Recently, discussion of the potential of health literacy (HL) for health promotion has increased; however, clear evidence illuminating the relationship between adolescents’ HL and their physical activity (PA) remains scarce. This study aimed to assess the association between adolescents’ HL and leisure time PA. A representative cross-sectional study was conducted with 2,369 Lithuanian adolescents aged 13–16 years. A self-reported questionnaire gathered information regarding HL, leisure time PA, and other confounders (gender, age, family affluence and parents’ exercise). Descriptive statistics and the probabilities of being physically active were estimated using logistic regression. The results revealed that almost 60% of the participants were not sufficiently physically active. Having moderate or high levels of HL was positively associated with leisure time PA. Additionally, being male, belonging to a more affluent family, and having a father who exercise were significant predictors of adolescents’ leisure time PA. This study revealed that moderate and high HL positively related to leisure time PA among Lithuanian adolescents. The study results highlighted the importance of encouraging schoolchildren's PA and including HL promotion in a school curriculum.

中文翻译：

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立陶宛青少年健康素养与闲暇时间体育活动的关联

最近，关于健康素养 (HL) 促进健康的潜力的讨论有所增加；然而，阐明青少年 HL 与其身体活动 (PA) 之间关系的明确证据仍然很少。本研究旨在评估青少年 HL 与闲暇时间 PA 之间的关联。对 2,369 名 13-16 岁的立陶宛青少年进行了一项具有代表性的横断面研究。一份自我报告的问卷收集了有关 HL、闲暇时间 PA 和其他混杂因素（性别、年龄、家庭富裕程度和父母的锻炼）的信息。使用逻辑回归估计描述性统计和身体活跃的概率。结果显示，几乎 60% 的参与者身体活动不足。中度或高水平的 HL 与休闲时间 PA 呈正相关。此外，男性、属于更富裕的家庭以及有一个运动的父亲是青少年休闲时间 PA 的重要预测因素。该研究表明，立陶宛青少年中度和高度 HL 与休闲时间 PA 呈正相关。研究结果强调了鼓励学童的 PA 并将 HL 推广纳入学校课程的重要性。