Study Title
Smokeless tobacco use and public health nutrition: a global systematic review
Principal Investigator
Shikha Saxena, Prashant Kumar Singh, Lucky Singh, Shekhar Kashyap, Shalini Singh
Affiliation
Division of Preventive Oncology, National Institute of Cancer Prevention and Research, Indian Council of Medical Research, India; ICMR National Institute of Medical Statistics, New Delhi, India; Department of Cardiology, Army Research & Referral Hospital, New Delhi, India
Start Date
Not specified
End Date
Not specified
Study Objective
To review global evidence on the impact of smokeless tobacco (SLT) use on public health nutrition, including factors such as BMI, malnutrition, anemia, poor birth outcomes, and metabolic disorders.
Short Abstract
This systematic review explores the global health consequences of smokeless tobacco use on nutrition-related factors. It highlights the negative effects of SLT on body weight, oral health, nutritional intake, and metabolic disorders. The review shows that SLT use contributes to food insecurity, poor birth outcomes, and malnutrition, emphasizing the need for integrated tobacco control and public health nutrition efforts to mitigate these effects.
Study Design
Systematic review of studies published between January 2000 and December 2020
Population
Global population, including a wide age range (children, adults, and pregnant women)
Sample Size
34 studies
Inclusion Criteria
Primary research published in English, examining SLT’s impact on nutrition-related outcomes (e.g., BMI, malnutrition, anemia, birth outcomes, metabolic disorders)
Exclusion Criteria
Studies focused solely on smoking, animal studies, non-peer-reviewed literature
Intervention/Exposure
Smokeless tobacco (SLT), including products like snuff, chewing tobacco, and mishri
Outcome Measures
BMI, malnutrition, anemia, birth outcomes, metabolic disorders, and food insecurity
Funding Source
National Institute for Health Research (NIHR), UK
Collaborating Institutions
National Institute of Cancer Prevention and Research, ICMR National Institute of Medical Statistics, Army Research & Referral Hospital
Ethics Approval
Not applicable (systematic review)
Publication Status
Published in Public Health Nutrition, May 2022
Keywords
Smokeless tobacco, public health nutrition, malnutrition, BMI, metabolic disorders, food insecurity
Data Collection Methods
Systematic review using PubMed and Scopus databases
Primary Data Availability
Not applicable
Contact Information
Shikha Saxena (