Evidence map›Paper›PMID 29590183›Full record

ArticlePloS one2018

High health literacy is associated with less obesity and lower Framingham risk score: Sub-study of the VGH-HEALTHCARE trial.

Yuan-Lung Cheng, Jiah-Hwang Shu, Hsiu-Chuan Hsu, Ying Liang, Ruey-Hsing Chou, Pai-Feng Hsu, Yuan-Jen Wang, Yaw-Zon Ding, Teh-Ling Liou, Ying-Wen Wang and 6 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Trial
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  13. Prolonged sitting time links to subclinical atherosclerosis.Journal of the Chinese Medical Association : JCMA · 2022
    Article
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  15. Article
  16. Review
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  19. Low Health Literacy is Associated with the Onset of CKD during the Life Course.Journal of the American Society of Nephrology : JASN · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Yuan-Lung ChengSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.ORCID 0000-0002-8384-3315
Jiah-Hwang ShuDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsiu-Chuan HsuDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
Ying LiangDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
Ruey-Hsing ChouSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Pai-Feng HsuSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Yuan-Jen WangSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Yaw-Zon DingSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Teh-Ling LiouSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Ying-Wen WangSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Shao-Sung HuangSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Chung-Chi LinSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Tse-Min LuSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Hsin-Bang LeuSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Shing-Jong LinSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Wan-Leong ChanSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsLower health literacy (HL) is associated with several cardiovascular disease (CVD) risk factors such as diabetes, hypertension, and metabolic syndrome (MS). The aim of our study was to investigate the association between HL and the Framingham 10-year risk score of CVD.

methodsFrom 2015-2016, 1010 subjects aged 23 to 88 years receiving health check-up in Taipei Veterans General Hospital had complete clinical evaluations and laboratory examinations. Fatty liver was diagnosed by ultrasonography. The short form questionnaire adapted from the Mandarin Health Literacy Scale was used to assess HL. The Framingham risk score was calculated by patient characteristics.

resultsSubjects with higher BMIs were associated with lower HL scores. The proportion of subjects with MS was higher in the lower health literacy score group (≤ 9) at 28.8%; further analysis found that lower HL was significantly associated with MS in women but not in men. The Spearman's rho demonstrated that the HL score was significantly associated with the BMI-based (rho = -0.11; P < 0.001) or lipid-based (rho = -0.09; P < 0.004) Framingham risk score.

conclusionsHigher HL scores were associated with less CVD risk such as lower BMIs, less MS in women, and less fatty liver disease. Furthermore, HL had an inverse association with the Framingham risk score as expected. Therefore, HL in patients with CVD risk should be improved and considered as an important issue in terms of CVD reduction.

Indexed as

Health LiteracyAdultAgedAged, 80 and overCardiovascular DiseasesCross-Sectional StudiesFatty LiverFemaleHumansMaleMetabolic SyndromeMiddle AgedObesityRisk FactorsYoung Adult

Identifiers

PMID29590183
PMCPMC5874050

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.