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Diabetology & Metabolic Syndrome
Published in: Diabetology & Metabolic Syndrome 1/2016

Open Access 01-12-2016 | Research

Association between health literacy and metabolic syndrome or healthy lifestyle characteristics among community-dwelling Japanese people

Authors: Hirohide Yokokawa, Hiroshi Fukuda, Motoyuki Yuasa, Hironobu Sanada, Teruhiko Hisaoka, Toshio Naito

Published in: Diabetology & Metabolic Syndrome | Issue 1/2016

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Abstract

Background

Few studies have assessed the association between health literacy (HL) and healthy lifestyle characteristics among Japanese people, and reports on the association between HL and prevalence of metabolic syndrome are also scarce.

Methods

The present cross-sectional study included 1817 (781 men and 1036 women) Japanese individuals who participated in a medical health checkup at Bange Kosei General Hospital and Takada Kosei Hospital in Fukushima, Japan, from April 2013–2014. Information regarding HL and healthy lifestyle characteristics listed in Breslow’s seven health practices was collected by self-administered questionnaire.

Results

In multivariate logistic analysis, higher HL (≥14) was positively associated with healthy lifestyle characteristics [odds ratio (OR) = 2.08, 95 % confidence interval (CI) = 1.33–3.23] and inversely associated with prevalence of metabolic syndrome (OR = 0.67, 95 % CI = 0.48–0.95) among men. Among HL items, the ability to make decisions based on health-related information was significantly associated with healthy lifestyle characteristics (OR = 2.04, 95 % CI = 1.34–3.10 for men, OR = 1.38, 95 % CI = 1.30–1.85 for women) and inversely associated with prevalence of metabolic syndrome (OR = 0.62, 95 % CI = 0.44–0.88 for men, OR = 0.68, 95 % CI = 0.49–0.95 for women) in both sexes.

Conclusions

We found positive associations between HL and healthy lifestyle characteristics and an inverse association with prevalence of metabolic syndrome among men. Our findings also suggest that men and women are likely to engage in health-promoting behaviors and make decisions based on health-related information. These findings highlight the importance of comprehensive assessments, including HL, for health promotion in the community.
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Metadata
Title
Association between health literacy and metabolic syndrome or healthy lifestyle characteristics among community-dwelling Japanese people
Authors
Hirohide Yokokawa
Hiroshi Fukuda
Motoyuki Yuasa
Hironobu Sanada
Teruhiko Hisaoka
Toshio Naito
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Diabetology & Metabolic Syndrome / Issue 1/2016
Electronic ISSN: 1758-5996
DOI
https://doi.org/10.1186/s13098-016-0142-8

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