Trends and Regional Differences in the Prevalence of Dyslipidemia before and after the Great East Japan Earthquake: A Population-Based 10-Year Study Using the National Database in Japan
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Ethical Considerations
- Prevalence of dyslipidemia and its trend over time.
- Comparison of trends over time between the evacuation area and other areas.
- Impact of evacuation on the prevalence of dyslipidemia.
2.3. Measurements and Definitions
2.4. Statistical Analysis
3. Results
3.1. Trend Analysis
3.2. Associations of Evacuation and Lifestyle-Related Factors with Dyslipidemia
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Phase | Fiscal Year | Contents | Number of Participants |
---|---|---|---|
1 | 2008–2010 | Period before the earthquake and unrelated to the evacuation | 611,247 |
2 | 2011 | Period during which people lived in evacuation shelters while receiving support such as meals | 356,795 |
3 | 2012–2014 | Period of post-disaster evacuation life outside the evacuation center (early) | 668,996 |
4 | 2015–2017 | Period of post-disaster evacuation life outside the evacuation center (late) | 594,509 |
Phase (Fiscal Year) | Sex | Nakadori (%) | Aizu (%) | Hamadori (%) | Evacuation Area (%) | χ2 | p Value |
---|---|---|---|---|---|---|---|
1 (FY2008–FY2010) | male | 37.0 | 38.2 | 38.6 | 36.1 | 80.4 | <0.001 |
female | 22.9 | 24.2 | 24.6 | 24.3 | 85.8 | <0.001 | |
2 (FY2011) | male | 37.8 | 39.9 | 39.5 | 39.8 | 70.9 | <0.001 |
female | 25.2 | 27.3 | 26.7 | 27.7 | 87.9 | <0.001 | |
3 (FY2012–FY2014) | male | 38.9 | 40.8 | 40.5 | 42.1 | 173.4 | <0.001 |
female | 26.2 | 26.8 | 27.3 | 32.3 | 421.4 | <0.001 | |
4 (FY2015–FY2017) | male | 39.4 | 41.1 | 40.7 | 42.7 | 142.4 | <0.001 |
female | 27.1 | 28.8 | 28.5 | 33.6 | 461.0 | <0.001 |
Lifestyle-Related Habits | Phase (Fiscal Year) | Aizu (%) | Nakadori (%) | Hamadori (%) | Evacuation Area (%) | All (%) |
---|---|---|---|---|---|---|
Exercise habit, yes | 1 (FY2008–FY2010) | 23.9 | 26.0 | 29.0 | 24.5 | 26.0 |
2 (FY2011) | 24.4 | 25.1 | 27.3 | 22.0 | 25.1 | |
3 (FY2012–FY2014) | 23.1 | 25.4 | 28.7 | 26.4 | 25.6 | |
4 (FY2015–FY2017) | 23.1 | 25.3 | 27.3 | 26.8 | 25.4 | |
Physical activity, yes | 1 (FY2008–FY2010) | 32.2 | 34.0 | 34.8 | 31.8 | 33.6 |
2 (FY2011) | 33.3 | 33.6 | 34.8 | 30.1 | 33.4 | |
3 (FY2012–FY2014) | 31.1 | 34.5 | 36.1 | 32.0 | 34.0 | |
4 (FY2015–FY2017) | 31.2 | 34.6 | 35.6 | 31.0 | 34.0 | |
Walk faster, yes | 1 (FY2008–FY2010) | 43.1 | 45.4 | 41.0 | 40.3 | 43.9 |
2 (FY2011) | 44.6 | 45.8 | 39.4 | 40.3 | 44.2 | |
3 (FY2012–FY2014) | 43.7 | 45.8 | 38.6 | 40.7 | 44.0 | |
4 (FY2015–FY2017) | 43.4 | 45.0 | 38.6 | 39.9 | 43.2 | |
Obesity, yes | 1 (FY2008–FY2010) | 40.6 | 39.0 | 42.1 | 41.1 | 40.0 |
2 (FY2011) | 40.2 | 38.7 | 42.1 | 43.3 | 39.9 | |
3 (FY2012–FY2014) | 40.4 | 39.1 | 43.0 | 44.9 | 40.5 | |
4 (FY2015–FY2017) | 41.5 | 40.5 | 42.9 | 45.9 | 41.5 | |
Eating speed, fast | 1 (FY2008–FY2010) | 28.0 | 27.9 | 30.5 | 25.9 | 28.2 |
2 (FY2011) | 28.7 | 28.6 | 30.3 | 27.2 | 28.8 | |
3 (FY2012–FY2014) | 29.0 | 28.5 | 30.3 | 27.9 | 28.8 | |
4 (FY2015–FY2017) | 28.8 | 28.4 | 29.2 | 28.2 | 28.6 | |
Eating speed, slow | 1 (FY2008–FY2010) | 6.7 | 7.4 | 7.1 | 7.5 | 7.2 |
2 (FY2011) | 6.4 | 7.2 | 6.7 | 8.0 | 7.1 | |
3 (FY2012–FY2014) | 6.4 | 7.1 | 7.0 | 7.6 | 7.0 | |
4 (FY2015–FY2017) | 6.5 | 7.3 | 6.9 | 7.7 | 7.2 | |
Skip breakfast, yes | 1 (FY2008–FY2010) | 11.4 | 12.3 | 13.5 | 9.7 | 12.1 |
2 (FY2011) | 11.0 | 12.0 | 12.8 | 10.3 | 11.8 | |
3 (FY2012–FY2014) | 13.5 | 14.1 | 14.0 | 12.2 | 13.8 | |
4 (FY2015–FY2017) | 13.9 | 14.9 | 15.2 | 12.6 | 14.6 | |
Current smoking, yes | 1 (FY2008–FY2010) | 26.1 | 26.6 | 28.7 | 25.1 | 26.8 |
2 (FY2011) | 23.6 | 23.7 | 26.2 | 24.1 | 24.1 | |
3 (FY2012–FY2014) | 25.9 | 25.4 | 27.4 | 25.1 | 25.8 | |
4 (FY2015–FY2017) | 25.2 | 24.8 | 26.3 | 24.6 | 25.1 | |
Excess drinking (≥360 mL sake/day) | 1 (FY2008–FY2010) | 15.5 | 14.4 | 16.7 | 14.4 | 14.9 |
2 (FY2011) | 14.5 | 13.9 | 16.6 | 14.5 | 14.5 | |
3 (FY2012–FY2014) | 15.7 | 14.7 | 18.0 | 15.5 | 15.4 | |
4 (FY2015–FY2017) | 15.3 | 14.8 | 17.4 | 15.0 | 15.3 | |
Age-adjusted smoking rates (male) | FY2012 | 37.8 | 35.7 | 37.1 | 38.1 | 36.4 |
FY2013 | 37.8 | 36.0 | 37.1 | 38.9 | 36.7 | |
FY2014 | 38.3 | 36.5 | 37.5 | 38.4 | 37.1 | |
FY2015 | 38.6 | 37.0 | 37.7 | 38.7 | 37.5 | |
FY2016 | 38.6 | 36.9 | 37.6 | 38.9 | 37.4 | |
FY2017 | 38.2 | 36.7 | 37.7 | 39.7 | 37.3 | |
Age-adjusted smoking rates (male) | FY2012 | 10 | 9.1 | 10.9 | 9.1 | 9.5 |
FY2013 | 10.6 | 9.5 | 11.1 | 9.6 | 10 | |
FY2014 | 10.9 | 9.8 | 11.6 | 9.9 | 10.3 | |
FY2015 | 11.5 | 10.2 | 11.8 | 10.2 | 10.7 | |
FY2016 | 11.6 | 10.4 | 11.7 | 10.5 | 10.8 | |
FY2017 | 11.8 | 10.7 | 12.5 | 11 | 11.2 |
Phase 1 (FY2008–FY2010) | Phase 2 (FY2011) | Phase 3 (FY2012–FY2014) | Phase 4 (FY2015–FY2017) | ||||||
---|---|---|---|---|---|---|---|---|---|
N = 611,247 | N = 356,795 | N = 668,996 | N = 594,509 | ||||||
Factor | Contents | Odds Ratio (95% CI) | p Value | Odds Ratio (95% CI) | p Value | Odds Ratio (95% CI) | p Value | Odds Ratio (95% CI) | p Value |
Area of residence | Aizu | 1 | 1 | 1 | 1 | ||||
Nakadori | 0.969 (0.954–0.985) | <0.001 | 0.942 (0.924–0.961) | <0.001 | 0.964 (0.950–0.978) | <0.001 | 0.955 (0.940–0.970) | <0.001 | |
Hmadori | 1.049 (1.028–1.070) | <0.001 | 1.018 (0.993–1.044) | 0.152 | 1.034 (1.016–1.053) | <0.001 | 1.022 (1.003–1.042) | 0.023 | |
Evacuation area | 0.951 (0.929–0.973) | <0.001 | 1.015 (0.984–1.047) | 0.348 | 1.130 (1.105–1.155) | <0.001 | 1.117 (1.092–1.143) | <0.001 | |
obesity | Yes | 2.626 (2.596–2.657) | <0.001 | 2.628 (2.589–2.667) | <0.001 | 2.720 (2.691–2.750) | <0.001 | 2.730 (2.699–2.762) | <0.001 |
Eating speed | Fast | 1.271 (1.253–1.289) | <0.001 | 1.255 (1.234–1.276) | <0.001 | 1.238 (1.223–1.253) | <0.001 | 1.240 (1.224–1.256) | <0.001 |
Normal | 1 | 1 | 1 | 1 | |||||
Slow | 0.953 (0.938–0.968) | <0.001 | 0.822 (0.797–0.848) | <0.001 | 0.821 (0.802–0.840) | <0.001 | 0.820 (0.801–0.840) | <0.001 | |
Eating before bedtime | Yes | 1.043 (1.029–1.058) | <0.001 | 1.021 (1.004–1.040) | 0.018 | 1.008 (0.995–1.021) | 0.222 | 1.010 (0.997–1.024) | 0.145 |
Night meal | Yes | 1.025 (1.007–1.043) | <0.001 | 0.997 (0.975–1.020) | 0.792 | 1.012 (0.996–1.029) | 0.143 | 1.005 (0.988–1.022) | 0.589 |
Skip breakfast | Yes | 1.140 (1.119–1.162) | <0.001 | 1.115 (1.089–1.142) | <0.001 | 1.095 (1.077–1.113) | <0.001 | 1.073 (1.055–1.091) | <0.001 |
Exercise habits | Yes | 0.943 (0.929–0.956) | <0.001 | 0.928 (0.912–0.945) | <0.001 | 0.939 (0.927–0.952) | <0.001 | 0.929 (0.917–0.941) | <0.001 |
Physical activity | Yes | 0.838 (0.827–0.849) | <0.001 | 0.835 (0.821–0.848) | <0.001 | 0.839 (0.829–0.849) | <0.001 | 0.848 (0.837–0.858) | <0.001 |
Walking speed | Yes | 0.903 (0.892–0.914) | <0.001 | 0.904 (0.891–0.918) | <0.001 | 0.892 (0.882–0.902) | <0.001 | 0.887 (0.877–0.898) | <0.001 |
Smoking | Yes | 1.322 (1.305–1.340) | <0.001 | 1.302 (1.279–1.325) | <0.001 | 1.274 (1.258–1.290) | <0.001 | 1.264 (1.247–1.281) | <0.001 |
Frequency of drinking | Daily | 1 | 1 | 1 | 1 | ||||
Occasionally | 1.170 (1.154–1.194) | <0.001 | 1.147 (1.124–1.171) | <0.001 | 1.183 (1.165–1.201) | <0.001 | 1.146 (1.128–1.164) | <0.001 | |
Almost never | 1.443 (1.420–1.466) | <0.001 | 1.420 (1.392–1.449) | <0.001 | 1.439 (1.418–1.460) | <0.001 | 1.396 (1.375–1.417) | <0.001 | |
Amount of sake | <180 mL | 1 | 1 | 1 | 1 | ||||
180–360 mL | 0.888 (0.873–0.903) | <0.001 | 0.894 (0.875–0.912) | <0.001 | 0.870 (0.857–0.884) | <0.001 | 0.882 (0.868–0.896) | <0.001 | |
360–540 mL | 1.101 (1.077–1.126) | <0.001 | 1.067 (1.038–1.097) | <0.001 | 1.036 (1.016–1.057) | <0.001 | 1.066 (1.044–1.088) | <0.001 | |
>540 mL | 1.543 (1.485–1.603) | <0.001 | 1.453 (1.384–1.525) | <0.001 | 1.435 (1.386–1.485) | <0.001 | 1.423 (1.373–1.475) | <0.001 | |
Rested by sleep | Yes | 1.032 (1.018–1.046) | <0.001 | 1.05 (1.033–1.067) | <0.001 | 1.029 (1.017–1.042) | <0.001 | 1.032 (1.020–1.045) | <0.001 |
Phase 1 (FY2008–FY2010) | Phase 2 (FY2011) | Phase 3 (FY2012–FY2014) | Phase 4 (FY2015–FY2017) | ||||||
---|---|---|---|---|---|---|---|---|---|
N = 611,247 | N = 356,795 | N = 668,996 | N = 594,509 | ||||||
Factor | Contents | Odds Ratio (95% CI) | p Value | Odds Ratio (95% CI) | p Value | Odds Ratio (95% CI) | p Value | Odds Ratio (95% CI) | p Value |
Area of residence | Aizu | 1 | 1 | 1 | 1 | ||||
Nakadori | 1.002 (0.982–1.023) | 0.847 | 0.944 (0.922–0.966) | <0.001 | 0.969 (0.952–0.986) | <0.001 | 0.957 (0.940–0.975) | <0.001 | |
Hamadori | 0.984 (0.959–1.010) | 0.222 | 0.918 (0.890–0.947) | <0.001 | 0.974 (0.952–0.998) | 0.031 | 0.957 (0.935–0.979) | <0.001 | |
Evacuation area | 0.915 (0.888–0.943) | <0.001 | 0.981 (0.943–1.019) | 0.32 | 1.074 (1.045–1.105) | <0.001 | 1.053 (1.023–1.083) | <0.001 | |
Obesity | Yes | 2.608 (2.570–2.646) | <0.001 | 2.602 (2.556–2.649) | <0.001 | 2.632 (2.598–2.668) | <0.001 | 2.648 (2.612–2.685) | <0.001 |
Eating speed | Fast | 1.123 | <0.001 | 1.111 | <0.001 | 1.100 | <0.001 | 1.117 | <0.001 |
(1.105–1.142) | (1.090–1.133) | (1.085–1.116) | (1.100–1.133) | ||||||
Normal | 1 | 1 | 1 | 1 | |||||
Slow | 0.995 | 0.597 | 0.875 | <0.001 | 0.883 | <0.001 | 0.865 | <0.001 | |
(0.986–1.024) | (0.843–0.907) | (0.860–0.907) | (0.841–0.889) | ||||||
Skip breakfast | Yes | 1.047 (1.024–1.070) | <0.001 | 1.036 (1.008–1.064) | 0.012 | 1.012 (0.993–1.031) | 0.228 | 0.996 (0.976–1.015) | 0.657 |
Exercise habits | Yes | 1.026 (1.007–1.044) | 0.006 | 1.018 (0.996–1.041) | 0.105 | 1.027 (1.010–1.044) | 0.001 | 1.012 (0.995–1.029) | 0.164 |
Physical activity | Yes | 0.862 (0.848–0.876) | <0.001 | 0.859 (0.842–0.876) | <0.001 | 0.858 (0.846–0.871) | <0.001 | 0.876 (0.863–0.890) | <0.001 |
Walking speed | Yes | 0.982 (0.968–0.997) | 0.017 | 0.980 (0.963–0.998) | 0.03 | 0.975 (0.962–0.988) | <0.001 | 0.970 (0.957–0.984) | <0.001 |
Smoking | Yes | 1.414 (1.390–1.438) | <0.001 | 1.391 (1.362–1.421) | <0.001 | 1.358 (1.337–1.380) | <0.001 | 1.351 (1.330–1.374) | <0.001 |
Frequency of drinking | Daily | 1 | 1 | 1 | 1 | ||||
Occasionally | 1.241 | <0.001 | 1.204 | <0.001 | 1.232 | <0.001 | 1.187 | <0.001 | |
(1.218–1.265) | (1.177–1.232) | (1.211–1.252) | (1.166–1.207) | ||||||
Almost never | 1.583 | <0.001 | 1.526 | <0.001 | 1.568 | <0.001 | 1.496 | <0.001 | |
(1.548–1.619) | (1.484–1.568) | (1.537–1.6) | (1.465–1.528) | ||||||
Amount of sake | <180 mL | 1 | 1 | 1 | 1 | ||||
180–360 mL | 1.016 | 0.113 | 1.026 | 0.038 | 1.019 | 0.041 | 1.020 | 0.037 | |
(0.996–1.037) | (1.000–1.502) | (1.000–1.038) | (1.001–1.039) | ||||||
360–540 mL | 1.250 | <0.001 | 1.199 | <0.001 | 1.196 | <0.001 | 1.227 | <0.001 | |
(1.218–1.282) | (1.162–1.237) | (1.169–1.224) | (1.198–1.256) | ||||||
>540 mL | 1.607 | <0.001 | 1.510 | <0.001 | 1.527 | <0.001 | 1.531 | <0.001 | |
(1.542–1.675) | (1.433–1.591) | (1.471–1.585) | (1.472–1591) | ||||||
Rested by sleep | Yes | 1.052 (1.036–1.070) | <0.001 | 1.072 (1.052–1.093) | <0.001 | 1.060 (1.046–1.075) | <0.001 | 1.074 (1.059–1.090) | <0.001 |
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Nakajima, S.; Eguchi, E.; Funakubo, N.; Hayashi, F.; Iwai-Takano, M.; Ohira, T. Trends and Regional Differences in the Prevalence of Dyslipidemia before and after the Great East Japan Earthquake: A Population-Based 10-Year Study Using the National Database in Japan. Int. J. Environ. Res. Public Health 2023, 20, 560. https://doi.org/10.3390/ijerph20010560
Nakajima S, Eguchi E, Funakubo N, Hayashi F, Iwai-Takano M, Ohira T. Trends and Regional Differences in the Prevalence of Dyslipidemia before and after the Great East Japan Earthquake: A Population-Based 10-Year Study Using the National Database in Japan. International Journal of Environmental Research and Public Health. 2023; 20(1):560. https://doi.org/10.3390/ijerph20010560
Chicago/Turabian StyleNakajima, Shigetaka, Eri Eguchi, Narumi Funakubo, Fumikazu Hayashi, Masumi Iwai-Takano, and Tetsuya Ohira. 2023. "Trends and Regional Differences in the Prevalence of Dyslipidemia before and after the Great East Japan Earthquake: A Population-Based 10-Year Study Using the National Database in Japan" International Journal of Environmental Research and Public Health 20, no. 1: 560. https://doi.org/10.3390/ijerph20010560