title: Prevalence of Renal Dysfunction among Evacuees and Non-evacuees after the Great East Earthquake: Results from the Fukushima Health Management Survey.
abstract: 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 m(2)) 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.
authors.affiliation: Department of Diabetology, Endocrinology, and Metabolism, Fukushima Medical University, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Satoh
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ohira
authors.forename: Masato
authors.initials: M
authors.lastname: Nagai
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Hosoya
authors.forename: Akira
authors.initials: A
authors.lastname: Sakai
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Watanabe
authors.forename: Akira
authors.initials: A
authors.lastname: Ohtsuru
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Kawasaki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Suzuki
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takahashi
authors.forename: Gen
authors.initials: G
authors.lastname: Kobashi
authors.forename: Kotaro
authors.initials: K
authors.lastname: Ozasa
authors.forename: Seiji
authors.initials: S
authors.lastname: Yasumura
authors.forename: Shunichi
authors.initials: S
authors.lastname: Yamashita
authors.forename: Kenji
authors.initials: K
authors.lastname: Kamiya
authors.forename: Masafumi
authors.initials: M
authors.lastname: Abe
mesh_terms: D000328:Adult; D000368:Aged; D004190:Disasters; D019468:Disease Management; D055866:Earthquakes; D005260:Female; D062406:Fukushima Nuclear Accident; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007564:Japan / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012036:Refugees / Q000706:statistics & numerical data; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology*; D012307:Risk Factors