Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing?
Aim: Combined effects of genetic and environmental factors underlie the clustering of cardiovascular risk factors in the metabolic syndrome (MetSy). The aim was to investigate associations between several lifestyle factors and MetSy, with a focus on the possible role of smokeless tobacco in the form...
Published in: | Scandinavian Journal of Public Health |
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Online Access: | http://dx.doi.org/10.1080/14034940600665143 http://journals.sagepub.com/doi/pdf/10.1080/14034940600665143 |
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crsagepubl:10.1080/14034940600665143 2024-06-16T07:42:15+00:00 Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? Norberg, Margareta Stenlund, Hans Lindahl, Bernt Boman, Kurt Weinehall, Lars 2006 http://dx.doi.org/10.1080/14034940600665143 http://journals.sagepub.com/doi/pdf/10.1080/14034940600665143 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Scandinavian Journal of Public Health volume 34, issue 6, page 576-583 ISSN 1403-4948 1651-1905 journal-article 2006 crsagepubl https://doi.org/10.1080/14034940600665143 2024-05-19T13:06:12Z Aim: Combined effects of genetic and environmental factors underlie the clustering of cardiovascular risk factors in the metabolic syndrome (MetSy). The aim was to investigate associations between several lifestyle factors and MetSy, with a focus on the possible role of smokeless tobacco in the form of Swedish moist snuff (snus). Methods: A population-based longitudinal cohort study within the Västerbotten Intervention Programme in Northern Sweden. All inhabitants at the ages of 30, 40, 50, and 60 are invited to participate in a health survey that includes a questionnaire on psychosocial conditions and lifestyle and measurement of biological variables. Individuals examined in 1990—94 (n=24,230) and who also returned for follow-up after 10 years were included (total of 16,492 individuals: 46.6% men and 53.4% women). Regression analyses were performed. MetSy was the outcome and analyses were adjusted for age, sex, alcohol abuse, and family history of CVD and diabetes. Results: Ten-year development of MetSy was associated with high-dose consumption of snus at baseline (OR 1.6 [95% CI 1.26—2.15]), low education (2.2 [1.92—2.63]), physical inactivity (1.5 [1.22—1.73]) and former smoking (1.2 [1.06—1.38]). Snus was associated with separate components of MetSy, including triglycerides (1.6, 1.30—1.95), obesity (1.7 [1.36—2.18]) but not hypertension, dysglycemia and low HDL cholesterol. Conclusions: MetSy is independently associated with high consumption of snus, even when controlling for smoking status. The finding is of public health interest in societies with widespread use of snus. More research is needed to better understand the mechanisms underlying this effect. Article in Journal/Newspaper Northern Sweden SAGE Publications Scandinavian Journal of Public Health 34 6 576 583 |
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SAGE Publications |
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English |
description |
Aim: Combined effects of genetic and environmental factors underlie the clustering of cardiovascular risk factors in the metabolic syndrome (MetSy). The aim was to investigate associations between several lifestyle factors and MetSy, with a focus on the possible role of smokeless tobacco in the form of Swedish moist snuff (snus). Methods: A population-based longitudinal cohort study within the Västerbotten Intervention Programme in Northern Sweden. All inhabitants at the ages of 30, 40, 50, and 60 are invited to participate in a health survey that includes a questionnaire on psychosocial conditions and lifestyle and measurement of biological variables. Individuals examined in 1990—94 (n=24,230) and who also returned for follow-up after 10 years were included (total of 16,492 individuals: 46.6% men and 53.4% women). Regression analyses were performed. MetSy was the outcome and analyses were adjusted for age, sex, alcohol abuse, and family history of CVD and diabetes. Results: Ten-year development of MetSy was associated with high-dose consumption of snus at baseline (OR 1.6 [95% CI 1.26—2.15]), low education (2.2 [1.92—2.63]), physical inactivity (1.5 [1.22—1.73]) and former smoking (1.2 [1.06—1.38]). Snus was associated with separate components of MetSy, including triglycerides (1.6, 1.30—1.95), obesity (1.7 [1.36—2.18]) but not hypertension, dysglycemia and low HDL cholesterol. Conclusions: MetSy is independently associated with high consumption of snus, even when controlling for smoking status. The finding is of public health interest in societies with widespread use of snus. More research is needed to better understand the mechanisms underlying this effect. |
format |
Article in Journal/Newspaper |
author |
Norberg, Margareta Stenlund, Hans Lindahl, Bernt Boman, Kurt Weinehall, Lars |
spellingShingle |
Norberg, Margareta Stenlund, Hans Lindahl, Bernt Boman, Kurt Weinehall, Lars Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? |
author_facet |
Norberg, Margareta Stenlund, Hans Lindahl, Bernt Boman, Kurt Weinehall, Lars |
author_sort |
Norberg, Margareta |
title |
Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? |
title_short |
Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? |
title_full |
Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? |
title_fullStr |
Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? |
title_full_unstemmed |
Contribution of Swedish moist snuff to the metabolic syndrome: A wolf in sheep's clothing? |
title_sort |
contribution of swedish moist snuff to the metabolic syndrome: a wolf in sheep's clothing? |
publisher |
SAGE Publications |
publishDate |
2006 |
url |
http://dx.doi.org/10.1080/14034940600665143 http://journals.sagepub.com/doi/pdf/10.1080/14034940600665143 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Scandinavian Journal of Public Health volume 34, issue 6, page 576-583 ISSN 1403-4948 1651-1905 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1080/14034940600665143 |
container_title |
Scandinavian Journal of Public Health |
container_volume |
34 |
container_issue |
6 |
container_start_page |
576 |
op_container_end_page |
583 |
_version_ |
1802009668277501952 |