Objective: This study aims to clarify the cross-sectional association between the PA level of PD patients and each HL domain.

Background: To promote habitual Physical Activity (PA) in Patients with Parkinson’s Disease (PwPD), self-management by the patients themselves is emphasized, and appropriate educational information needs to be provided. In order to meet PA criteria under self-management, it is necessary to examine which processes of health literacy (HL) competence, such as patients’ access to, understanding, evaluation, and use of appropriate information, should be emphasized, using individual HL domain indicators.

Method: Data for this study were collected via an online survey from within a dedicated PwPD web platform. A total of 114 PD patients (age 65.9 ± 11.6 years, 59.6% female) aged 20 years or older with no missing values in the primary data were included in the analysis. PA was assessed by the International Physical Activity Questionnaire (IPAQ) and defined as “sedentary” if it did not meet “moderate PA of at least 150 minutes per week and vigorous PA of at least 75 minutes per week”. Health literacy was assessed using the Functional, Communicative, and Critical Health Literacy (FCCHL) scale. This index used the mean score of the items corresponding to Functional HL, Communicative HL, and Critical HL as the scale score. For statistical analysis, comparisons between the two groups were made using chi-square and t-tests to evaluate the demographic characteristics of the PA dichotomized into sedentary and physically active groups. Logistic regression analysis was then performed with the PA dichotomy as the dependent variable and each HL subitem as the independent variable. This study was conducted with the approval of the Ethics Review Committee.

Results: Regarding the demographic characteristics of the subjects, the sedentary group (60 subjects) had a significantly lower educational history than the physically active group (54 subjects) (p=0.045). Logistic regression analysis showed that Critical HL was associated with PA level in both the model without covariates (odds ratio = 2.12; 95% confidence interval = 1.06-4.22; p = 0.03) and after adjustment for covariates (odds ratio = 2.46; 95% confidence interval = 1.16-5.19; p = 0.02).

Conclusion: Critical HL was found to be associated with adherence to PA guidelines.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/association-between-adherence-to-physical-activity-guidelines-and-health-literacy-in-patients-with-parkinsons-disease-an-online-web-survey/