Evidence map›Paper›PMID 37087703›Full record

ArticleAging clinical and experimental research2023

Association between community-level health literacy and frailty in community-dwelling older adults.

Kazuki Uemura, Kamitani Tsukasa, Atsuya Watanabe, Hiroshi Okamoto, Minoru Yamada

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In one paragraph

Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Possible Sex Differences in the Morphological and Functional Muscle Quality Reflected by Phase Angle: Implications for Muscle Quality Assessment.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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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

5 authors at 4 institutions in 1 country.

Kazuki UemuraGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-City, Osaka, 583-8555, Japan. kuemura@omu.ac.jp.ORCID http://orcid.org/0000-0003-1101-3424
Kamitani TsukasaSection of Education for Clinical Research, Kyoto University Hospital, Kyoto, Japan.
Atsuya WatanabeCenter for Liberal Arts and Sciences, Faculty of Engineering, Toyama Prefectural University, Imizu, Japan.
Hiroshi OkamotoCenter for Liberal Arts and Sciences, Faculty of Engineering, Toyama Prefectural University, Imizu, Japan.
Minoru YamadaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Toyama Prefectural University · JPKyoto University Hospital · JPOsaka City University · JPUniversity of Tsukuba · JP

Funding

Japanese Physical Therapy Association research grant for a large clinical trial
6 · The paper itself

Abstract

aimsWe aimed to investigate whether high community-level health literacy, beyond individual-level health literacy, is associated with a low prevalence of frailty among community-dwelling older adults.

methodsA large cross-sectional questionnaire survey was conducted among citizens in Maizuru City, Kyoto, Japan, aged 65 years or older who were not certified as "support" or "care" level according to Japan's public long-term care insurance system, who could perform basic activities of daily living, and who did not have dementia or Parkinson's disease. Frailty status was assessed using the Kihon Checklist, with a score ≥ 8 indicating frailty. Health literacy was assessed using the Communicative and Critical Health Literacy Scale. The mean health literacy score of 20 school districts was used as the community-level health literacy index. We investigated demographic data and other potential confounding factors, including education, living arrangement, body mass index, comorbidity, smoking status, depressive symptoms, social networks, and community-level covariates.

resultsThe primary analysis included 6230 individuals (mean age = 74.3 years [SD = 6.1]). In each school district, the prevalence of frailty was 21.2-34.2% (mean: 26.2%), and community-level health literacy index was 3.1-3.5 (mean: 3.4). Multilevel logistic regression model including school district as random effect showed that the community-level health literacy was significantly associated with frailty (odds ratio [95% confidence interval] = 0.28 [0.08 to 0.96]) after adjusting for the covariates.

conclusionsNot only high individual-level health literacy but also high community-level health literacy is associated with a low prevalence of frailty in community-dwelling older adults.

Indexed as

FrailtyHealth LiteracyActivities of Daily LivingAgedCross-Sectional StudiesFrail ElderlyGeriatric AssessmentHumansIndependent LivingJapanEcological ModelEpidemiologyHealth BehaviorMultilevel analysisSocial Capital

Identifiers

PMID37087703
OpenAlexW4366776536

What OpenQuestion holds

Textmetadata
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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.