title: Physical Activity and Snus: Is There a Link?
abstract: The study aimed at assessing the link between physical activity (PA), sports activity and snus use among young men in Switzerland. Data from the Cohort Study on Substance Use Risk Factors (C-SURF) were used to measure PA with the International Physical Activity Questionnaire and sports activity with a single item. Multivariate logistic regression analysis was conducted to measure the association between snus use, PA and sports activity. Similar models were run for smoking and snuff use. Snus use increased in a dose-response association with PA (high level: OR = 1.72; 95% CI 1.16-2.55) and with individuals exercising once a week or more often (OR = 1.65; 95% CI 1.26-2.16; p < 0.001) or almost every day (OR = 2.27; 95% CI 1.72-3.01; p < 0.001) in separate models. Entered simultaneously, only sports and exercise maintained a basically unchanged significant dose-response relationship, whereas PA became non-significant. A non-significant dose-response relation was found for cigarette smoking and snuff use, indicating that the association with sport is specific to snus and not to tobacco use in general or smokeless tobacco in particular. This study showed that the association between snus use and sports is not specific to Nordic countries.
authors.affiliation: Department for Ambulatory Care and Community Medicine, University of Lausanne, Rue du Bugnon 44, 1011 Lausanne, Switzerland. steph.henninger@gmail.com.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Henninger
authors.affiliation: Department for Ambulatory Care and Community Medicine, University of Lausanne, Rue du Bugnon 44, 1011 Lausanne, Switzerland. Roland.Fischer@chuv.ch.
authors.forename: Roland
authors.initials: R
authors.lastname: Fischer
authors.affiliation: Department for Ambulatory Care and Community Medicine, University of Lausanne, Rue du Bugnon 44, 1011 Lausanne, Switzerland. Jacques.Cornuz@chuv.ch.
authors.forename: Jacques
authors.initials: J
authors.lastname: Cornuz
authors.affiliation: Alcohol Treatment Centre, Lausanne University Hospital CHUV, Rue du Bugnon 46, 1011 Lausanne, Switzerland. Joseph.Studer@chuv.ch.
authors.forename: Joseph
authors.initials: J
authors.lastname: Studer
authors.affiliation: Alcohol Treatment Centre, Lausanne University Hospital CHUV, Rue du Bugnon 46, 1011 Lausanne, Switzerland. Gerhard.Gmel@chuv.ch.|Addiction Suisse, Av. Louis-Ruchonnet 14, 1003 Lausanne, Switzerland. Gerhard.Gmel@chuv.ch.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Gmel
mesh_terms: D000293:Adolescent; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D015444:Exercise; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D013177:Sports; D011795:Surveys and Questionnaires; D013557:Switzerland / Q000453:epidemiology; D064424:Tobacco Use / Q000453:epidemiology*; D014030:Tobacco, Smokeless / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: education—youth prevention; smokeless tobacco; youth tobacco use