Data from a multicentric case-control study on breast cancer conducted
in Italy were used to analyze the relationship of occupational and le
isure-time physical activity with breast cancer risk, Cases were 2569
histologically confirmed incident breast cancer cases, and controls we
re 2588 patients admitted to the same network of hospitals:of cases fo
r acute, nonneoplastic, non-hormone related diseases, After allowance
for major identified potential confounding factors (including an estim
ate of total calorie intake), the odds ratios (ORs) were 0.70, 0.71, 0
.64, and 0.54 in subsequent levels of physical activity at work at age
s 30-39, compared to the lowest level, The association was similar for
occupational physical activity at ages 15-19 and still apparent at ag
es 50-59, with risk estimates of 0.86, 0.85, 0.85, and 0.62, The ORs f
or the highest versus the lowest category of leisure-time physical act
ivity were also below unity (ORs for the highest level of leisure-time
physical activity at ages 15-19, 0.95; at ages 30-39, 0.76; and at ag
es 50-59, 0.66), The protection of physical activity was apparently st
ronger below age 60 at diagnosis and was consistent across the strata
of selected covariates, although the protection was somewhat greater f
or more educated women.