J Phys Act Health. 2020 Oct 31;17(12):1259-1274. doi: 10.1123/jpah.2020-0161.
The importance of health literacy (HL) in health promotion is increasingly clear and acknowledged globally, especially when addressing noncommunicable diseases. This paper aimed to collect and summarize all current data from observational studies generating evidence of the association between HL and physical activity (PA) and to analyze intervention studies on the promotion of PA to ascertain whether HL moderates the efficacy of such intervention.
A comprehensive systematic literature search of observational studies investigating the association between HL and PA was performed. Intervention studies on the promotion of PA that also measured the HL levels of participants and its effect on the outcome of the intervention were also identified.
Of the 22 studies included in this review, 18 found a significant positive association between high HL and high levels of PA. The only intervention study among them indicated that HL was not a significant moderator of the intervention's effectiveness.
HL can enable individuals to make deliberate choices about their PA and thus contribute to preventing many chronic noncommunicable diseases. That said, low levels of HL do not seem to influence the efficacy of health promotion interventions.
健康素养（HL）在健康促进中的重要性在全球范围内日益明显和得到认可，特别是在解决非传染性疾病方面。本文旨在收集和总结所有现有的观察性研究数据，这些研究提供了 HL 与体力活动（PA）之间关联的证据，并分析促进 PA 的干预研究，以确定 HL 是否调节此类干预的效果。
对调查 HL 与 PA 之间关联的观察性研究进行了全面的系统文献检索。还确定了关于促进 PA 的干预研究，这些研究也测量了参与者的 HL 水平及其对干预结果的影响。
在本综述中纳入的 22 项研究中，有 18 项研究发现 HL 水平高与 PA 水平高之间存在显著正相关。其中唯一的干预研究表明，HL 不是干预效果的显著调节因素。
HL 可以使个人能够对其 PA 做出深思熟虑的选择，从而有助于预防许多慢性非传染性疾病。也就是说，HL 水平低似乎并不影响健康促进干预的效果。
