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Snus use during the life-course and risk of the metabolic syndrome and its components
Umea Univ, Dept Publ Hlth & Clin Med, Family Med, SE-90185 Umea, Sweden..
Umea Univ, Dept Publ Hlth & Clin Med, Epidemiol & Global Hlth, Umea, Sweden..
Umea Univ, Dept Publ Hlth & Clin Med, Skelleftea Res Unit, Umea, Sweden..
Umea Univ, Dept Publ Hlth & Clin Med, Nutr Res, Umea, Sweden..
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2017 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 45, no 8, p. 733-740Article in journal (Refereed) Published
Abstract [en]

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.

Conclusions: 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.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2017. Vol. 45, no 8, p. 733-740
Keywords [en]
Swedish moist snuff, snus, smokeless tobacco, metabolic syndrome, metsy, obesity, hypertension, triglycerides, life-course
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-340295DOI: 10.1177/1403494817706631ISI: 000418185200001PubMedID: 28673132OAI: oai:DiVA.org:uu-340295DiVA, id: diva2:1178191
Funder
Swedish Society of MedicineAvailable from: 2018-01-29 Created: 2018-01-29 Last updated: 2018-01-29Bibliographically approved

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