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Association of Health Literacy with the Implementation of Exercise during the Declaration of COVID-19 State of Emergency among Japanese Community-Dwelling Old-Old Adults

Author

Listed:
  • Daijo Shiratsuchi

    (Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan
    Department of Rehabilitation, Japan Community Health Care Organization Kumamoto General Hospital, Kumamoto 866-8660, Japan)

  • Hyuma Makizako

    (Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan)

  • Yuki Nakai

    (Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan)

  • Yoshiaki Taniguchi

    (Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan
    Department of Physical Therapy, Kagoshima Medical Professional College, Kagoshima 891-0133, Japan)

  • Tomomi Akanuma

    (Bibai City Department of Health and Welfare Aged Care Division, Hokkaido 072-0026, Japan)

  • Kaori Yokoyama

    (Bibai City Department of Health and Welfare Aged Care Division, Hokkaido 072-0026, Japan)

  • Yuriko Matsuzaki-Kihara

    (Rehabilitation Department, Health and Medical Faculty, Japan Health Care College, Hokkaido 004-0839, Japan)

  • Hiroto Yoshida

    (Graduate School of Health and Environment Science, Tohoku Bunka Gakuen University, Miyagi 981-8551, Japan)

Abstract

Health literacy is important for promoting and maintaining good health in old-old adults. It may influence the implementation of exercise in the coronavirus disease epidemic. The present cross-sectional study investigated the association of each dimension of health literacy with the implementation of exercise during the declaration of a state of emergency due to coronavirus disease in community-dwelling old-old adults. We collected data from 483 community-dwelling old-old adults (52.8% women) aged between 77 and 99 years who participated in a mail survey. Participants were divided into exercise or nonexercise groups based on the implementation of exercise during the declaration of a state of emergency. Health literacy was assessed using a 14-item health literacy scale. There were 327 (67.7%) participants in the exercise group and 156 (32.3%) in the nonexercise group. A significantly higher score of health literacy was observed in the exercise group than in the nonexercise group (communicative health literacy score = 14.0 ± 3.6 vs. 12.7 ± 3.8, p = 0.001). In a multivariate logistic regression model adjusted for potential confounders, high communicative health literacy scores were significantly associated with the implementation of exercise during the declaration of a state of emergency (odds ratio = 1.88, 95% confidence interval = 1.20–2.93). Approximately two-thirds of community-dwelling old-old adults implement exercise during the declaration of a state of emergency. High communicative health literacy was associated with the implementation of exercise during this period.

Suggested Citation

  • Daijo Shiratsuchi & Hyuma Makizako & Yuki Nakai & Yoshiaki Taniguchi & Tomomi Akanuma & Kaori Yokoyama & Yuriko Matsuzaki-Kihara & Hiroto Yoshida, 2021. "Association of Health Literacy with the Implementation of Exercise during the Declaration of COVID-19 State of Emergency among Japanese Community-Dwelling Old-Old Adults," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:2100-:d:503288
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    References listed on IDEAS

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    1. Min Young Kim & Seieun Oh, 2020. "Nurses’ Perspectives on Health Education and Health Literacy of Older Patients," IJERPH, MDPI, vol. 17(18), pages 1-11, September.
    2. Kanade Ito & Noriko Cable & Tatsuo Yamamoto & Kayo Suzuki & Katsunori Kondo & Ken Osaka & Georgios Tsakos & Richard G. Watt & Jun Aida, 2020. "Wider Dental Care Coverage Associated with Lower Oral Health Inequalities: A Comparison Study between Japan and England," IJERPH, MDPI, vol. 17(15), pages 1-10, July.
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    Cited by:

    1. Hyuma Makizako & Ryoji Kiyama & Daisaku Nishimoto & Ikuko Nishio & Tomomi Masumitsu & Yuriko Ikeda & Misako Hisamatsu & Sachiko Shimizu & Masami Mizuno & Mikiyo Wakamatsu & Naomi Inoue & Takayuki Tabi, 2021. "Association between Regular Exercise and Self-Rated Health and Sleep Quality among Adults in Japan during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(19), pages 1-8, October.

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