Snus use during the life-course and risk of the metabolic syndrome and its components

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Byhamre, Marja LisaUmeå universitet,Allmänmedicin,Umea Univ, Dept Publ Hlth & Clin Med, Family Med, SE-90185 Umea, Sweden. (author)

Snus use during the life-course and risk of the metabolic syndrome and its components

Article/chapterEnglish2017

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2017-07-04
Sage Publications,2017
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LIBRIS-ID:oai:DiVA.org:umu-143321
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-143321URI
https://doi.org/10.1177/1403494817706631DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-340295URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Objective: We aimed to investigate the association between life-course exposure to snus and prevalence of the metabolic syndrome and its components in adulthood.Design and method: Tobacco habits at baseline (age 16) and three follow-ups (ages 21, 30 and 43) were assessed among 880 participants in a population-based cohort in Northern Sweden. Presence of the metabolic syndrome at age 43 was ascertained using the International Diabetes Federation criteria. Odds ratios and CIs for risk of the metabolic syndrome and its components by snus use at 16, 21, 30 and 43 years were calculated using logistic regression. Cumulative snus use was defined as number of life periods (1-4) with current snus use.Results: At age 43, 164 participants (18.6%) were current snus users. We found no association between exclusive snus use at the ages of 16, 21, 30 and 43 years and the metabolic syndrome at age 43 years. Snus use (among non-smokers) was associated with raised triglycerides and high blood pressure in crude analysis, but not in multivariable models. There was no association between cumulative snus use and risk of the metabolic syndrome. Cumulative snus use was associated with central obesity, raised triglycerides and impaired fasting glucose/diabetes mellitus type 2 in crude analyses, but not after adjustments.Conclusion: The health consequences of snus exposure from adolescence to mid-adulthood do not seem to include increased risk of the metabolic syndrome or its components. The cardio-metabolic risk of dual exposure to snus and cigarettes may warrant further attention.

Subject headings and genre

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 hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
Swedish moist snuff
hypertension
life-course
metabolic syndrome
metsy
obesity
smokeless tobacco
snus
triglycerides

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Gustafsson, Per E.Umeå universitet,Epidemiologi och global hälsa,Umea Univ, Dept Publ Hlth & Clin Med, Epidemiol & Global Hlth, Umea, Sweden.(Swepub:umu)pegu0008 (author)
Jansson, Jan-HåkanUmeå universitet,Medicin,Umea Univ, Dept Publ Hlth & Clin Med, Skelleftea Res Unit, Umea, Sweden.(Swepub:umu)jaja0006 (author)
Wennberg, MariaUmeå universitet,Näringsforskning,Umea Univ, Dept Publ Hlth & Clin Med, Nutr Res, Umea, Sweden.(Swepub:umu)mawe0024 (author)
Hammarström, AnneUppsala universitet,Folkhälsovetenskap(Swepub:uu)annha683 (author)
Wennberg, PatrikUmeå universitet,Allmänmedicin,Umea Univ, Dept Publ Hlth & Clin Med, Family Med, SE-90185 Umea, Sweden.(Swepub:umu)pawe0002 (author)
Umeå universitetAllmänmedicin (creator_code:org_t)

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In:Scandinavian Journal of Public Health: Sage Publications45:8, s. 733-7401403-49481651-1905

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