of CKD complication, although evacuation might lead to increased CKD complications in the future. We believe that this information is important for follow-up and lifestyle change recommendations for evacuees.

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東日本大震災後の避難者と非避難者での腎機能障害有病率の検討:福島県民健康調査の結果から https://t.co/wUghbrCup3 論文 https://t.co/4RWFKcylgg 関連TW https://t.co/d8f7XUwRY4 TWまとめもどこかにあるはず
日本内科学会の英文誌「Internal Medicine」に掲載の論文「東日本大震災後の避難者と非避難者における腎障害の有病率:県民健康調査の結果より」 https://t.co/vIM4B6RKUu @PriamalFear https://t.co/sVrhOlKeAm
@PriamalFear https://t.co/vQLDM6N2sC 避難により、将来的に慢性腎臓病(CKD)合併症の増加を引き起こすかもしれません。

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