Obesity, Sleep Quality, and Self-Care Capacity Among Adults with Cardiometabolic Disease
Keywords:
body mass index, cardiometabolic risk factors, cross-sectional studies, self-care, sleep-wake disordersAbstract
Background: Cardiometabolic disease imposes substantial self-management demands, yet factors associated with self-care capacity remain insufficiently characterized. Obesity and poor sleep are increasingly prevalent in chronic cardiometabolic care and may be associated with lower self-care capacity, particularly in hospital-based adult populations globally
Aim: To examine the associations of obesity and sleep quality with self-care capacity among adults with cardiometabolic disease
Approach: In this hospital-based cross-sectional study, 231 adults with cardiometabolic disease were consecutively recruited at Hong Ngoc General Hospital from November to December 2025. Eligible participants were aged 18 years or older. Associations were analyzed using multivariable linear regression in Stata version 19
Results: The mean (SD) age was 57.8 (10.6) years, and 127 participants (55.0%) were women. Poor sleep quality (β, −4.12; P<.001) and obesity (β, −2.37; P=.008) were associated with lower self-care capacity, whereas higher education (β, 2.84; P=.004) was associated with better scores.
Conclusions: Poor sleep quality and obesity were associated with lower self-care capacity in adults with cardiometabolic disease, supporting integrated behavioral and risk-based nursing assessment
Implication for Nursing Practice: Nurses may benefit from routinely assessing sleep quality, body weight, and educational needs to identify patients who may require monitoring, tailored counseling, and individualized self-management support within cardiometabolic care pathways
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