Adherence to physical activity recommendations and its associated factors: an interregional population-based study.
BACKGROUND
Though the influence of physical activity in preventing cardiovascular diseases is well documented, only a few comparative studies have determined the degree of adherence to physical activity recommendations among populations and identified the demographic, socioeco-nomic, behavioural and health-related factors associated with good compliance.


METHODS
Cross-sectional interregional NESCaV survey of 3133 subjects compared three populations, Luxembourg, Lorraine (France) and Wallonia (Belgium), by using the International Physical Activity Questionnaire. Age and gender prevalence rates of physical activity were standardized to the European population.


RESULTS
The likelihood to meet the recommendations was higher in Luxembourg, after adjustment for age, gender, education, employment, weight status, morbidity score, health perception and level of importance attributed to the practice of physical activity (P<0.0001). The odds for meeting the recommendations were significantly higher among those with secondary than tertiary education. Compared to good self-health perception, subjects with poor or fair self-perceived health were less likely to meet the recommendations; this also applied to those attributing little or enough importance to physical activity compared with great importance.


CONCLUSIONS
Region, education, self-perceived health and perception of importance of physical activity were emerged as independent determinants of meeting the recommendations. Awareness of the positive health effects of physical activity might thus be crucial for motivating the people to become more active. Further research is needed to explore potential region-specific factors which might explain the difference in population behaviours with respect to physical activity. Significance for public healthThis manuscript describes the prevalence of physical activity level of adult population from three European regions, Luxembourg, Wallonia and Lorraine, based on the adherence to the WHO physical activity recommendations. It identifies the potential demographic, socioeconomic, perceptive and behavioural factors associated with meeting physical activity recommendations. This study hence has a significant public health interest; as it constitutes a first step to help decision-makers and health authorities to target at-risk populations and to guide the development of preventive programs. Preventing physical inactivity in the Greater Region, the fourth leading cause of mortality, can reduce cardiovascular disease burden and substantially improve overall health of a big segment of the European population.
Luxembourg Institute of Health L.I.H. , Strassen.
Ala'a
A
Alkerwi
Luxembourg Institute of Health L.I.H. , Strassen ; Division of Social Medicine and Global Health, Department of Clinical Sciences, Malmö, Lund University , Sweden.
Barbara
B
Schuh
Luxembourg Institute of Health L.I.H. , Strassen.
Nicolas
N
Sauvageot
Département des Maladies cardiovasculaires, Hypertension Unit, Centre Hospitalier Universitaire , Nancy, France.
Faiez
F
Zannad
Département des Maladies cardiovasculaires, Hypertension Unit, Centre Hospitalier Universitaire , Nancy, France.
Arnaud
A
Olivier
Department of Public Health, University of Liège , Belgium.
Michèle
M
Guillaume
Department of Public Health, University of Liège , Belgium.
Adelin
A
Albert
Division of Social Medicine and Global Health, Department of Clinical Sciences, Malmö, Lund University , Sweden.
Charlotte A
CA
Larsson
cardiovascular risk factors; cross-border comparison; greater region; physical activity