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
1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 3 Breast Cancer Screening Programme, Valencian Public Health Directorate, Valencia, Spain
1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain 3 Breast Cancer Screening Programme, Valencian Public Health Directorate, Valencia, Spain.
Eur J Public Health. 2015 Oct;25(5):857-63. doi: 10.1093/eurpub/cku248. Epub 2015 Mar 12.
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.
目的是分析参加乳腺癌筛查项目的西班牙女性的身体活动（PA）情况，即通过步行/骑自行车（W&B）、运动以及这两种身体活动类型来满足至少150分钟中等强度身体活动的建议，并分析与缺乏身体活动相关的因素。
西班牙数字乳房造影（DDM）研究是一项多中心横断面研究，涉及3584名年龄在45 - 68岁之间、在西班牙七个城市参加筛查的女性。使用问卷收集数据，包括年龄、社会人口统计学和生活方式特征、家庭负担和身体活动情况。身体活动被转换为代谢当量（METs），分为低强度（每周≤600 METs分钟，m/w）、中等强度（600 - 3000 METs m/w）和高强度（≥3000 METs m/w）。进行多因素逻辑回归分析以确定每种身体活动类型中与缺乏身体活动相关的变量。
没有女性通过运动达到高强度身体活动水平。79.2%的女性通过步行/骑自行车达到高强度或中等强度身体活动水平。缺乏运动与超重（比值比OR = 1.31；95%置信区间CI：1.06至1.62）、体重指数（BMI）≥30（OR = 1.85；95% CI：1.44至2.38）、吸烟（OR = 1.56；95% CI：1.22至2.00）以及与残疾人同住（OR = 1.64；95% CI：1.0至2.81）相关，而足够的运动锻炼与较高的教育水平或社会经济水平（SEL）相关。关于步行/骑自行车，缺乏身体活动与BMI≥30（OR = 1.91；95% CI：1.49至2.45）以及与74岁以上的人同住（OR = 1.96；95% CI：1.48至2.58）相关。两种运动类型都缺乏身体活动与BMI≥30（OR = 2.13；95% CI：1.63至2.8）、吸烟（OR = 1.41；95% CI：1.09至1.81）以及与74岁以上的人同住（OR = 1.69；95% CI：1.24至2.28）相关。
家庭负担和BMI≥30与两种身体活动类型均呈负相关。无论教育水平和社会经济水平如何，步行/骑自行车是最常见的身体活动类型。
