J Korean Med Sci.  2006 Jun;21(3):385-390. 10.3346/jkms.2006.21.3.385.

Non-cancer Diseases of Korean Atomic Bomb Survivors in Residence at Hapcheon, Republic of Korea

Affiliations
  • 1Department of Occupational and Environmental Medicine, Sacred Heart Hospital, Hallym University, Anyang, Korea.
  • 2Department of Occupational and Environmental Medicine, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea. oemdoc21@yahoo.co.kr
  • 3Association of Physicians for Humanism, Seoul, Korea.
  • 4Department of Neurology, Daegu Red Cross Hospital, Daegu, Korea.

Abstract

Many Koreans, in addition to Japanese, were killed or injured by the atomic bombs detonated over Hiroshima and Nagasaki, Japan, in 1945. Our study examined noncancer diseases of Korean A-bomb survivors in residence at Hapcheon, Republic of Korea and evaluated whether they had significantly higher prevalence of noncancer diseases than non-exposed people. We evaluated a number of tests, including anthropometric measurements, blood pressure, blood chemistry, hepatitis B surface antigen, and urinalysis, of survivors (n=223) and controls (n=372). Univariate analysis revealed significantly lower fasting glucose and creatinine, and higher diastolic blood pressure, aspartate aminotransferase, alanine aminotransferase, and blood urea nitrogen levels in the survivors than in the controls. The calculation of crude prevalence ratios (PRs) revealed that A-bomb survivors had a significantly higher prevalence of hypertension (PR, 1.16; 95% CI, 1.00-1.35) and chronic liver disease (2.20; 1.59-3.06) than controls. After adjusting for covariates (age, sex, body mass index, marital status, education, alcohol consumption, and smoking), A-bomb survivors had a significantly higher prevalence of hypertension (1.24; 1.06-1.44), chronic liver disease (2.07; 1.51-2.84), and hypercholesterolemia (1.79; 1.11-2.90) than controls. This study suggests that A-bomb exposure is associated with a higher prevalence of non-cancer diseases in Korean survivors.

Keyword

Accidents, Radiation; Radiation Injuries; Abnormalities, Radiation-Induced; Atomic Bomb; Korean Survivors; Non-cancer Diseases

MeSH Terms

Survivors
Radioactive Fallout
Radiation Injuries/diagnosis/*epidemiology
Nuclear Warfare
Neoplasms
Middle Aged
Male
Korea
Japan
Humans
Female
Aged, 80 and over
Aged
Abnormalities, Radiation-Induced

Cited by  1 articles

Biological Profiles of Korean Atomic Bomb Survivors in Residence at Daegu and Kyungbuk, Republic of Korea
Hyung-Joon Jhun, Byoung-Gwon Kim, Jong-Tae Park, Su-Young Kim, Bon-Min Koo, Jin-Kook Kim
J Korean Med Sci. 2008;23(6):1090-1093.    doi: 10.3346/jkms.2008.23.6.1090.


Reference

1. Summary of relief measures for atomic bomb survivors. Atomic Bomb Survivors Relief Department, Social Affairs Bureau, The City of Hiroshima. 2003. accessed 30 September 2005. http://www.city.hiroshima.jp/shimin/heiwa/relief.pdf.
2. Ichiba J. Hiroshima in Korea. 2003. Seoul: Yeok Sa Bi Pyeong Sa.
3. Kwon HK. Painful memories of Korean atomic bomb survivors. The Ohmynews. 2004. Dec. 10. accessed 30 September 2005. http://www.ohmynews.com/articleview/article_view.asp?menu=c10100&no=200931&rel_no=1.
4. Shimizu Y, Schull WJ, Kato H. Cancer risk among atomic bomb survivors. The RERF Life Span Study. Radiation Effects Research Foundation. JAMA. 1990. 264:601–604.
Article
5. Mabuchi K, Soda M, Ron E, Tokunaga M, Ochikubo S, Sugimoto S, Ikeda T, Terasaki M, Preston DL, Thompson DE. Cancer incidence in atomic bomb survivors. Part I: Use of the tumor registries in Hiroshima and Nagasaki for incidence studies. Radiat Res. 1994. 137:Suppl 2. 1–16.
Article
6. Preston DL, Shimizu Y, Pierce DA, Suyama A, Mabuchi K. Studies of mortality of atomic bomb survivors. Report 13: Solid cancer and noncancer disease mortality: 1950-1997. Radiat Res. 2003. 160:381–407.
Article
7. Little MP. Risks of non-cancer disease incidence and mortality in the Japanese atomic bomb survivors. J Radiol Prot. 2004. 24:327–328.
8. Yamada M, Wong FL, Fujiwara S, Akahoshi M, Suzuki G. Non-cancer disease incidence in atomic bomb survivors, 1958-1998. Radiat Res. 2004. 161:622–632.
Article
9. Korea Institute for Health and Social Affairs. Korea National Health and Nutrition Examination Survey 2001. 2001. Seoul: Ministry of Health and Welfare of Korea.
10. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003. 42:1206–1252.
Article
11. Spiegelman D, Hertzmark E. Easy SAS calculations for risk or prevalence ratios and differences. Am J Epidemiol. 2005. 162:199–200.
Article
12. Preston DL, Pierce DA, Shimizu Y, Cullings HM, Fujita S, Funamoto S, Kodama K. Effect of recent changes in atomic bomb survivor dosimetry on cancer mortality risk estimates. Radiat Res. 2004. 162:377–389.
Article
13. Radiation Effects Research Foundation. Survivor Dose Estimates. 2005. accessed 30 September 2005. http://www.rerf.or.jp/eigo/radefx/dosereco/doseesti.htm.
14. Thompson ML, Myers JE, Kriebel D. Prevalence odds ratio or prevalence ratio in the analysis of cross sectional data: what is to be done? Occup Environ Med. 1998. 55:272–277.
Article
15. Shimizu Y, Pierce DA, Preston DL, Mabuchi K. Studies of the mortality of atomic bomb survivors. Report 12, part II. Noncancer mortality: 1950-1990. Radiat Res. 1999. 152:374–389.
Article
16. Sasaki H, Wong FL, Yamada M, Kodama K. The effects of aging and radiation exposure on blood pressure levels of atomic bomb survivors. J Clin Epidemiol. 2002. 55:974–981.
Article
17. Akahoshi M, Amasaki Y, Soda M, Hida A, Imaizumi M, Nakashima E, Maeda R, Seto S, Yano K. Effects of radiation on fatty liver and metabolic coronary risk factors among atomic bomb survivors in Nagasaki. Hypertens Res. 2003. 26:965–970.
Article
18. Wong FL, Yamada M, Sasaki H, Kodama K, Hosoda Y. Effects of radiation on the longitudinal trends of total serum cholesterol levels in the atomic bomb survivors. Radiat Res. 1999. 151:736–746.
Article
19. Hancock SL, Tucker MA, Hoppe RT. Factors affecting late mortality from heart disease after treatment of Hodgkin's disease. JAMA. 1993. 270:1949–1955.
Article
20. Darby S, McGale P, Peto R, Granath F, Hall P, Ekbom A. Mortality from cardiovascular disease more than 10 years after radiotherapy for breast cancer: nationwide cohort study of 90 000 Swedish women. BMJ. 2003. 326:256–257.
21. Ivanov VK, Maksioutov MA, Chekin SY, Kruglova ZG, Petrov AV, Tsyb AF. Radiation-epidemiological analysis of incidence of non-cancer diseases among the Chernobyl liquidators. Health Phys. 2000. 78:495–501.
Article
22. Carr ZA, Land CE, Kleinerman RA, Weinstock RW, Stovall M, Griem ML, Mabuchi K. Coronary heart disease after radiotherapy for peptic ulcer disease. Int J Radiat Oncol Biol Phys. 2005. 61:842–850.
Article
23. Neriishi K, Nakashima E, Delongchamp RR. Persistent subclinical inflammation among A-bomb survivors. Int J Radiat Biol. 2001. 77:475–482.
Article
24. Hayashi T, Kusunoki Y, Hakoda M, Morishita Y, Kubo Y, Maki M, Kasagi F, Kodama K, Macphee DG, Kyoizumi S. Radiation dose-dependent increases in inflammatory response markers in A-bomb survivors. Int J Radiat Biol. 2003. 79:129–136.
Article
25. Ito C, Hasegawa K, Kato M, Kumazawa T. Clinical investigation of proximately exposed group: a study of the prevalence rate of diabetes mellitus. J Nagasaki Med Assoc. 1984. 59:349–355.
26. Sawada H, Kodama K, Shimizu Y, Kato H. Adult Health Study Report 6, Results of Six Examination Cycles, 1968-80, Hiroshima and Nagasaki. 1986. Hiroshima: Radiation Effects Research Foundation;TR 3-86.
27. Kamada N. Biological dosimetry of atomic bomb survivors exposed within 500 meters from the hypocenter and the health consequences. J Radiat Res. 1999. 40:Suppl. 155–164.
Article
28. Yamada M, Izumi S. Psychiatric sequelae in atomic bomb survivors in Hiroshima and Nagasaki two decades after the explosions. Soc Psychiatry Psychiatr Epidemiol. 2002. 37:409–415.
Article
29. Preston DL, Ron E, Yonehara S, Kobuke T, Fujii H, Kishikawa M, Tokunaga M, Tokuoka S, Mabuchi K. Tumors of the nervous system and pituitary gland associated with atomic bomb radiation exposure. J Natl Cancer Inst. 2002. 94:1555–1563.
Article
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr