A nationwide case-control study on cardiovascular and respiratory-related disorders in patients with gambling disorder in Sweden
(2023) In Public Health 224. p.45-50- Abstract
- Objectives: We aimed to examine potential relationships and gender differences between cardiovascular disease (CVD), diabetes, obesity, respiratory-related disorders, and gambling disorder (GD). We hypothesized that (1) GD patients would be more likely than controls to have CVD, diabetes, obesity, and respiratory-related diseases; and (2) females with GD would be more likely than men with GD to have CVD, diabetes, obesity, and respiratory-related diseases.
Study design: National retrospective case-control study.
Methods: We used data from the Swedish National Board of Health and Welfare between 2005 and 2019. A total of 10,766 patients were included, and 3592 of them had GD. Every GD patient was matched with two age-and... (More) - Objectives: We aimed to examine potential relationships and gender differences between cardiovascular disease (CVD), diabetes, obesity, respiratory-related disorders, and gambling disorder (GD). We hypothesized that (1) GD patients would be more likely than controls to have CVD, diabetes, obesity, and respiratory-related diseases; and (2) females with GD would be more likely than men with GD to have CVD, diabetes, obesity, and respiratory-related diseases.
Study design: National retrospective case-control study.
Methods: We used data from the Swedish National Board of Health and Welfare between 2005 and 2019. A total of 10,766 patients were included, and 3592 of them had GD. Every GD patient was matched with two age-and gender-matched controls. Patient data, including the history of medical diagnoses, were extracted. Descriptive statistics, Chi-squared and Fisher's exact tests were used to compare GD patients and controls.
Results: GD patients had a higher prevalence of CVD and respiratory-related disorders than controls. Diabetes rates were 5% for GD patients and 2% for controls; CVD (18% vs 12%); respiratory-related disease (7% vs 4%); and obesity (7% vs 3%). Women with a diagnosis of GD have a higher prevalence of obesity and somatic comorbidities other than diabetes compared to men.
Conclusions: This is the largest case-control study conducted to date showing GD patients have a higher prevalence of CVD, diabetes, obesity, and respiratory-related disorders than controls. Women with GD appear to be more susceptible than men to CVD, obesity, and respiratory-related disorders; however, this may be partially explained by differences in help-seeking behavior. Thus, our findings highlight the importance of early identification of GD patients who may also have somatic conditions requiring treatment. This can be accomplished by implementing a screening program for GD, CVD, diabetes, obesity, and respiratory-related disorders, and by including healthy lifestyle management strategies. (Less)
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https://lup.lub.lu.se/record/46329870-3051-4144-861d-3f907b0253dd
- author
- Abdul Rahim, Yassir
LU
; Fernández-Aranda, Fernando ; Jiménez-Murcia, Susana and Håkansson, Anders C LU
- organization
- publishing date
- 2023-09-14
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Gambling disorder, Cardiovascular disorders, Respiratory-related disorders, Diabetes, Obesity, Case-control study, Pathological gambling
- in
- Public Health
- volume
- 224
- pages
- 45 - 50
- publisher
- Elsevier
- external identifiers
-
- scopus:85170654152
- ISSN
- 1476-5616
- DOI
- 10.1016/j.puhe.2023.08.018
- language
- English
- LU publication?
- yes
- id
- 46329870-3051-4144-861d-3f907b0253dd
- date added to LUP
- 2023-09-14 21:20:55
- date last changed
- 2023-10-20 04:00:06
@article{46329870-3051-4144-861d-3f907b0253dd, abstract = {{Objectives: We aimed to examine potential relationships and gender differences between cardiovascular disease (CVD), diabetes, obesity, respiratory-related disorders, and gambling disorder (GD). We hypothesized that (1) GD patients would be more likely than controls to have CVD, diabetes, obesity, and respiratory-related diseases; and (2) females with GD would be more likely than men with GD to have CVD, diabetes, obesity, and respiratory-related diseases.<br/><br/>Study design: National retrospective case-control study.<br/><br/>Methods: We used data from the Swedish National Board of Health and Welfare between 2005 and 2019. A total of 10,766 patients were included, and 3592 of them had GD. Every GD patient was matched with two age-and gender-matched controls. Patient data, including the history of medical diagnoses, were extracted. Descriptive statistics, Chi-squared and Fisher's exact tests were used to compare GD patients and controls. <br/><br/>Results: GD patients had a higher prevalence of CVD and respiratory-related disorders than controls. Diabetes rates were 5% for GD patients and 2% for controls; CVD (18% vs 12%); respiratory-related disease (7% vs 4%); and obesity (7% vs 3%). Women with a diagnosis of GD have a higher prevalence of obesity and somatic comorbidities other than diabetes compared to men. <br/><br/>Conclusions: This is the largest case-control study conducted to date showing GD patients have a higher prevalence of CVD, diabetes, obesity, and respiratory-related disorders than controls. Women with GD appear to be more susceptible than men to CVD, obesity, and respiratory-related disorders; however, this may be partially explained by differences in help-seeking behavior. Thus, our findings highlight the importance of early identification of GD patients who may also have somatic conditions requiring treatment. This can be accomplished by implementing a screening program for GD, CVD, diabetes, obesity, and respiratory-related disorders, and by including healthy lifestyle management strategies.}}, author = {{Abdul Rahim, Yassir and Fernández-Aranda, Fernando and Jiménez-Murcia, Susana and Håkansson, Anders C}}, issn = {{1476-5616}}, keywords = {{Gambling disorder; Cardiovascular disorders; Respiratory-related disorders; Diabetes; Obesity; Case-control study; Pathological gambling}}, language = {{eng}}, month = {{09}}, pages = {{45--50}}, publisher = {{Elsevier}}, series = {{Public Health}}, title = {{A nationwide case-control study on cardiovascular and respiratory-related disorders in patients with gambling disorder in Sweden}}, url = {{http://dx.doi.org/10.1016/j.puhe.2023.08.018}}, doi = {{10.1016/j.puhe.2023.08.018}}, volume = {{224}}, year = {{2023}}, }