Abstract
BackgroundFew 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.MethodsThe 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.ResultsIn 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.ConclusionsWe 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.
Highlights
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 scarce
As for healthy lifestyle characteristics, proportions of smoking behavior, Body mass index (BMI) (18.5–24.9), and exercise frequency were significantly higher in the higher HL group compared to the lower HL group
The ability to make decisions based on health-related information was positively associated with a healthy lifestyle and inversely associated with metabolic syndrome in both sexes
Summary
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 scarce. In recent decades, both developed and developing countries have faced a dramatic increase in the number of adults suffering from non-communicable diseases (NCDs) such as diabetes, cardiovascular disease (CVD), and chronic kidney disease (CKD) [1]. Only a few studies have estimated the association between HL and healthy lifestyle characteristics among Japanese people [15,16,17], and reports on the association between HL and prevalence of metabolic syndrome are especially limited
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