A traditional Sami diet score as a determinant of mortality in a general northern Swedish population
2012 (English)In: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 71, 18537Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
CoAction Publishing, 2012. Vol. 71, 18537
the VIP cohort, Sami, traditional food, traditional lifestyle, mortality
Public Health, Global Health, Social Medicine and Epidemiology Nutrition and Dietetics
IdentifiersURN: urn:nbn:se:umu:diva-57076DOI: 10.3402/ijch.v71i0.18537ISI: 000308232900001PubMedID: 22584519OAI: oai:DiVA.org:umu-57076DiVA: diva2:539466
FunderSwedish Research CouncilForte, Swedish Research Council for Health, Working Life and Welfare
Originally included in thesis in submitted form with the title "Sami diet and mortality in a northern Swedish population"2012-07-042012-07-042016-05-18Bibliographically approved