Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study
Abstract. Objective. To explore the effect of smoking and smokeless tobacco, ‘snus’, on the risk of type 2 diabetes. Design. Population‐based cross‐sectional and prospective follow‐up study in northern Sweden. Subjects. A total of 3384 men, aged 25–74 years, who participated in the MONICA study in 1...
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crwiley:10.1111/j.1365-2796.2004.01344.x 2024-10-06T13:51:35+00:00 Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study Eliasson, M. Asplund, K. Nasic, S. Rodu, B. 2004 http://dx.doi.org/10.1111/j.1365-2796.2004.01344.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-2796.2004.01344.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.2004.01344.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Internal Medicine volume 256, issue 2, page 101-110 ISSN 0954-6820 1365-2796 journal-article 2004 crwiley https://doi.org/10.1111/j.1365-2796.2004.01344.x 2024-09-11T04:11:29Z Abstract. Objective. To explore the effect of smoking and smokeless tobacco, ‘snus’, on the risk of type 2 diabetes. Design. Population‐based cross‐sectional and prospective follow‐up study in northern Sweden. Subjects. A total of 3384 men, aged 25–74 years, who participated in the MONICA study in 1986, 1990, 1994 or 1999, 1170 of whom had an oral glucose tolerance test. In 1999, 1757 men from previous cohorts returned for re‐examination. Main outcome measures. We compared the prevalence of type 2 diabetes or pathological glucose tolerance (PGT) amongst tobacco users to that of nonusers at entry into the study and at follow‐up, using odds ratios. Results. Compared with never users, the age‐adjusted risk of prevalent clinically diagnosed diabetes for ever smokers was 1.88 (CI 1.17–3.0) and for smokers 1.74 (0.94–3.2). Corresponding odds ratios for snus users were 1.34 (0.65–2.7) and 1.18 (0.48–2.9). We found no increased risk of prevalent PGT in snus users or smokers. Former smokers and snus users had an insignificantly increased risk for PGT. Compared with nonusers, the age‐adjusted risk of developing clinically diagnosed diabetes during follow‐up was 4.63 (1.37–16) in consistent exclusive smokers, 3.20 (1.16–8.8) in ex‐smokers and no cases in consistent snus users. The risk of PGT during follow‐up was not increased in consistent tobacco users but evident, although not statistically significant, in those who quit snus during the follow‐up period, 1.85 (0.60–5.7). Adjustment for physical activity and alcohol consumption did not change the major findings. Conclusions. The risk of diabetes for snus users was not significantly increased. Smoking was associated with prevalent and incident cases of diabetes. Ex‐tobacco users tended towards more PGT. Article in Journal/Newspaper Northern Sweden Wiley Online Library Journal of Internal Medicine 256 2 101 110 |
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Wiley Online Library |
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English |
description |
Abstract. Objective. To explore the effect of smoking and smokeless tobacco, ‘snus’, on the risk of type 2 diabetes. Design. Population‐based cross‐sectional and prospective follow‐up study in northern Sweden. Subjects. A total of 3384 men, aged 25–74 years, who participated in the MONICA study in 1986, 1990, 1994 or 1999, 1170 of whom had an oral glucose tolerance test. In 1999, 1757 men from previous cohorts returned for re‐examination. Main outcome measures. We compared the prevalence of type 2 diabetes or pathological glucose tolerance (PGT) amongst tobacco users to that of nonusers at entry into the study and at follow‐up, using odds ratios. Results. Compared with never users, the age‐adjusted risk of prevalent clinically diagnosed diabetes for ever smokers was 1.88 (CI 1.17–3.0) and for smokers 1.74 (0.94–3.2). Corresponding odds ratios for snus users were 1.34 (0.65–2.7) and 1.18 (0.48–2.9). We found no increased risk of prevalent PGT in snus users or smokers. Former smokers and snus users had an insignificantly increased risk for PGT. Compared with nonusers, the age‐adjusted risk of developing clinically diagnosed diabetes during follow‐up was 4.63 (1.37–16) in consistent exclusive smokers, 3.20 (1.16–8.8) in ex‐smokers and no cases in consistent snus users. The risk of PGT during follow‐up was not increased in consistent tobacco users but evident, although not statistically significant, in those who quit snus during the follow‐up period, 1.85 (0.60–5.7). Adjustment for physical activity and alcohol consumption did not change the major findings. Conclusions. The risk of diabetes for snus users was not significantly increased. Smoking was associated with prevalent and incident cases of diabetes. Ex‐tobacco users tended towards more PGT. |
format |
Article in Journal/Newspaper |
author |
Eliasson, M. Asplund, K. Nasic, S. Rodu, B. |
spellingShingle |
Eliasson, M. Asplund, K. Nasic, S. Rodu, B. Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study |
author_facet |
Eliasson, M. Asplund, K. Nasic, S. Rodu, B. |
author_sort |
Eliasson, M. |
title |
Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study |
title_short |
Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study |
title_full |
Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study |
title_fullStr |
Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study |
title_full_unstemmed |
Influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern Sweden MONICA study |
title_sort |
influence of smoking and snus on the prevalence and incidence of type 2 diabetes amongst men: the northern sweden monica study |
publisher |
Wiley |
publishDate |
2004 |
url |
http://dx.doi.org/10.1111/j.1365-2796.2004.01344.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-2796.2004.01344.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.2004.01344.x |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Journal of Internal Medicine volume 256, issue 2, page 101-110 ISSN 0954-6820 1365-2796 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.1365-2796.2004.01344.x |
container_title |
Journal of Internal Medicine |
container_volume |
256 |
container_issue |
2 |
container_start_page |
101 |
op_container_end_page |
110 |
_version_ |
1812179803604779008 |