Effects of the Great East Japan Earthquake and huge tsunami on glycaemic control and blood pressure in patients with diabetes mellitus

Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Sendai, Japan.
BMJ Open (Impact Factor: 2.27). 03/2012; 2(2):e000830. DOI: 10.1136/bmjopen-2012-000830
Source: PubMed


To examine the effects of a huge tsunami resulting from the Great East Japan Earthquake on blood pressure (BP) control and glycaemic control in diabetic patients.
A retrospective study.
Tohoku University, Japan.
63 patients were visiting Rikuzentakata Hospital for diabetic treatment before the earthquake and returned to the clinic in July after the earthquake, and they were analysed in the present study. The subjects were divided into two groups: those who were hit by the tsunami, the Tsunami (+) group (n=28), and those who were not, the Tsunami (-) group (n=35), and the groups' parameters and their changes were compared.
Changes of HbA1c.
Changes of BP, body mass index.
HbA1c and both BP increased, while the numbers of most drugs taken decreased in both groups. Parameter changes were significantly greater in the Tsunami (+) group. All medical data stored at the hospital was lost in the tsunami. The Tsunami (+) patients also had their own records of treatment washed away, so it was difficult to replicate their pre-earthquake drug prescriptions afterwards. In comparison, the Tsunami (-) patients kept their treatment information, making it possible to resume the treatment they had been receiving before the earthquake. The BP rose only slightly in men, whereas it rose sharply in women, even though they had not been directly affected by the tsunami. BP rose markedly in both genders affected by the tsunami.
All medical information was lost in the tsunami, and glycaemic and BP controls of the tsunami-affected patients worsened more than those of patients who had been affected by the earthquake alone. Women may be more sensitive to changes in the living environment that result from a major earthquake than are men.

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    • "Tokuda, & Kaku, 2011; Nishi et al., 2012). Individuals who provide such support while living in a disaster area are likely to themselves be physically and mentally affected by the disaster, similarly to the residents in the area (Kyutoku et al., 2012; Nishizawa, Hoshide, Shinpo, & Kario, 2012; Ogawa et al., 2012). A survey of members of the Disaster Medical Assistance (DMAT) team who were dispatched after the Great East Japan Earthquake reported psychological stress over concerns about potential radiation exposure (Matsuda et al., 2012). "
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    ABSTRACT: Objective This study aimed to elucidate the actual activities conducted by public health nurses during their dispatch and their health status during and after dispatch to the three prefectures most severely affected by the Great East Japan Earthquake.SampleA survey request was sent to a total of 2,237 facilities. Of these, 778 facilities returned questionnaires from dispatched public health nurses.ResultsThe participants of this study were 1,570 dispatched health nurses who participated in activities mostly at evacuation centers, followed by evacuees’ homes. After dispatch, an earlier postdisaster phase at the start of dispatch was independently associated with poor subjective well-being, low mood, worsened sleep state, and intense fatigue. Work hours per day were associated with poor subjective well-being and intense fatigue after dispatch.Conclusion Results suggest that the factor that most strongly affected the postdispatch health of the nurses was the phase that they began their dispatch.
    Public Health Nursing 07/2014; 31(6). DOI:10.1111/phn.12141 · 0.83 Impact Factor
    • "Hypertension including pregnancy hypertension9 was a significant problem within a few days of the disaster. In addition to the pre-existing disease, it is thought that activation of the sympathetic nervous system by frustration and disruption of circadian rhythm through poor sleep quality27 may have led to the poor blood pressure control. "
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    PLoS Currents 05/2013; 5. DOI:10.1371/currents.dis.771beae7d8f41c31cd91e765678c005d
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    • "Foods high in carbohydrates, such as bread and rice, can be stored and thus, these were the main dietary constituents. In fact, a study following the March 11 earthquake reported that this inappropriate diet resulted in the deterioration of glycemic control and blood pressure in patients with diabetes mellitus (Ogawa et al., 2012). Therefore, low TP could be a consequence of deprivation of healthy diet, indicating low TP as objective measures of stress levels experienced. "
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    ABSTRACT: In the afternoon of March 11, 2011, Kesennuma City was hit by the Great East-Japan Earthquake and a devastating tsunami. The purpose of this retrospective study is to document possible changes in the number of patients with distinct neurologic diseases seeking treatment following this disaster. Because of Kesennuma's unique geographical location, the city was isolated by the disaster, allowing for a study with relatively limited population selection bias. Patients admitted for neurologic emergencies from January 14 to May 5 in 2011 (n = 117) were compared with patients in the corresponding 16-week periods in 2008-2010 (n = 323). The number of patients with unprovoked seizures was significantly higher during the 8-week period after the earthquake (n = 13) than during the same periods in 2008 (n = 6), 2009 (n = 3), and 2010 (no patients) (p = 0.0062). In contrast, the number of patients treated for other neurologic diseases such as stroke, trauma, and tumors remained unchanged. To our knowledge, this is the first report of an increase in the number of patients with seizures following a life-threatening natural disaster. We suggest that stress associated with life-threatening situations may enhance seizure generation.
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