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Updated: Mar 8, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Longitudinal changes in body mass index of children affected by the Great East Japan Earthquake
W Zheng1,2, H Yokomichi2, H Matsubara3
1Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing, China.
Insights
The 2011 Great East Japan Earthquake and radiation exposure led to increased body mass index (BMI) and overweight prevalence in preschool children. These effects were more pronounced in children with direct disaster experiences.
Area of Science:
- Pediatric Health
- Disaster Medicine
- Childhood Growth
Background:
- The 2011 Great East Japan Earthquake and subsequent nuclear radiation caused significant disruption, impacting child health.
- Longitudinal studies on childhood growth following such disasters are limited, necessitating further investigation.
Purpose of the Study:
- To investigate the influence of the 2011 Great East Japan Earthquake on longitudinal changes in body mass index (BMI) among preschool children.
- To compare BMI trajectories and overweight/obesity prevalence between children exposed to the disaster and a historical control group.
Main Methods:
- A cohort study comparing preschool children (4-5 years old) in affected prefectures (Iwate, Miyagi, Fukushima) with a historical control group.
- Multilevel analysis was used to compare body mass index (BMI) trajectories and the prevalence of overweight/obesity before and after the earthquake.
- Subgroup analysis was performed on children with specific personal disaster experiences within the exposed group.
Main Results:
- A total of 9,722 children were analyzed.
- Children exposed to the earthquake exhibited higher body mass indices (BMI) and a greater proportion of overweight/obesity post-disaster compared to the control group.
- These adverse health effects were more pronounced in exposed children who experienced personal disaster-related events.
Conclusions:
- Increased BMI and overweight prevalence in children following natural disasters like the 2011 Great East Japan Earthquake warrant significant attention.
- Disaster preparedness and response strategies should consider the long-term health implications for children's growth and development.
Background:
The evacuation and disruption in housing caused by the 2011 Great East Japan Earthquake and following nuclear radiation may have influenced child health in many respects. However, studies regarding longitudinal childhood growth are limited. Therefore, in this study we aimed to explore the influence of the earthquake on longitudinal changes in body mass index in preschool children.
Methods:
Participants were children from nursery schools who cooperated with the study in the Iwate, Miyagi and Fukushima prefectures. The exposed group consisted of children who experienced the earthquake during their preschool-age period (4-5 years old). The historical control group included children who were born 2 years earlier than the exposed children in the same prefectures. Trajectories regarding body mass index and prevalence of overweight/obesity were compared between the two groups using multilevel analysis. Differences in the changes in BMI between before and after the earthquake, and proportion of overweight/obesity was compared between the two groups. We also conducted subgroup analysis by defining children with specific personal disaster experiences within the exposed group.
Results:
A total of 9722 children were included in the study. Children in the exposed group had higher body mass indices and a higher proportion of overweight after the earthquake than the control group. These differences were more obvious when confined to exposed children with specific personal disaster experiences.
Conclusions:
Children's growth and development-related health issues such as increased BMI after natural disasters should evoke great attention.
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