{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:12:50Z","timestamp":1773126770648,"version":"3.50.1"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Chiba Foundation for Health Promotion"},{"name":"Japanese Orthopaedic Surgery for Sports Medicine"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Decline in mobility is a global issue that must be addressed in rapidly aging societies. We aimed to clarify the association between locomotive syndrome (LS), a condition of decreased mobility and health literacy (HL) in community-dwelling Japanese adults aged \u2265 40 years. A descriptive survey was conducted in Onjuku Town, Japan, between 2019 and 2023. The participants performed LS risk tests, including the two-step test, stand-up tests and 25-question geriatric locomotive function scale, to assess mobility. They completed the 14-item health literacy scale to quantify the total HL and functional, communicative and critical HL subscales. Other participant characteristics, such as chronic diseases, bodily pain and physical activity, were also surveyed. The association between LS and HL was assessed using univariate and multivariate logistic regression analyses, adjusted for participant characteristics. We analyzed 492 participants with a median age of 71 years. The total HL score decreased as the LS stage increased, with 56, 54 and 51 points in stages 0, 1 and\u2005\u2265\u20052, respectively (p\u2005=\u20050.004). In the logistic regression analysis, a high total HL score was significantly associated with reduced odds of stage\u2005\u2265\u20052 LS (adjusted odds ratio, 0.95; p\u2005&amp;lt;\u20050.001). Furthermore, functional HL score had an independent association with stage\u2005\u2265\u20052 LS (adjusted odds ratio, 0.88; p\u2005=\u20050.009). Our results suggest that clinicians should provide HL education in addition to known preventive measures, such as promoting physical activity, as a holistic approach to decreased mobility.<\/jats:p>","DOI":"10.1093\/heapro\/daae164","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T08:47:53Z","timestamp":1737103673000},"source":"Crossref","is-referenced-by-count":2,"title":["Association between mobility decline and health literacy in older\u00a0Japanese adults: Onjuku study"],"prefix":"10.1093","volume":"40","author":[{"given":"Nanako","family":"Asakura","sequence":"first","affiliation":[{"name":"College of Liberal Arts and Sciences, Chiba University , 1-33 Yayoi-cho, Inage-ku, Chiba-shi, Chiba 263-8522 ,\u00a0","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1281-1738","authenticated-orcid":false,"given":"Satoshi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Graduate School of Global and Transdisciplinary Studies, Chiba University , 1-33 Yayoi-cho, Inage-ku, Chiba-shi, Chiba 263-8522 ,","place":["Japan"]},{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Matsuura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeo","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiko","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manato","family":"Horii","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhide","family":"Inage","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuya","family":"Kawarai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiji","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Maki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Shiga","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University , 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saburo","family":"Arima","sequence":"additional","affiliation":[{"name":"Nanshuukai Katsuura Clinic , 485-252 Tona, Katsuura-shi, Chiba 299-5225 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