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Association of disaster-related damage with inflammatory diet among older survivors of the Great East Japan Earthquake and Tsunami

Published online by Cambridge University Press:  23 January 2024

Aki Yazawa Open the ORCID record for Aki Yazawa [Opens in a new window] ,
Hiroyuki Hikichi ,
Koichiro Shiba ,
Sakurako Shiba Okuzono ,
Katsunori Kondo ,
Satoshi Sasaki Open the ORCID record for Satoshi Sasaki [Opens in a new window]  and
Ichiro Kawachi
Aki Yazawa*
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
Hiroyuki Hikichi
Affiliation:
Division of Public Health, Kitasato University School of Medicine, Kanagawa, Japan
Koichiro Shiba
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA
Sakurako Shiba Okuzono
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
Katsunori Kondo
Affiliation:
Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan Department of Gerontological Evaluation, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
Satoshi Sasaki
Affiliation:
Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan
Ichiro Kawachi
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
*
*Corresponding author: Aki Yazawa, email aki.yazawa@gmail.com
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Abstract

Traumatic experiences from disasters have enduring effects on health, both directly and indirectly by influencing health behaviours. Among potential pathways, the impact of disaster-related trauma on dietary patterns has been understudied. This study investigated the relationship between disaster-related trauma and dietary inflammatory index (DII®), and how these relationships differed by gender and whether they prepare meal by themselves or not among older survivors of the 2011 Great East Japan Earthquake and Tsunami (n 1375). Dietary data were collected in 2020 using a brief-type self-administered diet history questionnaire, from which we derived a dietary inflammatory index (DII®) based on twenty-six food/nutrient items, where higher scores indicate pro-inflammatory (i.e. unhealthy) diet. We found that the experience of housing damage due to the earthquake and tsunami was associated with slightly higher DII scores (coef. = 0·38, 95 % CI −0·05, 0·81). Specifically, women who cooked by themselves tended to have higher DII when they experienced housing damage (coef. = 1·33, 95 %CI −0·63, 3·28). On the other hand, loss of friends was associated with a lower DII score (coef. = −0·28, 95 % CI −0·54, −0·01). These findings highlight the importance of providing support to groups who are at increased risk of deterioration in dietary quality in the aftermath of disasters.

Keywords

DisasterBDHQJapanGerontologyInflammation
Type
Research Article
Information
British Journal of Nutrition , Volume 131 , Issue 9 , 14 May 2024 , pp. 1648 - 1656
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Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

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