Association between Dietary Diversity and Sociopsychological Factors and the Onset of Dyslipidemia after the Great East Japan Earthquake: Fukushima Health Management Survey

Fumikazu Hayashi; Tetsuya Ohira; Shiho Sato; Hironori Nakano; Kanako Okazaki; Masanori Nagao; Michio Shimabukuro; Akira Sakai; Junichiro James Kazama; Mitsuaki Hosoya; Atsushi Takahashi; Masaharu Maeda; Hirooki Yabe; Seiji Yasumura; Hitoshi Ohto; Kenji Kamiya

doi:10.3390/ijerph192214636

Association between Dietary Diversity and Sociopsychological Factors and the Onset of Dyslipidemia after the Great East Japan Earthquake: Fukushima Health Management Survey

Int J Environ Res Public Health. 2022 Nov 8;19(22):14636. doi: 10.3390/ijerph192214636.

Authors

Fumikazu Hayashi^{1

2}, Tetsuya Ohira^{1

2}, Shiho Sato^{1

2}, Hironori Nakano^{1

2}, Kanako Okazaki^{1

2

3}, Masanori Nagao^{1

2}, Michio Shimabukuro^{1

4}, Akira Sakai^{1

5}, Junichiro James Kazama^{1

6}, Mitsuaki Hosoya^{1

7}, Atsushi Takahashi^{1

8}, Masaharu Maeda^{1

9}, Hirooki Yabe^{1

10}, Seiji Yasumura^{1

11}, Hitoshi Ohto¹, Kenji Kamiya^{1

12}

Affiliations

¹ Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
² Department of Epidemiology, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
³ Department of Physical Therapy, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
⁴ Department of Diabetes, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
⁵ Department of Radiation Life Sciences, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
⁶ Department of Nephrology and Hypertension, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
⁷ Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
⁸ Department of Gastroenterology, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
⁹ Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
¹⁰ Department of Neuropsychiatry, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
¹¹ Department of Public Health, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima-City 960-1295, Japan.
¹² Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima-City 734-8553, Japan.

Abstract

This study aimed to clarify the relationship between the onset of low-density lipoprotein hypercholesterolemia (hyper-LDLemia), high-density lipoprotein hypocholesterolemia (hypo-HDLemia), and hyper-triglyceridemia (hyper-TGemia) and lifestyle/socio-psychological factors among Fukushima evacuation area residents after the Great East Japan Earthquake. Participants included 11,274 non-hyper-LDLemia, 16,581 non-hypo-HDLemia, and 12,653 non-hyper-TGemia cases in the Fiscal Year (FY) 2011. In FY2011, these participants underwent a health checkup and responded to a mental health and lifestyle survey. The onset of each disease was followed through FY2017. The evacuation experience was positively associated with the risk of hyper-LDLemia, hypo-HDLemia, or hyper-TGemia. Conversely, the middle high dietary diversity score was negatively associated with the onset of hyper-TGemia. Moreover, low sleep satisfaction was positively associated with hypo-HDLemia and hyper-TGemia. The "almost never" exercise habit was positively associated with hypo-HDLemia. Current smoking and audible nuclear power plant explosions were positively associated with the risk of hyper-TGemia. Drinking habits exhibited a negative association with the onset of hyper-LDLemia, hypo-HDLemia, and hyper-TGemia. The results of this study indicate the need for continuous improvement in lifestyle, as well as efforts to eliminate the impact of disasters to prevent the onset of dyslipidemia among disaster evacuees.

Keywords: Fukushima nuclear accident; Great East Japan Earthquake; dietary diversity score; disaster victims; dyslipidemia; sociopsychological factor.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Dyslipidemias* / epidemiology
Earthquakes*
Fukushima Nuclear Accident*
Health Surveys
Humans
Japan / epidemiology

Grants and funding

This survey was conducted as part of “Fukushima Prefecture’s postdisaster recovery plans” and was supported by the national “Health Fund for Children and Adults Affected by the Nuclear Incident”. The funding organization had no role in the design of the study, data collection, analysis, interpretation of data, or writing of the manuscript. This work was supported by JSPS KAKENHI Grant Number JP20K19712.