Logo: to the web site of Uppsala University

uu.sePublications from Uppsala University
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Dietary habits among snus users: a population-based cross-sectional study
Dept Hlth & Med Serv, Luleå, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Dept Hlth & Med Serv, Luleå, Sweden..ORCID iD: 0000-0002-8081-7090
Umeå Univ, Dept Publ Hlth & Clin Med, Umeå, Sweden..
Umeå Univ, Dept Publ Hlth & Clin Med, Umeå, Sweden..
Show others and affiliations
2023 (English)In: Food & Nutrition Research, ISSN 1654-6628, E-ISSN 1654-661X, Vol. 67, article id 9537Article in journal (Refereed) Published
Abstract [en]

Background: The dietary habits among snus users are largely unknown and have not been accounted for in observational studies on the health effects of snus use.

Aim: To examine whether snus users eat unhealthier than never tobacco users.

Methods: A total of 3,397 male participants, examined between 1994 and 2014 in the Northern Sweden Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) study, were included. Snus use and dietary habits were self-reported using questionnaires, from which intakes of different food groups, macronutrients, and a healthy diet score (HDS) were calculated (the latter as a proxy for overall diet quality). The association between snus use and dietary habits was examined by quantile regression models.

Results: In the multivariable-adjusted model, current snus users had a lower HDS (median difference: -0.86 [95% confidence interval: -1.32, -0.40]) than never tobacco users. Snus users also consumed fewer weekly servings of fruits and berries (median difference: -1.03 [-1.65, -0.40]), and their estimated percentage of energy intake con -sisted of less carbohydrates (median difference: -1.43 [-2.12, -0.74]) and of more total fat (median difference: 0.99 [0.30, 1.67]), saturated fat (median difference: 0.67 [0.29, 1.05]), monounsaturated fat (median difference: 0.44 [0.20, 0.68]), trans fat (median difference: 0.03 [0.01, 0.06]), and alcohol (median difference: 0.21 [0.02, 0.40]).

Conclusion: We observed that snus users had an unhealthier diet than never tobacco users. Future studies on the association between snus use and health outcomes should, therefore, consider diet as a potential confounder.

Place, publisher, year, edition, pages
SNF Swedish Nutrition Foundation , 2023. Vol. 67, article id 9537
Keywords [en]
tobacco, smokeless tobacco, snus, diet, food, beverages
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:uu:diva-514912DOI: 10.29219/fnr.v67.9537ISI: 001078347000001PubMedID: 37691745OAI: oai:DiVA.org:uu-514912DiVA, id: diva2:1807806
Available from: 2023-10-27 Created: 2023-10-27 Last updated: 2023-10-27Bibliographically approved

Open Access in DiVA

fulltext(543 kB)28 downloads
File information
File name FULLTEXT01.pdfFile size 543 kBChecksum SHA-512
fba8e83a82ff725d0bda2aed56fa1e88c16d74a5cd575bda9e893932dfd13ed8b5ebc14947d3c55a5f5c443f569afb2bce93ef964a985b1580e2c996c4eadeff
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records

Törmä, Johanna

Search in DiVA

By author/editor
Törmä, Johanna
By organisation
Clinical Nutrition and MetabolismHealth Services Research
In the same journal
Food & Nutrition Research
Public Health, Global Health, Social Medicine and EpidemiologyNutrition and Dietetics

Search outside of DiVA

GoogleGoogle Scholar
Total: 28 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 135 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf