The Japan Agency for Medical Research and Development and others analyzed 2013 people who participated in the Tohoku Medical Megabank Project's regional cohort survey from 2015 to 63,002, and published the survey results.
The Tohoku Medical Megabank Project is planned as a reconstruction project from the Great East Japan Earthquake. In Miyagi Prefecture, the Tohoku University Tohoku Medical Megabank Organization will be the main business entity, and in Iwate Prefecture, the Iwate Medical University Iwate Tohoku Medical Megabank Organization will be the main business entity, with 15 participants. Long-term health survey aimed at. The recruitment of participants was completed by the end of 2015, and 84,073 people participated in the survey.This time, we analyzed the survey results of 2013 people who participated in specific health checkup venues in Miyagi prefecture (2015 municipalities) and Iwate prefecture (28 municipalities) from 18 to 63,002.
According to the survey, the percentage of people with metabolic syndrome is 24.8% for men and 8.2% for women.The risk of men was higher, with 1.29 for those who had their homes completely destroyed and 1.26 for those who had their homes partially destroyed.Compared to non-smokers, smokers (1 or more cigarettes a day) had a higher risk of 20 males and 1.13 females, and non-drinkers had a higher risk of 1.98 males and 1 females a day with 3 or more cigarettes a day.On the contrary, those with high physical activity had a significantly lower risk of metabolic syndrome, 1.12 for men and 1.67 for women per standard deviation increase.
From these results, it was found that the degree of damage to the home caused by the earthquake was associated with a statistically significant increase in risk even when smoking, drinking, physical activity, psychological distress, and depressive symptoms were taken into consideration. rice field.In addition, it was found that the odds ratio of psychological distress, depressive symptoms, insomnia, and PTSR was high, and the treatment discontinuation rate such as hypertension was high in the coastal area compared to the inland area.
In the future, in addition to further analysis of the survey, a psychologist dedicated to the Organization will target high-risk people with depression found in the survey and participants who answered that they will have trouble in their daily lives due to PTSR (post-traumatic stress response). We will ask about the progress over the phone and carry out support activities such as counseling and consultation as necessary. By the end of December 2016, 12 high-risk people among the participants in the cohort of local residents were called 1,922 times, and 3,880 people were supported.
