ArticleJournal of Korean biological nursing science2026
Mediating effect of health literacy on the relationship between diabetes status and aerobic physical activity adherence among middle-aged Korean adults: a theory-based secondary analysis of the second year of the ninth Korea National Health and Nutrition Examination Survey.
Article in Journal of Korean biological nursing science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study applied Orem's self-care theory to examine differences in adherence to aerobic physical activity according to diabetes status among middle-aged adults and to evaluate the mediating effect of health literacy. By distinguishing between diabetes and prediabetes, the study aimed to reflect the stepwise nature of self-care demand while conceptualizing health literacy as a self-care agent.
methodsA secondary analysis was conducted using data from the second year of the ninth Korea National Health and Nutrition Examination Survey. The study included 2,781 adults aged 40-64 years. Variables were constructed based on Orem's self-care theory. Complex sample hierarchical logistic regression and mediation analyses were conducted using SPSS version 28.0 and R version 4.4.2.
resultsAmong the participants, 14.3% had diabetes and 34.1% had prediabetes. Higher educational attainment and personal income were significantly associated with adherence to aerobic physical activity. Diabetes status was significantly associated with decreased adherence, whereas prediabetes status showed no significant association. Health literacy was positively associated with adherence. Mediation analysis indicated that health literacy partially mediated the negative effects of diabetes and prediabetes on adherence to aerobic physical activity.
conclusionBy empirically applying Orem's self-care theory, this study identified differences in adherence to aerobic physical activity according to diabetes status and demonstrated the critical role of health literacy as a self-care agent. These findings suggest that nursing interventions for diabetes prevention and management should adopt stratified approaches based on health status, with an emphasis on enhancing health literacy and strengthening self-care behaviors.
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.