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In this study, we investigated the impact of post\u2010earthquake life on the onset of chronic kidney disease (CKD) among the residents of the Futaba District.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data on 17,859 residents of the Futaba District (7333 men, 10,526 women; mean age: 61.0\u2009\u00b1\u200910.2\u00a0years; mean follow-up period: 3.42\u2009\u00b1\u20091.51\u00a0years) who underwent health checkups and completed self-administered questionnaires in the Fukushima Mental Health and Lifestyle Survey were analyzed. These residents were confirmed to be CKD-free in 2012. Hence, they were assessed for the onset of CKD from 2013 to 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Univariate analysis results showed significant differences between residents with and without CKD. Differences in age, diabetes mellitus, body mass index (BMI), dyslipidemia, hypertension, hyperuricemia, Kessler 6 Psychological Distress Scale (K6) score, smoking habit, alcohol drinking history, exercise habit, history of job change, history of job loss, and evacuation experience were observed. Multivariate analysis was conducted to adjust for multiple factors, and age, BMI, dyslipidemia, hypertension, hyperuricemia, and K6 score were identified as significant promotional factors for CKD onset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among the well-recognized risk factors, severe stress reflected by a high K6 score was established to be correlated with CKD onset among residents originally without CKD. Stress management may be another treatment strategy for treating CKD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10157-025-02795-5","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T03:37:51Z","timestamp":1763955471000},"page":"378-387","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of severe stress with the onset of chronic kidney disease after the Great East Japan Earthquake: the Fukushima Health Management Survey"],"prefix":"10.1007","volume":"30","author":[{"given":"Sakumi","family":"Kazama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumikazu","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichi","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiho","family":"Sato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuka","family":"Ueda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanako","family":"Okazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Ohira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Sakai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaharu","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirooki","family":"Yabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuaki","family":"Hosoya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Nakano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Nagao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michio","family":"Shimabukuro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Ohto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiji","family":"Yasumura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7710-2660","authenticated-orcid":false,"given":"Junichiro J.","family":"Kazama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"2795_CR1","doi-asserted-by":"publisher","first-page":"1652","DOI":"10.1016\/S0140-6736(11)60673-9","volume":"377","author":"JJ Kazama","year":"2011","unstructured":"Kazama JJ, Narita I. 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The present study was approved by the Ethics Committee of Fukushima Medical University (Approval No. 1316, 2148, 29064, and 2020239).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research involving human participants"}},{"value":"This survey was mailed to the individuals stating the purpose of the study: by returning the questionnaire, the individuals were considered to have given their written consent to participate.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}