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Journal of Diabetes Research
Volume 2015, Article ID 627390, 9 pages
http://dx.doi.org/10.1155/2015/627390
Research Article

Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey

1Department of Nephrology, Hypertension, Diabetology, Endocrinology, and Metabolism, Fukushima Medical University, Fukushima 960-1295, Japan
2Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
3Department of Epidemiology, Fukushima Medical University, Fukushima 960-1295, Japan
4Department of Pediatrics, Fukushima Medical University, Fukushima 960-1295, Japan
5Department of Radiation Life Sciences, Fukushima Medical University, Fukushima 960-1295, Japan
6Department of Radiation Health Management, Fukushima Medical University, Fukushima 960-1295, Japan
7Department of Cardiology and Hematology, Fukushima Medical University, Fukushima 960-1295, Japan
8Department of Gastroenterology and Rheumatology, Fukushima Medical University, Fukushima 960-1295, Japan
9Department of Planning and Management, National Institute of Radiological Sciences, Fukushima Medical University, Fukushima 960-1295, Japan
10Department of Epidemiology, Radiation Effects Research Foundation, Fukushima Medical University, Fukushima 960-1295, Japan
11Department of Public Health, Fukushima Medical University, Fukushima 960-1295, Japan
12Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
13Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan

Received 16 March 2015; Accepted 1 May 2015

Academic Editor: Bernard Portha

Copyright © 2015 Hiroaki Satoh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The Great East Japan Earthquake and Fukushima Daiichi nuclear disaster in 2011 forced the evacuation of a large number of residents and created changes in the lifestyle of the evacuees. These changes may have affected the evacuees’ glucose metabolism, thereby leading to an increase in the incidence of diabetes. This study included Japanese men and women who were living near the Fukushima Daiichi Nuclear Power Plant in Fukushima prefecture before the disaster. Subjects subsequently underwent annual health checkups with a focus on metabolic syndromes, which were conducted under the Health Care Insurers. Using the Comprehensive Health Check survey, we analyzed changes in the glucose metabolism before and after the disaster. A total of 27,486 subjects underwent follow-up examinations after the disaster, with a mean follow-up period of 1.6 years. After the disaster, the prevalence of diabetes increased significantly, and we observed that the incidence of diabetes was significantly greater among evacuees than among nonevacuees. Furthermore, multivariate logistic regression analysis revealed that evacuation was significantly associated with the incidence of diabetes. In conclusion, this is the first study to demonstrate that evacuation is associated with the incidence of diabetes. This information may be used to guide follow-up recommendations for evacuees.