ArticleInternational journal of environmental research and public health2022
Health Literacy and Exercise to Treat Frailty in Community-Dwelling Older Adults: A National Survey Study.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 17 citations in OpenAlex.
- Evaluation of a co-designed community-based physical activity program with immigrant South Asian older women: an intersectional RE-AIM/PRISM analysis of acceptability and feasibility.Implementation science communications · 2026Article
- Dyadic Health Literacy and Its Association with Care Collaboration and Satisfaction in Heart Failure Patient-Caregiver Dyads: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Nursing Complexity and Health Literacy as Determinants of Patient Outcomes: A Prospective One-Year Multicenter Cohort Study.Nursing reports (Pavia, Italy) · 2025Article
- A cross-sectional study on exercise participation and barriers among older adults.Journal of exercise rehabilitation · 2025Article
- Association between frailty status and health literacy in the elderly.African health sciences · 2025Article
- Physical activity health literacy in patients with chronic diseases: a concept analysis.Frontiers in public health · 2025Article
- Literacy for Frailty among Undergraduate Medical Education: An Under-Recognized Opportunity to Improve Geriatric Care.Aging and disease · 2024Article
- Health literacy and falls among community-dwelling older people in China: is there a sex difference?Aging clinical and experimental research · 2024Article
- Dose-response relationship between physical activity and frailty: A systematic review and meta-analysis.Heliyon · 2024Article
- Profiles of physical frailty, social frailty, and cognitive impairment among older adults in rural areas of China: a latent profile analysis.Frontiers in public health · 2024Article
- Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study.BMC geriatrics · 2023Article
- Protocols and Features of Goal-Setting-Based Intervention for Frail Older Adults in Community Exercise Facilities.International journal of environmental research and public health · 2023Article
- A review of frailty instruments in human medicine and proposal of a frailty instrument for dogs.Frontiers in veterinary science · 2023Review
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aging is a major challenge facing modern society and has attracted global attention. Studies have provided some initial evidence that health literacy plays a role in determining frailty; however, most of these studies have used small convenience samples of individuals recruited from geographically limited areas, thus limiting the generalizability of their findings. The present study explored the relationships among health literacy, exercise, and frailty in Taiwanese older adults by using the data of a national population-based survey. We retrieved data from the Taiwan Longitudinal Study on Aging, a population-based survey. We gathered the 2015 data on the age, sex, education level, marital status, exercise habits, and activities of daily living (ADLs) of each eligible respondent. We evaluated the respondents' health literacy by using a nine-item health literacy scale and categorized their health literacy level as low, medium, or high. Frailty was diagnosed according the Fried criteria. Our final sample consisted of 7702 community-dwelling older adults (3630 men and 4072 adults). Of these, 25.3% had low health literacy. The proportion of respondents who had two or more disabilities in terms of ADLs or instrumental ADLs was higher among the women (36.4% and 12.6%, respectively), and regular exercise was more common among the men (19.6%). Frailty was more prevalent among the women; the prevalence of frailty among the male and female respondents was 4.5% and 8.1%, respectively. High health literacy and regular exercise were protective factors for frailty. According to our results, poor health literacy is a risk factor for prefrailty and frailty, and regular exercise is significantly negatively associated with prefrailty and frailty. Additional studies are necessary to define practical strategies for reducing the risks of disability and death for older adults with low health literacy who do not exercise regularly, thereby improving their quality of life.
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