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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

1
Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan
2
Department of Rehabilitation, Japan Community Health Care Organization Kumamoto General Hospital, Kumamoto 866-8660, Japan
3
Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan
4
Department of Physical Therapy, Kagoshima Medical Professional College, Kagoshima 891-0133, Japan
5
Bibai City Department of Health and Welfare Aged Care Division, Hokkaido 072-0026, Japan
6
Rehabilitation Department, Health and Medical Faculty, Japan Health Care College, Hokkaido 004-0839, Japan
7
Graduate School of Health and Environment Science, Tohoku Bunka Gakuen University, Miyagi 981-8551, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: Juan Manuel Carmona-Torres, Ana Isabel Cobo-Cuenca, José Alberto Laredo-Aguilera, Pedro Ángel Latorre Román, Juan Antonio Párraga Montilla and Diana Patricia Pozuelo-Carrascosa
Int. J. Environ. Res. Public Health 2021, 18(4), 2100; https://doi.org/10.3390/ijerph18042100
Received: 18 January 2021 / Revised: 8 February 2021 / Accepted: 18 February 2021 / Published: 21 February 2021
(This article belongs to the Special Issue Active Aging)
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. View Full-Text
Keywords: SARS-CoV-2; older person; health literacy; exercise SARS-CoV-2; older person; health literacy; exercise
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MDPI and ACS Style

Shiratsuchi, D.; Makizako, H.; Nakai, Y.; Taniguchi, Y.; Akanuma, T.; Yokoyama, K.; Matsuzaki-Kihara, Y.; Yoshida, H. 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. Int. J. Environ. Res. Public Health 2021, 18, 2100. https://doi.org/10.3390/ijerph18042100

AMA Style

Shiratsuchi D, Makizako H, Nakai Y, Taniguchi Y, Akanuma T, Yokoyama K, Matsuzaki-Kihara Y, Yoshida H. 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. International Journal of Environmental Research and Public Health. 2021; 18(4):2100. https://doi.org/10.3390/ijerph18042100

Chicago/Turabian Style

Shiratsuchi, Daijo; Makizako, Hyuma; Nakai, Yuki; Taniguchi, Yoshiaki; Akanuma, Tomomi; Yokoyama, Kaori; Matsuzaki-Kihara, Yuriko; Yoshida, Hiroto. 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" Int. J. Environ. Res. Public Health 18, no. 4: 2100. https://doi.org/10.3390/ijerph18042100

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