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A nationwide case-control study on cardiovascular and respiratory-related disorders in patients with gambling disorder in Sweden

Abdul Rahim, Yassir LU orcid ; Fernández-Aranda, Fernando ; Jiménez-Murcia, Susana and Håkansson, Anders C LU (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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author
; ; and
organization
publishing date
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
  • pmid:37716175
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
2023-12-15 03:00:18
@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}},
}