Associations between physical literacy and physical activity and sedentary behavior among Taiwanese older adults: a nationwide survey

Physical literacy (PL) is increasingly viewed as a modifiable determinant of movement behaviors in later life. This study examined the associations of PL with meeting physical activity (PA) recommendations and with sedentary behavior (SB) among community-dwelling older adults in Taiwan. A nationwide cross-sectional survey was conducted using computer-assisted telephone interviewing with stratified random sampling across four geographic regions ( N = 1,078; ≥ 65 years). PL was assessed using the Senior Perceived Physical Literacy Instrument, and PA and SB were measured using the International Physical Activity Questionnaire–Short Form. Binary logistic regression models were estimated with adjustment for demographic and health-related covariates. Higher PL was associated with greater odds of meeting recommended PA levels (adjusted OR = 1.08, 95% CI [1.05, 1.12]) and lower odds of prolonged SB (adjusted OR = 0.96, 95% CI [0.94, 0.99]). PL was a robust factor of both higher PA and lower SB among older adults. PL-informed, community-based strategies that build motivation, confidence, and functional capability may support more active daily routines and help reduce disparities in movement opportunities across diverse living contexts.