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Impact of Health Literacy on Frailty among Community-Dwelling Seniors

Health literacy has been reported to have effects on health behavior change and health-related outcomes, but few studies have explored the association between health literacy and frailty. The aim of our study is to investigate the relationships between health literacy and frailty among community-dwe...

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Autores principales: Huang, Chi Hsien, Lai, Yu-Cheng, Lee, Yi Chen, Teong, Xiao Tong, Kuzuya, Masafumi, Kuo, Kuang-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307088/
https://www.ncbi.nlm.nih.gov/pubmed/30486284
http://dx.doi.org/10.3390/jcm7120481
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author Huang, Chi Hsien
Lai, Yu-Cheng
Lee, Yi Chen
Teong, Xiao Tong
Kuzuya, Masafumi
Kuo, Kuang-Ming
author_facet Huang, Chi Hsien
Lai, Yu-Cheng
Lee, Yi Chen
Teong, Xiao Tong
Kuzuya, Masafumi
Kuo, Kuang-Ming
author_sort Huang, Chi Hsien
collection PubMed
description Health literacy has been reported to have effects on health behavior change and health-related outcomes, but few studies have explored the association between health literacy and frailty. The aim of our study is to investigate the relationships between health literacy and frailty among community-dwelling seniors. This cross-sectional study enrolled 603 community-dwelling older adults (307 women) in residential areas, with a mean age of 70.9 ± 5.82 years. Health literacy was assessed using the Mandarin version of the European Health Literacy Survey Questionnaire. Physical frailty was defined by Fried frailty phenotype. Logistic regression was carried out to determine potential risk factors of frailty. In the multivariate logistic regression model, physical activity (Odds Ratio [OR] 1.47, 95% Confidence Interval [CI] 1.06–2.03) and health literacy (sufficient vs. excellent: OR 2.51, 95% CI 1.32–4.77) were associated with prefrailty and frailty. In subgroup analysis, pre-frailty and frailty were also negatively associated with health literacy in individuals with ‘insufficiently active’ (inadequate vs. excellent: OR 5.44, 95% CI 1.6–18.45) and ‘sufficiently/highly active’ physical activity levels (sufficient vs. excellent: OR 2.41, 95% CI 1.07–5.42). Therefore, in these community-dwelling elderly adults, health literacy was associated with pre-frailty and frailty regardless of age, gender, socio-economic status, and education level.
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spelling pubmed-63070882019-01-02 Impact of Health Literacy on Frailty among Community-Dwelling Seniors Huang, Chi Hsien Lai, Yu-Cheng Lee, Yi Chen Teong, Xiao Tong Kuzuya, Masafumi Kuo, Kuang-Ming J Clin Med Article Health literacy has been reported to have effects on health behavior change and health-related outcomes, but few studies have explored the association between health literacy and frailty. The aim of our study is to investigate the relationships between health literacy and frailty among community-dwelling seniors. This cross-sectional study enrolled 603 community-dwelling older adults (307 women) in residential areas, with a mean age of 70.9 ± 5.82 years. Health literacy was assessed using the Mandarin version of the European Health Literacy Survey Questionnaire. Physical frailty was defined by Fried frailty phenotype. Logistic regression was carried out to determine potential risk factors of frailty. In the multivariate logistic regression model, physical activity (Odds Ratio [OR] 1.47, 95% Confidence Interval [CI] 1.06–2.03) and health literacy (sufficient vs. excellent: OR 2.51, 95% CI 1.32–4.77) were associated with prefrailty and frailty. In subgroup analysis, pre-frailty and frailty were also negatively associated with health literacy in individuals with ‘insufficiently active’ (inadequate vs. excellent: OR 5.44, 95% CI 1.6–18.45) and ‘sufficiently/highly active’ physical activity levels (sufficient vs. excellent: OR 2.41, 95% CI 1.07–5.42). Therefore, in these community-dwelling elderly adults, health literacy was associated with pre-frailty and frailty regardless of age, gender, socio-economic status, and education level. MDPI 2018-11-26 /pmc/articles/PMC6307088/ /pubmed/30486284 http://dx.doi.org/10.3390/jcm7120481 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Huang, Chi Hsien
Lai, Yu-Cheng
Lee, Yi Chen
Teong, Xiao Tong
Kuzuya, Masafumi
Kuo, Kuang-Ming
Impact of Health Literacy on Frailty among Community-Dwelling Seniors
title Impact of Health Literacy on Frailty among Community-Dwelling Seniors
title_full Impact of Health Literacy on Frailty among Community-Dwelling Seniors
title_fullStr Impact of Health Literacy on Frailty among Community-Dwelling Seniors
title_full_unstemmed Impact of Health Literacy on Frailty among Community-Dwelling Seniors
title_short Impact of Health Literacy on Frailty among Community-Dwelling Seniors
title_sort impact of health literacy on frailty among community-dwelling seniors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307088/
https://www.ncbi.nlm.nih.gov/pubmed/30486284
http://dx.doi.org/10.3390/jcm7120481
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