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Association between snus use and lipid status in Swedish men
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Medicine.ORCID iD: 0000-0002-2866-8972
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Medicine.ORCID iD: 0000-0001-9225-1306
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.ORCID iD: 0000-0002-1617-6102
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2023 (English)In: Scandinavian Journal of Clinical and Laboratory Investigation, ISSN 0036-5513, E-ISSN 1502-7686, Vol. 83, no 4, p. 241-250Article in journal (Refereed) Published
Abstract [en]

Snus is a common tobacco product in Sweden, but the cardiovascular risk profile for snus users is less known than for cigarette smokers. We examined the association of snus use with lipid status, particularly in comparison to non-tobacco use and cigarette smoking, using data from 5930 men in the Northern Sweden MONICA study. Tobacco use was self-reported in 1986 to 2014 (24.4% used snus) and blood samples were collected at the same time. Harmonized analyses on non-high-density lipoprotein (non-HDL) cholesterol, HDL cholesterol, and triglycerides were conducted in 2016 to 2018. Three hundred eighty-one snus users had also been examined more than once, allowing us to study the effect of discontinued use (achieved by 21.0%). In multivariable linear regression models, snus use was associated with higher HDL cholesterol and triglyceride concentrations compared to non-tobacco use (p values ≤ 0.04), and it was associated with higher HDL cholesterol concentrations and lower triglyceride concentrations compared to cigarette smoking (p values ≤ 0.02). Snus use was not associated with non-HDL cholesterol concentrations, irrespective of the comparison group (p values ≥ 0.07). There was no indication that higher intensity of snus use led to a worse lipid profile, given that high-consumers had higher HDL cholesterol concentrations than low-consumers (p value = 0.02), or that discontinuation of snus use led to a better lipid profile, given that continued users had lower triglyceride concentrations than discontinued users (p value = 0.03). Further studies are needed to confirm or refute our findings.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 83, no 4, p. 241-250
Keywords [en]
apolipoproteins, cholesterol, cigarettes, lipids, smokeless tobacco, snus, Tobacco, triglycerides
National Category
Public Health, Global Health, Social Medicine and Epidemiology Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:umu:diva-209125DOI: 10.1080/00365513.2023.2209915ISI: 000986159300001Scopus ID: 2-s2.0-85159146553OAI: oai:DiVA.org:umu-209125DiVA, id: diva2:1763613
Funder
Norrbotten County CouncilRegion VästerbottenRegion VästernorrlandUmeå UniversityAvailable from: 2023-06-07 Created: 2023-06-07 Last updated: 2023-09-28Bibliographically approved

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Byhamre, Marja LisaEliasson, MatsSöderberg, StefanWennberg, PatrikOskarsson, Viktor

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Scandinavian Journal of Clinical and Laboratory Investigation
Public Health, Global Health, Social Medicine and EpidemiologyCardiac and Cardiovascular Systems

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CiteExportLink to record
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