A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
OBJECTIVES: To examine the relationship between "traditional Sami" dietary pattern and mortality in a general northern Swedish population. STUDY DESIGN: Population-based cohort study. METHODS: We examined 77,319 subjects from the Västerbotten Intervention Program (VIP) cohort. A traditiona...
Published in: | International Journal of Circumpolar Health |
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Umeå universitet, Näringsforskning
2012
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57076 https://doi.org/10.3402/ijch.v71i0.18537 |
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ftumeauniv:oai:DiVA.org:umu-57076 2023-10-09T21:50:46+02:00 A traditional Sami diet score as a determinant of mortality in a general northern Swedish population Nilsson, Lena Maria Winkvist, Anna Brustad, Magritt Jansson, Jan-Håkan Johansson, Ingegerd Lenner, Per Lindahl, Bernt Van Guelpen, Bethany 2012 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57076 https://doi.org/10.3402/ijch.v71i0.18537 eng eng Umeå universitet, Näringsforskning Umeå universitet, Medicin Umeå universitet, Institutionen för odontologi Umeå universitet, Onkologi Umeå universitet, Yrkes- och miljömedicin Umeå universitet, Patologi Göteborgs universitet Sentrum for Samisk helseforskning, Tromsö universitet International Journal of Circumpolar Health, 1239-9736, 2012, 71, orcid:0000-0002-2354-7258 orcid:0000-0002-9692-101X http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57076 doi:10.3402/ijch.v71i0.18537 PMID 22584519 ISI:000308232900001 Scopus 2-s2.0-84866755414 info:eu-repo/semantics/openAccess the VIP cohort Sami traditional food traditional lifestyle mortality Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Nutrition and Dietetics Näringslära Article in journal info:eu-repo/semantics/article text 2012 ftumeauniv https://doi.org/10.3402/ijch.v71i0.18537 2023-09-22T13:58:13Z OBJECTIVES: To examine the relationship between "traditional Sami" dietary pattern and mortality in a general northern Swedish population. STUDY DESIGN: Population-based cohort study. METHODS: We examined 77,319 subjects from the Västerbotten Intervention Program (VIP) cohort. A traditional Sami diet score was constructed by adding 1 point for intake above the median level of red meat, fatty fish, total fat, berries and boiled coffee, and 1 point for intake below the median of vegetables, bread and fibre. Hazard ratios (HR) for mortality were calculated by Cox regression. RESULTS: Increasing traditional Sami diet scores were associated with slightly elevated all-cause mortality in men [Multivariate HR per 1-point increase in score 1.04 (95% CI 1.01-1.07), p=0.018], but not for women [Multivariate HR 1.03 (95% CI 0.99-1.07), p=0.130]. This increased risk was approximately equally attributable to cardiovascular disease and cancer, though somewhat more apparent for cardiovascular disease mortality in men free from diabetes, hypertension and obesity at baseline [Multivariate HR 1.10 (95% CI 1.01-1.20), p=0.023]. CONCLUSIONS: A weak increased all-cause mortality was observed in men with higher traditional Sami diet scores. However, due to the complexity in defining a "traditional Sami" diet, and the limitations of our questionnaire for this purpose, the study should be considered exploratory, a first attempt to relate a "traditional Sami" dietary pattern to health endpoints. Further investigation of cohorts with more detailed information on dietary and lifestyle items relevant for traditional Sami culture is warranted. Originally included in thesis in submitted form with the title "Sami diet and mortality in a northern Swedish population" Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health sami sami Umeå University: Publications (DiVA) International Journal of Circumpolar Health 71 1 18537 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
the VIP cohort Sami traditional food traditional lifestyle mortality Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Nutrition and Dietetics Näringslära |
spellingShingle |
the VIP cohort Sami traditional food traditional lifestyle mortality Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Nutrition and Dietetics Näringslära Nilsson, Lena Maria Winkvist, Anna Brustad, Magritt Jansson, Jan-Håkan Johansson, Ingegerd Lenner, Per Lindahl, Bernt Van Guelpen, Bethany A traditional Sami diet score as a determinant of mortality in a general northern Swedish population |
topic_facet |
the VIP cohort Sami traditional food traditional lifestyle mortality Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Nutrition and Dietetics Näringslära |
description |
OBJECTIVES: To examine the relationship between "traditional Sami" dietary pattern and mortality in a general northern Swedish population. STUDY DESIGN: Population-based cohort study. METHODS: We examined 77,319 subjects from the Västerbotten Intervention Program (VIP) cohort. A traditional Sami diet score was constructed by adding 1 point for intake above the median level of red meat, fatty fish, total fat, berries and boiled coffee, and 1 point for intake below the median of vegetables, bread and fibre. Hazard ratios (HR) for mortality were calculated by Cox regression. RESULTS: Increasing traditional Sami diet scores were associated with slightly elevated all-cause mortality in men [Multivariate HR per 1-point increase in score 1.04 (95% CI 1.01-1.07), p=0.018], but not for women [Multivariate HR 1.03 (95% CI 0.99-1.07), p=0.130]. This increased risk was approximately equally attributable to cardiovascular disease and cancer, though somewhat more apparent for cardiovascular disease mortality in men free from diabetes, hypertension and obesity at baseline [Multivariate HR 1.10 (95% CI 1.01-1.20), p=0.023]. CONCLUSIONS: A weak increased all-cause mortality was observed in men with higher traditional Sami diet scores. However, due to the complexity in defining a "traditional Sami" diet, and the limitations of our questionnaire for this purpose, the study should be considered exploratory, a first attempt to relate a "traditional Sami" dietary pattern to health endpoints. Further investigation of cohorts with more detailed information on dietary and lifestyle items relevant for traditional Sami culture is warranted. Originally included in thesis in submitted form with the title "Sami diet and mortality in a northern Swedish population" |
format |
Article in Journal/Newspaper |
author |
Nilsson, Lena Maria Winkvist, Anna Brustad, Magritt Jansson, Jan-Håkan Johansson, Ingegerd Lenner, Per Lindahl, Bernt Van Guelpen, Bethany |
author_facet |
Nilsson, Lena Maria Winkvist, Anna Brustad, Magritt Jansson, Jan-Håkan Johansson, Ingegerd Lenner, Per Lindahl, Bernt Van Guelpen, Bethany |
author_sort |
Nilsson, Lena Maria |
title |
A traditional Sami diet score as a determinant of mortality in a general northern Swedish population |
title_short |
A traditional Sami diet score as a determinant of mortality in a general northern Swedish population |
title_full |
A traditional Sami diet score as a determinant of mortality in a general northern Swedish population |
title_fullStr |
A traditional Sami diet score as a determinant of mortality in a general northern Swedish population |
title_full_unstemmed |
A traditional Sami diet score as a determinant of mortality in a general northern Swedish population |
title_sort |
traditional sami diet score as a determinant of mortality in a general northern swedish population |
publisher |
Umeå universitet, Näringsforskning |
publishDate |
2012 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57076 https://doi.org/10.3402/ijch.v71i0.18537 |
genre |
Circumpolar Health International Journal of Circumpolar Health sami sami |
genre_facet |
Circumpolar Health International Journal of Circumpolar Health sami sami |
op_relation |
International Journal of Circumpolar Health, 1239-9736, 2012, 71, orcid:0000-0002-2354-7258 orcid:0000-0002-9692-101X http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-57076 doi:10.3402/ijch.v71i0.18537 PMID 22584519 ISI:000308232900001 Scopus 2-s2.0-84866755414 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3402/ijch.v71i0.18537 |
container_title |
International Journal of Circumpolar Health |
container_volume |
71 |
container_issue |
1 |
container_start_page |
18537 |
_version_ |
1779313825641660416 |