Evidence map›Paper›PMID 36464304›Full record

ArticleJournal of epidemiology2022

Effects of External Radiation Exposure Resulting From the Fukushima Daiichi Nuclear Power Plant Accident on the Health of Residents in the Evacuation Zones: the Fukushima Health Management Survey.

Akira Sakai, Masanori Nagao, Hironori Nakano, Tetsuya Ohira, Tetsuo Ishikawa, Mitsuaki Hosoya, Michio Shimabukuro, Atsushi Takahashi, Junichiro J Kazama, Kanako Okazaki and 4 more

Abstract read
In one paragraph

Article in Journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Akira SakaiDepartment of Radiation Life Sciences, Fukushima Medical University School of Medicine.ORCID 0000-0003-0128-8395
Masanori NagaoDepartment of Epidemiology, Fukushima Medical University School of Medicine.
Hironori NakanoDepartment of Epidemiology, Fukushima Medical University School of Medicine.ORCID 0000-0002-3783-2914
Tetsuya OhiraDepartment of Epidemiology, Fukushima Medical University School of Medicine.ORCID 0000-0003-4532-7165
Tetsuo IshikawaDepartment of Radiation Physics and Chemistry, Fukushima Medical University School of Medicine.ORCID 0000-0002-9608-3669
Mitsuaki HosoyaDepartment of Pediatrics, Fukushima Medical University School of Medicine.
Michio ShimabukuroDepartment of Diabetes, Endocrinology and Metabolism, Fukushima Medical University School of Medicine.
Atsushi TakahashiDepartment of Gastroenterology, Fukushima Medical University School of Medicine.ORCID 0000-0003-0568-8361
Junichiro J KazamaDepartment of Nephrology and Hypertension, Fukushima Medical University School of Medicine.
Kanako OkazakiDepartment of Physical Therapy, Fukushima Medical University School of Health Sciences.
Fumikazu HayashiDepartment of Epidemiology, Fukushima Medical University School of Medicine.ORCID 0000-0002-6888-6640
Seiji YasumuraDepartment of Public Health, Fukushima Medical University School of Medicine.ORCID 0000-0002-4715-2840
Hitoshi OhtoRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.
Kenji KamiyaRadiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssociations have been reported between lifestyle-related diseases and evacuation after the Great East Japan Earthquake (GEJE). However, the relationship between lifestyle-related diseases and the effective radiation dose due to external exposure (EDEE) after the GEJE remains unclear.

methodsFrom among 72,869 residents of Fukushima Prefecture (31,982 men; 40,887 women) who underwent a comprehensive health check in fiscal year (FY) 2011, the data of 54,087 residents (22,599 men; 31,488 women) aged 16 to 84 years were analyzed. The EDEE data of 25,685 residents with incomplete results from the basic survey, performed to estimate the external radiation exposure dose, were supplemented using multiple imputation. The data were classified into three groups based on EDEE (0 to <1, 1 to <2, and ≥2 mSv groups and associations between the incidence of diseases and EDEE from FY2011 to FY2017 were examined using a Cox proportional hazards model, with FY2011 as the baseline.

resultsA higher EDEE was associated with a greater incidence of hypertension, diabetes mellitus, dyslipidemia, hyperuricemia, liver dysfunction, and polycythemia from FY2011 to FY2017 in the age- and sex-adjusted model. However, after further adjustment for evacuation status and lifestyle-related factors, the significant associations disappeared. No association was found between EDEE and other lifestyle-related diseases.

conclusionEDEE was not directly associated with the incidence of lifestyle-related diseases after the GEJE. However, residents with higher external radiation doses in Fukushima Prefecture might suffer from lifestyle-related diseases related to evacuation and the resultant lifestyle changes.

Indexed as

Fukushima Nuclear AccidentRadiation ExposureCausalityFemaleHealth SurveysHumansMaleNuclear Power Plantscomprehensive health checkexternal radiation exposure doselifestyle-related diseaselymphopenianeutropenia

Identifiers

PMID36464304
PMCPMC9703929

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.