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Impact of Health Literacy on the Progression of Frailty after 4 Years among Community-Dwelling Older Adults

Author

Listed:
  • Yasuyo Yoshizawa

    (Department of Healthy Life Expectancy, Graduate School of Medicine Juntendo University, Tokyo 113-0034, Japan
    School of Nursing, Tokyo Women’s Medical University, Tokyo 162-8666, Japan)

  • Tomoki Tanaka

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan)

  • Kyo Takahashi

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Department of Public Health, School of Medicine, Dokkyo Medical University, Mibu 321-0293, Japan)

  • Mahiro Fujisaki-Sueda-Sakai

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Department of Public Health Nursing, School of Health Science, Tohoku University, Sendai 980-8575, Japan)

  • Bo-kyung Son

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Institute for Future Initiatives, The University of Tokyo, Tokyo 113-8656, Japan)

  • Katsuya Iijima

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Institute for Future Initiatives, The University of Tokyo, Tokyo 113-8656, Japan)

Abstract

Health literacy (HL) promotes healthy lifestyle behaviors among older adults, and its relationship with frailty remains unclear. This study examined whether HL is a predictor of frailty progression among community-dwelling older adults. Data from two surveys conducted in 2012 and 2016 involving older residents (mean age, 71.6 ± 4.6 years) of Kashiwa City, Chiba Prefecture, Japan were used. Only healthy individuals without frailty and cognitive impairments participated in the 2012 assessment, where the Kihon Checklist (KCL), HL, and other variables were assessed. Logistic and multiple logistic analyses were used to assess the effects of HL and other factors on frailty between the ‘high HL’ vs. ‘low HL’ groups in 2012 and between the ‘robust’ vs. ‘frailty-progressing’ groups in 2016. Of the 621 robust participants, 154 (25.4%) had progression of frailty in 2016, which was significantly associated with advanced age, higher KCL score, lower HL, poor mental health, and lack of social support. Furthermore, low HL was a predictor of frailty progression. Low HL may be associated with frailty progression. The obtained results suggest that increased health literacy should be effective in preventing frailty for community-dwelling older residents.

Suggested Citation

  • Yasuyo Yoshizawa & Tomoki Tanaka & Kyo Takahashi & Mahiro Fujisaki-Sueda-Sakai & Bo-kyung Son & Katsuya Iijima, 2021. "Impact of Health Literacy on the Progression of Frailty after 4 Years among Community-Dwelling Older Adults," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:394-:d:714829
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    References listed on IDEAS

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    1. Lindsay C. Kobayashi & Jane Wardle & Michael S. Wolf & Christian von Wagner, 2016. "Aging and Functional Health Literacy: A Systematic Review and Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 71(3), pages 445-457.
    2. Hae Sagong & Ju Young Yoon, 2021. "Pathways among Frailty, Health Literacy, Acculturation, and Social Support of Middle-Aged and Older Korean Immigrants in the USA," IJERPH, MDPI, vol. 18(3), pages 1-11, January.
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    1. Beenish Moalla Chaudhry & Dipanwita Dasgupta & Nitesh V. Chawla, 2022. "Successful Aging for Community-Dwelling Older Adults: An Experimental Study with a Tablet App," IJERPH, MDPI, vol. 19(20), pages 1-28, October.

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