JCEM: What is the prevalence of diabetes among atomic bomb survivors?

In Japan, the prevalence of diabetes has increased significantly since World War II due to changes in life>
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Diabetes has now become a major public health problem and an important risk factor for various diseases and conditions, including cardiovascular disease

A study published in the Journal of Clinical Endocrinology & Metabolism, an authoritative journal in the field of endocrine and metabolic diseases, aims to investigate the effect of radiation on the incidence of diabetes in survivors of the atomic bomb (A-bomb), and whether dose-response is affected.

From 1969 to 2015, researchers observed 9,131 participants without diabetes at baseline through biennial clinical examinations
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Cox proportional hazards models were used to estimate hazard ratios (HR) to assess the dose-response of diabetes incidence

During the study period, researchers identified a total of 1,417 cases of diabetes
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The overall crude incidence rate was 7.

Thus, among the atomic bomb survivors, radiation was found to be associated with the incidence of diabetes
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Results were inconsistent with urban and ATB age, which may suggest a possible confounding factor in the association of radiation with diabetes

Original source:

Yoshimi Tatsukawa.