A traditional Sami diet score as a determinant of mortality in a general northern Swedish population

Objectives. To examine the relationship between “traditional Sami” dietary pattern and mortality in a general northern Swedish population. Study design . Population-based cohort study. Methods. We examined 77,319 subjects from the Västerbotten Intervention Program (V...

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Main Authors: Lena Maria Nilsson, Anna Winkvist, Magritt Brustad, Jan-Håkan Jansson, Ingegerd Johansson, Per Lenner, Bernt Lindahl, Bethany Van Guelpen
Format: Article
Language:English
Published: Taylor & Francis Group 2012-05-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/18537/pdf_1
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spelling doaj-87b366d2d4ea4e57a627d9b87922bcaa2020-11-24T21:15:53ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822012-05-0171011210.3402/ijch.v71i0.18537A traditional Sami diet score as a determinant of mortality in a general northern Swedish populationLena Maria NilssonAnna WinkvistMagritt BrustadJan-Håkan JanssonIngegerd JohanssonPer LennerBernt LindahlBethany Van GuelpenObjectives. To examine the relationship between “traditional Sami” dietary pattern and mortality in a general northern Swedish population. Study design . Population-based cohort study. Methods. We examined 77,319 subjects from the Västerbotten Intervention Program (VIP) cohort. A traditional Sami diet score was constructed by adding 1 point for intake above the median level of red meat, fatty fish, total fat, berries and boiled coffee, and 1 point for intake below the median of vegetables, bread and fibre. Hazard ratios (HR) for mortality were calculated by Cox regression. Results. Increasing traditional Sami diet scores were associated with slightly elevated all-cause mortality in men [Multivariate HR per 1-point increase in score 1.04 (95% CI 1.01–1.07), p=0.018], but not for women [Multivariate HR 1.03 (95% CI 0.99–1.07), p=0.130]. This increased risk was approximately equally attributable to cardiovascular disease and cancer, though somewhat more apparent for cardiovascular disease mortality in men free from diabetes, hypertension and obesity at baseline [Multivariate HR 1.10 (95% CI 1.01–1.20), p=0.023]. Conclusions. A weak increased all-cause mortality was observed in men with higher traditional Sami diet scores. However, due to the complexity in defining a “traditional Sami” diet, and the limitations of our questionnaire for this purpose, the study should be considered exploratory, a first attempt to relate a “traditional Sami” dietary pattern to health endpoints. Further investigation of cohorts with more detailed information on dietary and lifestyle items relevant for traditional Sami culture is warranted.http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/18537/pdf_1the VIP cohortSami, traditional foodtraditional lifestylemortality
collection DOAJ
language English
format Article
sources DOAJ
author Lena Maria Nilsson
Anna Winkvist
Magritt Brustad
Jan-Håkan Jansson
Ingegerd Johansson
Per Lenner
Bernt Lindahl
Bethany Van Guelpen
spellingShingle Lena Maria Nilsson
Anna Winkvist
Magritt Brustad
Jan-Håkan Jansson
Ingegerd Johansson
Per Lenner
Bernt Lindahl
Bethany Van Guelpen
A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
International Journal of Circumpolar Health
the VIP cohort
Sami, traditional food
traditional lifestyle
mortality
author_facet Lena Maria Nilsson
Anna Winkvist
Magritt Brustad
Jan-Håkan Jansson
Ingegerd Johansson
Per Lenner
Bernt Lindahl
Bethany Van Guelpen
author_sort Lena Maria Nilsson
title A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
title_short A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
title_full A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
title_fullStr A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
title_full_unstemmed A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
title_sort traditional sami diet score as a determinant of mortality in a general northern swedish population
publisher Taylor & Francis Group
series International Journal of Circumpolar Health
issn 2242-3982
publishDate 2012-05-01
description Objectives. To examine the relationship between “traditional Sami” dietary pattern and mortality in a general northern Swedish population. Study design . Population-based cohort study. Methods. We examined 77,319 subjects from the Västerbotten Intervention Program (VIP) cohort. A traditional Sami diet score was constructed by adding 1 point for intake above the median level of red meat, fatty fish, total fat, berries and boiled coffee, and 1 point for intake below the median of vegetables, bread and fibre. Hazard ratios (HR) for mortality were calculated by Cox regression. Results. Increasing traditional Sami diet scores were associated with slightly elevated all-cause mortality in men [Multivariate HR per 1-point increase in score 1.04 (95% CI 1.01–1.07), p=0.018], but not for women [Multivariate HR 1.03 (95% CI 0.99–1.07), p=0.130]. This increased risk was approximately equally attributable to cardiovascular disease and cancer, though somewhat more apparent for cardiovascular disease mortality in men free from diabetes, hypertension and obesity at baseline [Multivariate HR 1.10 (95% CI 1.01–1.20), p=0.023]. Conclusions. A weak increased all-cause mortality was observed in men with higher traditional Sami diet scores. However, due to the complexity in defining a “traditional Sami” diet, and the limitations of our questionnaire for this purpose, the study should be considered exploratory, a first attempt to relate a “traditional Sami” dietary pattern to health endpoints. Further investigation of cohorts with more detailed information on dietary and lifestyle items relevant for traditional Sami culture is warranted.
topic the VIP cohort
Sami, traditional food
traditional lifestyle
mortality
url http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/18537/pdf_1
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