Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Int J Eat Disord. 2019 Jul;52(7):846-854. doi: 10.1002/eat.23085. Epub 2019 Apr 29.
Although cigarette smoking has been linked to weight-related concerns and unhealthy weight control practices, little is known about weight dissatisfaction and eating among adolescents who use smokeless tobacco (SLT) products. The use of Swedish moist snuff (snus) has increased dramatically over recent years, surpassing cigarette smoking among young people in several countries. This study investigated differences in unhealthy eating behaviors and weight dissatisfaction in male and female adolescents who never, occasionally, or regularly use snus.
Adolescents aged 16-19 years enrolled in high school (11th, 12th, and 13th grades) completed a cross-sectional, online survey of adolescent health and well-being. Meal skipping and snus use frequency were assessed in the total sample (N = 23,622), and items assessing weight dissatisfaction (n = 4,195) and eating-related pathology (n = 3,563) were administered to subsamples. Analyses were adjusted for cigarette smoking, parental education, and socioeconomic status.
Adolescents who used snus, especially on a daily basis, reported less regular breakfast, lunch, and dinner consumption. Females who used snus on an occasional basis reported significantly more disturbed eating pathology. Snus use was associated with weight dissatisfaction in males and females, manifesting differentially according to gender and snus use frequency.
Unhealthy eating behaviors and weight dissatisfaction were significantly elevated among snus users aged 16-19 years. An increased awareness that occasional snus use may signal disturbed eating pathology among adolescent females is important for detection and prevention efforts. Parents, schools, and health professionals should be vigilant for possible snus use among weight-dissatisfied adolescents.
尽管吸烟与体重相关问题和不健康的体重控制行为有关，但对于使用无烟烟草（SLT）产品的青少年的体重不满和饮食问题知之甚少。近年来，瑞典湿鼻烟（鼻烟）的使用急剧增加，在几个国家超过了青少年吸烟的比例。本研究调查了从不、偶尔或经常使用鼻烟的男、女青少年在不健康饮食行为和体重不满方面的差异。
年龄在 16-19 岁的高中生（11、12、13 年级）参加了一项青少年健康和幸福感的横断面在线调查。在总样本（N=23622）中评估了不吃早餐和鼻烟使用频率，在亚样本中评估了体重不满（n=4195）和与饮食相关的病理学（n=3563）的项目。分析调整了吸烟、父母教育和社会经济地位的影响。
使用鼻烟的青少年，尤其是经常使用的青少年，报告说规律吃早餐、午餐和晚餐的次数较少。偶尔使用鼻烟的女性报告有明显更多的饮食失调病理学。在男性和女性中，使用鼻烟与体重不满有关，表现出根据性别和鼻烟使用频率的差异。
16-19 岁的鼻烟使用者的不健康饮食行为和体重不满明显升高。对于偶尔使用鼻烟可能表明青春期女性饮食失调病理学的增加，这对于检测和预防工作很重要。家长、学校和卫生专业人员应该警惕可能对体重不满的青少年使用鼻烟的情况。
