Walking, biking or sport: how Spanish women attending breast cancer screening meet physical activity recommendations?

• Published in: European journal of public health 2015-10, Vol.25 (5), p.857-863
• Main Authors: Peiró-Pérez, Rosana, Salas, Dolores, Vallés, Guillermo, Abad-Fernandez, Ma Soledad, Vidal, Carmen, Sanchez-Contador Escudero, Carmen, Ascunce-Elizaga, Nieves, Zubizarreta, Raquel, Pedraz, Carmen, Pérez-Gómez, Beatriz, Navarrete-Muñoz, Eva María, Vioque, Jesús, Pollán, Marina
• Format: Article
• Language: English
• Subjects: Aged; Bicycling; Bicycling - statistics & numerical data; Body mass index; Breast cancer; Breast Neoplasms - prevention & control; Cross-Sectional Studies; Early Detection of Cancer - statistics & numerical data; Exercise; Female; Humans; Logistic Models; Medical screening; Middle Aged; Motor Activity; Sedentary Lifestyle; Spain - epidemiology; Sports - statistics & numerical data; Surveys and Questionnaires; Walking; Walking - statistics & numerical data; Women
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/cku248

The aim is to analyse physical activity (PA), the fulfillment recommendation of at least 150 min of moderate PA, through walking/biking (W&B), sport, both types of PA and the factors associated with inactivity by Spanish women who attended breast cancer screening programmes. The DDM-Spain is a multicentre cross-sectional study involving 3584 women, aged 45-68, attending screening in seven Spanish cities. Data were collected using a questionnaire, including age, socio-demographic and lifestyle characteristics, family burden and PA. PA was converted into metabolic equivalent of task (METs), categorized as low ≤ 600 METs min per week (m/w), moderate 600-3000 METs m/w and high ≥ 3000 METs m/w. A multivariate logistic regression was performed to identify variables associated with inactivity for each type of PA. No women achieved a high level of PA through sport. 79.2% achieved a high or moderate level of PA by W&B. Lack of sport was associated with being overweight (odds ratio OR = 1.31; 95% confidence interval CI: 1.06 to 1.62), body mass index (BMI) ≥ 30 (OR = 1.85; 95% CI: 1.44 to 2.38), smoking (OR = 1.56; 95% CI: 1.22 to 2.00) and living with a disabled person (OR = 1.64; 95% CI: 1.0 to 2.81), whereas enough sport practice was associated with higher educational or socio-economic level (SEL). Regarding W&B, inactivity was associated with BMI ≥ 30 (OR = 1.91; 95% CI: 1.49 to 2.45) and living with someone >74 (OR = 1.96; 95% CI: 1.48 to 2.58). Inactivity for both types of exercise was associated with a BMI ≥ 30 (OR = 2.13; 95% CI: 1.63 to 2.8), smoking (OR = 1.41; 95% CI: 1.09 to 1.81) and living with someone >74 (OR = 1.69; 95% CI: 1.24 to 2.28). Family burden and BMI ≥ 30 are inversely associated with both types of PA. W&B is the most common type of PA regardless of educational and SEL.