Health literacy and frailty: the mediating role of instrumental activities of daily living.

ABSTRACT:

Introduction

Japan has the fastest ageing population worldwide, with a high prevalence of frailty. This study aimed to investigate the impact of communicative and critical health literacy (CCHL) on the progression of frailty in older adults participating in community-based programs over 1 year, and whether instrumental activities of daily living (IADL) mediate this relationship.

Methods

This retrospective cohort study used data from the Matsumoto City Frailty Prevention Project, involving 373 older adults aged 65 years and over. Health literacy was measured using the CCHL scale, and IADL was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), which includes five items of IADLs. Frailty was classified using the Japanese version of the

SUBMITTER: Nakamura K 

PROVIDER: S-EPMC11810535 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature