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Open AccessArticle

Influence of Health Literacy on the Physical Activity of Working Adults: A Cross-Sectional Analysis of the TRISEARCH Trial

1
Institute of Movement Therapy and Movement-Oriented Prevention and Rehabilitation, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933 Cologne, Germany
2
Working Group Physical Activity-Related Prevention Research, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933 Cologne, Germany
3
Institute for Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR) of the University of Cologne, Eupener Straße 129, 50933 Cologne, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(24), 4948; https://doi.org/10.3390/ijerph16244948
Received: 1 November 2019 / Accepted: 3 December 2019 / Published: 6 December 2019
Studies show that high health literacy (HL) can support the promotion and maintenance of healthy behavior such as physical activity (PA). However, most studies rely on subjective data. The aim of the present study is to investigate the relationship between HL and PA, not only with subjectively but also with objectively measured PA data. The present study is a pooled analysis of baseline data from the research association TRISEARCH (2015–2018), which focused on the HL of working adults. HL was measured by Lenartz’ questionnaire, and PA by the Global Physical Activity Questionnaire (GPAQ; n = 1056). A subsample (n = 124) also received accelerometers (Actigraph GT3X+) to provide more objective PA data. Partial correlations and regression models were used to investigate the relationship between HL and questionnaire- and accelerometer-derived PA. Very low and medium partial correlations could be found for HL subscales and daily PA by questionnaire (r = −0.06, p < 0.05) and accelerometer (r = 0.26, p < 0.01). No subscale of HL made a significant contribution to the amount of daily PA (all p > 0.05). Not all subscales of HL seem to have an influence on the occurrence of healthy behavior, such as PA. This should be considered when HL-based interventions are designed. Further investigation of the relationship between HL and PA is needed. Objective assessments of both HL and PA can provide additional information for this task. View Full-Text
Keywords: health literacy; physical activity; association; health behavior; accelerometry; questionnaire; work; adults; health promotion health literacy; physical activity; association; health behavior; accelerometry; questionnaire; work; adults; health promotion
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Rudolf, K.; Biallas, B.; Dejonghe, L.A.L.; Grieben, C.; Rückel, L.-M.; Schaller, A.; Stassen, G.; Pfaff, H.; Froböse, I. Influence of Health Literacy on the Physical Activity of Working Adults: A Cross-Sectional Analysis of the TRISEARCH Trial. Int. J. Environ. Res. Public Health 2019, 16, 4948.

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