Sociodemographic patterning of long-term diabetes mellitus control following Japan's 3.11 triple disaster: a retrospective cohort study

Leppold, Claire; Tsubokura, Masaharu; Ozaki, Akihiko; Nomura, Shuhei; Shimada, Yuki; Morita, Tomohiro; Ochi, Sae; Tanimoto, Tetsuya; Kami, Masahiro; Kanazawa, Yukio; Oikawa, Tomoyoshi; Hill, Sarah

doi:10.1136/bmjopen-2016-011455

Cited by 13 publications

(7 citation statements)

References 31 publications

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“…Our study has some limitations. First, this was a singlecenter study, although the sample size was much larger compared to previous studies on the association of an earthquake and glycemic control [3,[13][14][15][16]. Second, the current study was an observational one and did not prove the causal relationship between the earthquake (or its damage) and glycemic control.…”

Section: Discussionmentioning

confidence: 88%

“…A few previous studies reported the change of glycemic control after a catastrophic earthquake with serious damages of lifelines [3,[13][14][15][16]. Some observed an increase of HbA1c levels after the earthquake, and attributed it to difficulties in following a healthy and balanced diet and shortages of antidiabetic agents, resulting from the disruption of lifelines, as well as the destruction of nearby medical facilities [3,[13][14][15]. On the other hand, others observed a decrease of HbA1c levels after the earthquake, and hypothesized that it might be a result of food shortage [16].…”

Section: Discussionmentioning

confidence: 99%

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Glycemic control of people with diabetes over months after the 2018 North Osaka Earthquake

et al. 2020

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Objective On June 18 2018, Japan experienced the North Osaka Earthquake. The shaking intensity was recorded as level 6 of the Japan Meteorological Agency Seismic Intensity Scale. Despite the severe shaking, damages of lifelines and transportation networks were limited, and they were completely recovered within several days. We investigated whether the glycemic control in patients with diabetes was deteriorated over months after the earthquake. Methods We retrospectively analyzed diabetic outpatients attending the department of Metabolic Medicine, Osaka University Hospital, close to the epicenter of the earthquake, in 2018 (n = 1940), and those in 2017 (n = 1908) as a control. Whether glycated hemoglobin (HbA1c) levels were elevated after the earthquake, and whether the post-earthquake HbA1c elevation was more prevalent in areas with a higher seismic intensity were investigated using the mixed effects model. Results Compared to the same periods in 2017, mean HbA1c levels in 2018 were significantly higher 3-6 months after the earthquake (P < 0.05). The risk of HbA1c ≥ 7.0% was 1.6 (95% confidence interval 1.2-2.2) and 1.7 (1.2-2.4) times higher 3-4 and 5-6 months after the earthquake. Furthermore, the proportion of HbA1c deterioration after the earthquake was higher in areas with a higher seismic intensity (P for trend = 0.025). Conclusion Glycemic control was significantly deteriorated over months after the 2018 North Osaka Earthquake despite limited damage of lifelines and transportation networks. The deterioration was more prevalent in areas with a high seismic intensity.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Glycemic control of people with diabetes over months after the 2018 North Osaka Earthquake

et al. 2020

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“…A study in Japan showed that patients with diabetes, who were affected by Japan's triple disaster, experienced a deterioration in their glycaemic control following the disasters. The extent of this deterioration was mediated by socio-demographic factors, with rural residence and older age being protective against the effects of the disaster on glycaemic control (Leppold et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Post Tsunami Impact on Hypertension and Diabetes Mellitus Cases in Pandeglang District, Banten, Indonesia

Wahidin¹,

Kong²,

Safaat³

2020

JBE

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Background: Pandeglang, a district in Banten province, Indonesia, was the worst affected area of the Sunda Strait tsunami which occurred on 22nd December, 2018. Aside from threats of communicable disease outbreaks, the district faced the challenges of managing non-communicable diseases (NCD) in the community. Purpose: The aim of the study is to describe the post tsunami impact on cases of hypertension and diabetes mellitus and the expected one-year projections of these diseases in the district of Pandeglang, Banten. Methods: In January 2019, we collected primary data from Pandeglang District Health Office (DHO) and 15 Public Health Centres (PHCs) that were heavily affected by the tsunami. Surveillance officers were also interviewed for their subjective opinions on disease projections in both the DHO and PHCs. Aggregated data of cases presenting to the PHCs for assistance were analysed in relation to the post tsunami period. The diseases of interest included hypertension and diabetes mellitus. Results: Reported cases of hypertension and diabetes mellitus increased a few days after the tsunami. For hypertension, the cases spiked on the 5th and 8th days, but for diabetes mellitus the spike came much later. Average cases of hypertension and diabetes mellitus per PHC were 62 and 3, respectively. At district and PHC level, hypertension and diabetes mellitus were considered as minor contributing factors to the morbidity and mortality in the affected communities. The projection of these diseases was optimistic after the first month. Conclusion: It can be concluded that the volume of cases with hypertension and diabetes in the district of Pandeglang tended to be in the first few weeks post tsunami These diseases are projected to lessen in the second month after the disaster due to the recovery of local health services.

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“…On the other hand, a study on residents of the cities of Minamisoma and Soma found no difference in the prevalence of diabetes based on whether or not residents had evacuated (Nomura et al., 2016). Results of research conducted at Minamisoma Municipal General Hospital, published in July 2016, showed that among the patients with diabetes who continued to receive treatment at the hospital after the disaster, deterioration was greater among patients living in urban centres compared with patients living in suburbs (Leppold et al., 2016). It is essential that further research is conducted and interventions undertaken for selected target groups.…”

Section: Why Is the Prevalence Of Chronic Conditions Increasing Anmentioning

confidence: 99%

Exposure and current health issues in Minamisoma

Tsubokura¹

2016

Ann ICRP

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Abstract-Various reports have shown that internal and external exposure levels of local residents after the accident at Fukushima Daiichi nuclear power plant were very low. However, there are serious postdisaster health effects in the form of increased prevalence of diabetes and other chronic conditions. Stress, changes in the social environment and in living arrangements, and disruption in healthcare support provided by a network of people have resulted in increasing the cost of care and changing patients' behaviour, such as delay in visiting a hospital. In addition to radiation protection, it is necessary, when looking after the health of Fukushima residents, to focus on human networking, social infrastructure, and protection of culture and history that are intangible, and not to overlook their roles in health.

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Sociodemographic patterning of long-term diabetes mellitus control following Japan's 3.11 triple disaster: a retrospective cohort study

Cited by 13 publications

References 31 publications

Glycemic control of people with diabetes over months after the 2018 North Osaka Earthquake

Glycemic control of people with diabetes over months after the 2018 North Osaka Earthquake

Post Tsunami Impact on Hypertension and Diabetes Mellitus Cases in Pandeglang District, Banten, Indonesia

Exposure and current health issues in Minamisoma

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