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Smokeless tobacco (...
Smokeless tobacco (snus) is associated with an increased risk of type 2 diabetes : results from five pooled cohorts
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- Carlsson, S (author)
- Karolinska Institutet,Karolinska Institute
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- Andersson, T (author)
- Karolinska Institutet,Karolinska Institute
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- Araghi, M (author)
- Karolinska Institute
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- Galanti, R (author)
- Karolinska Institutet,Stockholm County Council
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- Lager, A (author)
- Karolinska Institutet,Stockholm County Council
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- Lundberg, M (author)
- Karolinska Institutet,Karolinska Institute
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- Nilsson, Peter M (author)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital
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- Norberg, Margareta (author)
- Umeå University,Umeå universitet,Epidemiologi och global hälsa
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- Pedersen, N L (author)
- Karolinska Institutet,Karolinska Institute
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- Trolle-Lagerros, Y (author)
- Karolinska Institutet,Karolinska Institute
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- Magnusson, C. (author)
- Karolinska Institutet,Karolinska Institute
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(creator_code:org_t)
- 2017-02-06
- 2017
- English.
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In: Journal of Internal Medicine. - : Wiley. - 0954-6820 .- 1365-2796. ; 281:4, s. 398-406
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Abstract
Subject headings
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- BACKGROUND: Smoking and nicotine exposure increase insulin resistance and the risk of type 2 diabetes. Swedish smokeless tobacco (snus) is high in nicotine, and its use is prevalent in Scandinavian countries, but few studies have investigated snus use in relation to diabetes risk.OBJECTIVE: To explore the association between snus use and risk of type 2 diabetes using pooled data from five cohorts.METHODS: Analyses were based on prospective studies conducted between 1990 and 2013 including 54 531 never-smoking men and 2441 incident cases of type 2 diabetes identified through screening, self-reporting and hospital and prescription registries. Hazard ratios (HRs) and 95% confidence intervals (CIs) were assessed and adjusted for age, body mass index, educational level, alcohol consumption and physical activity.RESULTS: Compared to never users, the HR of type 2 diabetes was 1.15 (95% CI: 1.00-1.32) in current users of snus. In individuals consuming 5-6 boxes per week, the HR was 1.42 (95% CI: 1.07-1.87); in those consuming ≥7 boxes per week, the HR was 1.68 (95% CI: 1.17-2.41). Each additional box of snus consumed per week yielded an HR of 1.08 (95% CI: 1.01-1.16).CONCLUSION: Our findings indicate that high consumption of snus is a risk factor for type 2 diabetes. The risk was similar to that in smokers, implying that smokers will not reduce their risk of type 2 diabetes by changing to snus use. The results also support the notion that nicotine increases the risk of type 2 diabetes.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Beroendelära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Substance Abuse (hsv//eng)
Keyword
- meta-analysis
- public health
- tobacco
- type 2 diabetes
- Meta-analysis
- Public health
- Tobacco
- Type 2 diabetes
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Carlsson, S
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Andersson, T
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Araghi, M
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Galanti, R
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Lager, A
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Lundberg, M
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show more...
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Nilsson, Peter M
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Norberg, Margare ...
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Pedersen, N L
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Trolle-Lagerros, ...
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Magnusson, C.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Substance Abuse
- Articles in the publication
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Journal of Inter ...
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Umeå University
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Lund University
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Karolinska Institutet