Abstract

The objective of this study was to assess the association between tobacco/nicotine use and type and intensity of sport. Data were drawn from the second follow-up of the Cohort Study on Substance Use Risk Factors. Young Swiss men completed a questionnaire about tobacco/nicotine use (cigarette, vaping, snus, snuff), type and intensity of sport and other demographic and medical variables. Among the 5414 included participants (mean age 25.5), 3434 (63.4%) reported regularly practicing a sport. They had a lower rate of cigarette smoking (32.3%) compared with participants not practicing a sport (44.6%) but a higher rate of snus use (15.0% vs. 10.0%). In adjusted models, individual-sport participants were less likely to use snus and snuff (OR = 0.63, 95% CI = 0.51–0.77 and OR = 0.73, 95% CI = 0.61–0.88), compared with team-sport participants. The association was inversed for vaping users (OR = 1.54, 95% CI = 1.03–2.30). Furthermore, participants who practiced high-intensity sports had a lower likelihood to smoke cigarettes (OR = 0.63, 95% CI = 0.52–0.78) compared with low-intensity sports. Our findings suggest that type and intensity of sport are associated with tobacco/nicotine use. Youth who practice an individual sport are less likely to use snus or snuff and more likely to vape compared with a team sport. This could help better target smoking prevention in young people

Highlights

  • Noncommunicable diseases are increasing worldwide and lifestyle, including tobacco use and physical activity, is a major influencing factor

  • There were no statistically significant differences between excluded and included participants according to age (p = 0.722), spoken language (p = 0.874), cigarette smoking (p = 0.631), snus use (p = 0.787) or body mass index (BMI) (p = 0.270)

  • Compared to the literature [22,23], our study found the same results in Switzerland than in Finland and Norway according to the type of sport and snus use, namely, snus prevalence is higher among those who practice a team sport

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Summary

Introduction

Noncommunicable diseases are increasing worldwide and lifestyle, including tobacco use and physical activity, is a major influencing factor. Tobacco is an important risk factor for cancers [1], cardiovascular diseases, respiratory diseases and many other pathologies [2]. Smokeless tobacco products are risk factors for cancer, especially pancreas cancer, fatal myocardial infarction and other diseases [3]. Tobacco use has an environmental and economic impact [4]. Res. Public Health 2020, 17, 8299; doi:10.3390/ijerph17228299 www.mdpi.com/journal/ijerph

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