title: Impact of the Great East Japan Earthquake on feeding methods and newborn growth at 1 month postpartum: results from the Fukushima Health Management Survey.
abstract: This study examined the effects of three disasters (the Great East Japan Earthquake of March 11, 2011, followed by a tsunami and the Fukushima Daiichi Nuclear Power Plant accident) on feeding methods and growth in infants born after the disasters. Using results from the Fukushima Health Management Survey, Soso District (the affected area where the damaged nuclear power plant is located) and Aizu District (a less-affected area located farthest from the plant) were compared. In this study, newborn and maternal background characteristics were examined, as well as feeding methods, and other factors for newborn growth at the first postpartum examination for 1706 newborns born after the disaster in the affected (n = 836) and less-affected (n = 870) areas. Postpartum examinations took place 1 month after birth. Feeding method trends were examined, and multivariate regression analyses were used to investigate effects on newborn mass gain. There were no significant differences in background characteristics among newborns in these areas. When birth dates were divided into four periods to assess trends, no significant change in the exclusive breastfeeding rate was found, while the exclusive formula-feeding rate was significantly different across time periods in the affected area (p = 0.02). Multivariate analyses revealed no significant independent associations of maternal depression and change in medical facilities (possible disaster effects) with other newborn growth factors in either area. No area differences in newborn growth at the first postpartum examination or in exclusive breastfeeding rates were found during any period. Exclusive formula-feeding rates varied across time periods in the affected, but not in the less-affected area. It is concluded that effective guidance to promote breast-feeding and prevent exclusive use of formula is important for women in post-disaster circumstances.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, 1-Hikarigaoka, Fukushima, 960-1295, Japan. Kyozuka@fmu.ac.jp.
authors.forename: Hyo
authors.initials: H
authors.lastname: Kyozuka
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, 1-Hikarigaoka, Fukushima, 960-1295, Japan.
authors.forename: Shun
authors.initials: S
authors.lastname: Yasuda
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, 1-Hikarigaoka, Fukushima, 960-1295, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Kawamura
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, 1-Hikarigaoka, Fukushima, 960-1295, Japan.
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Nomura
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, 1-Hikarigaoka, Fukushima, 960-1295, Japan.
authors.forename: Keiya
authors.initials: K
authors.lastname: Fujimori
authors.affiliation: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan.|Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima, Japan.
authors.forename: Aya
authors.initials: A
authors.lastname: Goto
authors.affiliation: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan.|Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Yasumura
authors.affiliation: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Abe
mesh_terms: D000328:Adult; D004190:Disasters; D055866:Earthquakes; D005248:Feeding Methods / Q000706:statistics & numerical data*; D005260:Female; D062406:Fukushima Nuclear Accident; D048788:Growth and Development; D006306:Health Surveys; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009035:Mothers
keywords: Breastfeeding; Environmental disasters; Formula feeding; Growth status; Maternal stress; Natural disasters; Pregnancy