gray somewhat later than men.
To study the radiation effect more
effectively with these data, measures of
radiation dose and hair-graying that can
be applied to the individual case were
used. Distance from the hypocenter was
used as an approximation for radiation
exposure. To measure hair-graying, departure from the norm was used; that is,
the amount an individual’s score varied
from the regression value typical of his
age and sex.
_The method in this analysis was to
use the regression estimate to define an
age-specific measure of grayness as : Z =
Y’—Y. Y’ is the regression estimate for
specified age and sex based on the nonexposed, Y is the numerical value for the
individual (0, 1, 2, or 3), and Z is the

measure of the individual’s departure
from expectation for his age-sex group.
Mean values of Z were tested for departure

from

zero.

If,

for

any

sex-

exposure group, individuals were more,
or less, gray than expected from the re-

gression estimates, the mean value of Z

for that exposure group would depart
from zero and the departure would be
tested by Student’st-test.
If high exposure (short distance) was
accompanied by large negative values of
Z, and low exposure (long distance) by
values of Z near zero, the relationship
would be tested on the correlation coefficients or on the slopes of regression
lines fitted to Z and distance. None of
these analyses provided evidence that
hair-graying is related to distance from
the hypocenter.
Discussion

In this stucly, several simple tests were
utilized in an attempt to detect skin
changes in irradiated survivors of the

Hiroshima bombing; changes that would

be indicative of generalized aging acceleration.as a late radiation sequela. The

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GERIATRICS, JANUARY 1961

Cc

J

most direct test was guessing the age of
clinic subjects without knowledge of
their irradiation status. This very simple
observation may have been the most important, since it established the fact that
irradiated individuals do not appear
older than their nonirradiated cohorts.
The pathologic components of skin
ageing are mostly related to degeneration
of skin elastic fibers and to loss of subcutaneous fat. Skin retractility was measured as a direct reflection of elastic tissue in the skin. A skin fold measurement
(essentially wrinkling) was more directly related to loss of subcutaneousfat, although loss of elasticity did play a role.
The methods of skin measurement employed were not as elaborate and were
perhaps less sensitive than those employed by other investigators.!1 However,
the methods used lent themselves better
to large population surveys. In spite of
the moderately large samples used in
this study, no relationship to radiation

exposure and skin aging was noted.
Hair graying is of particular interest,
not only as a manifestation of aging, but
also as it relates to the epilation experienced by heavily irradiated subjects in
1945. Data on the age incidence of gray
hair, as well as the semiquantitative
grading of degree of graying, failed to
show differences between the exposed
and nonexposed. This was true even
though epilation subsequent to the
bombing was a common symptom of the
most closely exposed group in the sample.
The concept of nonspecific shortening
of the life span after irradiation has
been based primarily on experiments in
rodents. This concept is that decreased
longevity results from irradiation, and
that this decrease is not related to lifeshortening diseases specifically induced
by irradiation. In these experiments on
rodents, specific metabolic or endocrine
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