ArticlePsychogeriatrics : the official journal of the Japanese Psychogeriatric Society2025
Health literacy and frailty: the mediating role of instrumental activities of daily living.
Article in Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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.
Who cites it
6 citing papers in PubMed.
- Short-term changes in frailty status and associated factors over 3 months of multidisciplinary outpatient care in older adults.Journal of physical therapy science · 2026Article
- Association Between Health Literacy and Frailty in Older Adults: A Study in Two Brazilian Municipalities.International journal of environmental research and public health · 2026Article
- Relationship Between Odds of Reporting a Fall in the Past Year and Health Literacy Among Community-Dwelling Older Adults in Japan: A Preliminary Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- The relationship between frailty, health literacy, and medication adherence in older adults.BMC geriatrics · 2026Article
- Association Between Health Literacy and One-Year Incidence of Pre-Frailty Among Older Adults Undergoing Frailty Health Checkups.Geriatrics (Basel, Switzerland) · 2026Article
- Examination of Social Participation in Older Adults Undergoing Frailty Health Checkups Using Deep Learning Models.Geriatrics (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionJapan has the fastest ageing population worldwide, with a high prevalence of frailty. This study aimed to investigate the impact of communicative and critical health literacy (CCHL) on the progression of frailty in older adults participating in community-based programs over 1 year, and whether instrumental activities of daily living (IADL) mediate this relationship.
methodsThis retrospective cohort study used data from the Matsumoto City Frailty Prevention Project, involving 373 older adults aged 65 years and over. Health literacy was measured using the CCHL scale, and IADL was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), which includes five items of IADLs. Frailty was classified using the Japanese version of the Cardiovascular Health Study (J-CHS) criteria. Mediation analysis was used to evaluate the role of IADL in the relationship between health literacy and frailty.
resultsParticipants with higher CCHL had significantly better IADL scores (coefficient = 0.127, P = 0.043) and were less likely to progress to frailty (odds ratio: 0.546, P = 0.009). Mediation analysis revealed that IADL accounted for approximately 10.7% of the total effect of health literacy on frailty progression (P = 0.030).
conclusionHigher CCHL reduces the risk of frailty progression, with IADL playing a mediating role. Interventions targeting both health literacy and IADL may effectively prevent frailty in older adults.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.