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:: Volume 16, Issue 1 (spring 2025) ::
j.health 2025, 16(1): 45-57 Back to browse issues page
Investigating the Relationship between Health Literacy on Non-Alcoholic Fatty Liver and Stages of Exercise Behavior Change among Women
Arezoo Fallahi , Sairan Nili , Azam Rahmani* * , Leila Allahqoli
Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (45 Views)
Background & objectives: Health literacy plays a critical role in the adoption of preventive behaviors for non-alcoholic fatty liver disease (NAFLD). This study aimed to examine the relationship between health literacy related to NAFLD and the stages of exercise behavior change among women.
Methods: This cross-sectional study was conducted in Sanandaj, western Iran, in 2024. A total of 400 eligible women were recruited using simple random sampling method. Data collection tools included a demographic questionnaire, a validated 33-item health literacy questionnaire on NAFLD, and an assessment of exercise behavior change stages. Statistical analysis was performed using SPSS version 26, uttilizing one-way ANOVA, chi-square test, t-test, and Pearson correlation coefficient.
Results: The mean age of participants was 33.68±9.58 years, with a mean body mass index (BMI) of 28.37±2.8. A total of 83% of participants reported no physical activity. In terms of health literacy levels, 92.8% had inadequate health literacy, 5.5% had insufficient health literacy, 1.7% had adequate health literacy, and none had optimal health literacy related to NAFLD. Women who had engaged in regular exercise for more than six months demonstrated a significantly higher mean health literacy score compared to those in earlier stages of exercise behavior change (p<0.001).
Conclusion: The findings indicate that health literacy related to NAFLD among women was generally poor, and the majority was physically inactive. Additionally, women who had maintained regular exercise for over six months exhibited significantly better health literacy regarding NAFLD.
 
Keywords: Health Literacy, Exercise, Fatty Liver, Women
Full-Text [PDF 297 kb]   (37 Downloads)    
Type of Study: Research | Subject: General
Received: 2025/06/23 | Accepted: 2025/03/30 | Published: 2025/03/30
References
1. Perdomo CM, Frühbeck G, Escalada J. Impact of nutritional changes on nonalcoholic fatty liver disease. Nutrients. 2019;11 (3):677. [DOI:10.3390/nu11030677] [PMID] []
2. Mitra S, De A, Chowdhury A. Epidemiology of non-alcoholic and alcoholic fatty liver diseases. Translational Gastroenterology and Hepatology. 2020;5:16-. [DOI:10.21037/tgh.2019.09.08] [PMID] []
3. Nakatsuka T, Tateishi R, Koike K. Changing clinical management of NAFLD in Asia. Liver International. 2022;42 (9):1955-68. [DOI:10.1111/liv.15046] [PMID]
4. Sanai FM, Abaalkhail F, Hasan F, Farooqi MH, Al Nahdi N, Younossi ZM. Management of nonalcoholic fatty liver disease in the Middle East. World Journal of Gastroenterology. 2020;26 (25):3528. [DOI:10.3748/wjg.v26.i25.3528] [PMID] []
5. Alswat K, Aljumah AA, Sanai FM, Abaalkhail F, Alghamdi M, Al Hamoudi WK, et al. Nonalcoholic fatty liver disease burden-Saudi Arabia and United Arab Emirates, 2017-2030. Saudi journal of gastroenterology: official journal of the Saudi Gastroenterology Association. 2018;24 (4):211. [DOI:10.4103/sjg.SJG_122_18] [PMID] []
6. Gholoobi A, Gifani M, Gholoobi A, Akhlaghi S, Pezeshki Rad M, Baradaran Rahimi V. Relationship between the prevalence and severity of non‐alcoholic fatty liver disease and coronary artery disease: Findings from a cross‐sectional study of a referral center in northeast Iran. JGH Open. 2022;6 (5):330-7. [DOI:10.1002/jgh3.12746] [PMID] []
7. Zarean E, Goujani R, Rahimian G, Ahamdi A. Prevalence and risk factors of non-alcoholic fatty liver disease in southwest Iran: a population-based case-control study. Clinical and experimental hepatology. 2019;5 (3):224-31. [DOI:10.5114/ceh.2019.87635] [PMID] []
8. Powell EE, Wong VW-S, Rinella M. Non-alcoholic fatty liver disease. The Lancet. 2021;397 (10290):2212-24. [DOI:10.1016/S0140-6736(20)32511-3] [PMID]
9. Takahata Y, Takahashi A, Anzai Y, Abe N, Sugaya T, Fujita M, et al. Lifestyle factors affecting new-onset nonalcoholic fatty liver disease. Prev Med Rep. 2023;37:102577. [DOI:10.1016/j.pmedr.2023.102577] [PMID] []
10. Kaps L, Hildebrand K, Nagel M, Michel M, Kremer W, Hilscher M, et al. Risk factors for poorer health literacy in patients with liver cirrhosis. PLoS One. 2021;16 (7):e0255349. [DOI:10.1371/journal.pone.0255349] [PMID] []
11. Tavousi M, Ebadi M, Fattahi E, Jahangiry L, Hashemi A, Hashemiparast M, et al. Health literacy measures: A systematic review of the literature. Payesh (Health Monitor). 2015;14 (4):485-96.
12. Hejazi S, Peyman N, Tajfard M, Esmaily H. The impact of education based on self-efficacy theory on health literacy, self-efficacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Health Education and Health Promotion. 2018;5 (4):296-303. [DOI:10.30699/acadpub.ijhehp.5.4.296]
13. Barati M, Bayat F, Asadi Z, Afshari Moshir F. Maryam Afshari. Relationship between Health Literacy and Self-Care Behaviors in Hypertensive Patients. J Educ Community Health. 2020;7 (2):89-96. [DOI:10.29252/jech.7.2.89]
14. Ghorbani-Dehbalaei M, Loripoor M, Nasirzadeh M. The role of health beliefs and health literacy in women's health promoting behaviours based on the health belief model: a descriptive study. BMC Women's Health. 2021;21 (1):1-9. [DOI:10.1186/s12905-021-01564-2] [PMID] []
15. Kim MT, Kim KB, Ko J, Murry N, Xie B, Radhakrishnan K, et al. Health literacy and outcomes of a community-based self-help intervention: a case of Korean Americans with type 2 diabetes. Nursing research. 2020;69 (3):210. [DOI:10.1097/NNR.0000000000000409] [PMID] []
16. Ridwan M, Sholikhah AMa, Prakoso BBJJSA. Health literacy and health-related behavior in sport among University students in East Java, Indonesia: A cross sectional study. 2022;7 (1):104-16. [DOI:10.25299/sportarea.2022.vol7(1).8098]
17. RobatSarpooshi D, Mahdizadeh M, Alizadeh Siuki H, Haddadi M, Robatsarpooshi H, Peyman NJProm. The relationship between health literacy level and self-care behaviors in patients with diabetes. 2020:129-35. [DOI:10.2147/PROM.S243678] [PMID] []
18. Burton N, Pakenham KI, Brown WJ. Evaluating the effectiveness of psychosocial resilience training for heart health, and the added value of promoting physical activity: a cluster randomized trial of the READY program. BMC Public Health. 2009;9 (1):1. [DOI:10.1186/1471-2458-9-427] [PMID] []
19. Assis MA, Mello MF, Scorza FA, Cadrobbi MP, Schooedl AF, Silva SG, et al. Evaluation of physical activity habits in patients with posttraumatic stress disorder. Clinics. 2008; 63(4):473-8. [DOI:10.1590/S1807-59322008000400010] [PMID] []
20. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nordic journal of psychiatry. 2008;62 (sup47):25-9. [DOI:10.1080/08039480802315640] [PMID]
21. Giacobbi PR, Stancil M, Hardin B, Bryant L. Physical activity and quality of life experienced by highly active individuals with physical disabilities. Adapted physical activity quarterly. 2008;25 (3):189-207. [DOI:10.1123/apaq.25.3.189] [PMID]
22. Costanzo C, Walker SN, Yates BC, McCabe B, Berg KJWjonr. Physical activity counseling for older women. 2006;28 (7):786-801. [DOI:10.1177/0193945906289495] [PMID]
23. Dumith S, Hallal P, Reis R, Kohl H. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med. 2011;53 (1-2):24-8. [DOI:10.1016/j.ypmed.2011.02.017] [PMID]
24. Kahan D. Adult physical inactivity prevalence in the Muslim world: Analysis of 38 countries. Preventive Medicine Reports. 2015;2:71-5. [DOI:10.1016/j.pmedr.2014.12.007] [PMID] []
25. Maddah M, Akbarian Z, Shoyooie S, Rostamnejad M, Soleimani M. Prevalence of regular exercise among Iranian adults: a study in northern Iran. J Phys Act Health. 2014;11 (4):10-3. [DOI:10.1123/jpah.2012-0202] [PMID]
26. Rudolf K, Biallas B, Dejonghe L, Grieben C, Rückel L, Schaller A, et al. Influence of Health Literacy on the Physical Activity of Working Adults: A Cross-Sectional Analysis of the TRISEARCH Trial. Int J Environ Res Public Health. 2019;16 (24):4948. [DOI:10.3390/ijerph16244948] [PMID] []
27. Olyani S, Gholian Aval M, Tehrani H, Mahdiadeh MJJoHL. School-based mental health literacy educational interventions in adolescents: a systematic review. 2021;6 (2):69-77.
28. Tehrani Banihashemi S-A, Haghdoost AA, Amirkhani MA, Alavian S-M, Asgharifard H, Baradaran H, et al. Health literacy and the influencing factors: a study in five provinces of Iran. 2007;4 (1):1-9.
29. Zeatoun A, Makutonin M, Farquhar D, Berk G, Chaskes M, Kong K, et al. Relationship between health literacy and disease-specific quality of life in patients with sinonasal disease. Int Forum Allergy Rhinol. 2023;13 (3):277-80. [DOI:10.1002/alr.23082] [PMID] []
30. Talebi N, Taheri A. The Effectiveness of Exercise Along with Health Literacy Training on Fatty Liver Grade and Body Mass Index in Sedentary Middle-Aged Men. New Approaches in Exercise Physiology. 2022;4 (7):5-14.
31. O'Connor M, Casey L. The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry research. 2015;229 (1-2):511-6. [DOI:10.1016/j.psychres.2015.05.064] [PMID]
32. Lee E-H, Lee YW, Lee K-W, Nam M, Kim SH. A new comprehensive diabetes health literacy scale: Development and psychometric evaluation. International journal of nursing studies. 2018;88:1-8. [DOI:10.1016/j.ijnurstu.2018.08.002] [PMID]
33. Rich-Edwards J, Spiegelman D, Garland M, Hertzmark E, Hunter D, Colditz G, et al. Physical Activity, Body Mass Index, and Ovulatory Disorder Infertility. Epidemiology. 2002;13 (2):184-90. [DOI:10.1097/00001648-200203000-00013] [PMID]
34. Dehghankar L, Panahi R, Hasannia E, Hemmati F, Siboni FSJJoPM, Health P. The effect of an educational intervention on health literacy and the adoption of nutritional preventive behaviors related to osteoporosis among Iranian health volunteers. 2021;54 (6):404. [DOI:10.3961/jpmph.21.183] [PMID] []
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Fallahi A, Nili S, Rahmani* A, Allahqoli L. Investigating the Relationship between Health Literacy on Non-Alcoholic Fatty Liver and Stages of Exercise Behavior Change among Women. j.health 2025; 16 (1) :45-57
URL: http://healthjournal.arums.ac.ir/article-1-3002-en.html
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 16, Issue 1 (spring 2025) Back to browse issues page
مجله سلامت و بهداشت Journal of Health
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