Evidence map›Paper›PMID 30486284›Full record

ArticleJournal of clinical medicine2018

Impact of Health Literacy on Frailty among Community-Dwelling Seniors.

Chi Hsien Huang, Yu-Cheng Lai, Yi Chen Lee, Xiao Tong Teong, Masafumi Kuzuya, Kuang-Ming Kuo

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Association Between Health Literacy and Frailty in Older Adults: A Study in Two Brazilian Municipalities.International journal of environmental research and public health · 2026
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  14. Health Literacy and Exercise to Treat Frailty in Community-Dwelling Older Adults: A National Survey Study.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Impact of Health Literacy on the Progression of Frailty after 4 Years among Community-Dwelling Older Adults.International journal of environmental research and public health · 2021
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  17. Article
  18. Article
  19. Low Health Literacy Is Associated With Frailty and Reduced Likelihood of Liver Transplant Listing: A Prospective Cohort Study.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020
    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

6 authors.

Chi Hsien HuangDepartment of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya 4668550 Japan. evaairgigaa@gmail.com.ORCID 0000-0002-4619-5144
Yu-Cheng LaiDepartment of Family Medicine, E-Da Hospital, I-Shou University, Kaohsiung City 82445, Taiwan. ed107116@edah.org.tw.ORCID 0000-0003-0659-2855
Yi Chen LeeDepartment of Nutrition Therapy, E-DA Hospital, Kaohsiung City 82445, Taiwan. ed103549@edah.org.tw.
Xiao Tong TeongAdelaide Medical School, The University of Adelaide, Adelaide, South Australia 5005, Australia. xiaotong.teong@adelaide.edu.au.
Masafumi KuzuyaDepartment of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya 4668550 Japan. kuzuya@med.nagoya-u.ac.jp.
Kuang-Ming KuoDepartment of Healthcare Administration, I-Shou University, Kaohsiung City 82245, Taiwan. kuangmingkuo@gmail.com.ORCID 0000-0002-8552-3016

Funding

EDA Hospital Project EMRP-105-79
6 · The paper itself

Abstract

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.

Indexed as

elderlyfrailtyhealth literacy

Identifiers

PMID30486284
PMCPMC6307088

What OpenQuestion holds

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Registered trials

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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.