The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis on Heart Rate Variability (HRV) Characteristics of Patients with Insomnia during Perimenopause and Postmenopause: A Retrospective Chart Review

불면증이 동반된 여성 갱년기 환자의 심박변이도 특성 분석 : 후향적 차트리뷰

  • Ahn, Soo-Yeon (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Dae-jeon University) ;
  • Park, Eun-Ji (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Dae-jeon University) ;
  • Lee, Ji-Yeon (Dept. of Oriental Gynecology, Cheonan Korean Medicine Hospital of Dae-Jeon University) ;
  • Yoo, Jeong-Eun (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Dae-jeon University)
  • 안수연 (대전대학교 한의과대학 부인과교실) ;
  • 박은지 (대전대학교 한의과대학 부인과교실) ;
  • 이지연 (대전대학교 천안한방병원 한방부인과) ;
  • 유정은 (대전대학교 한의과대학 부인과교실)
  • Received : 2017.07.28
  • Accepted : 2017.08.16
  • Published : 2017.08.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study is to demonstrate Heart Rate Variability characteristics of menopausal patients with insomnia. Methods: From March 1, 2014 to June 20, 2017, Heart Rate Variability was measured in 102 menopausal patients who visited Cheonan Korean Medicine Hospital of Daejeon University. We compared accompanying symptoms and Heart Rate Variability values depending on sleep quality in menopausal women. Results: The accompanying symptoms of menopausal patients were as follows: hot flushes (45.1%), tiredness (25.49%), chest discomfort and palpitations (23.53%), headache (17.65%), arthralgia and muscular pain (17.65%), cold sensitivity of hands and feet (15.69%), urinary frequency (14.71%) and anxiety (10.78%). The frequency of chest discomfort and palpitation was significantly higher in the menopausal insomnia group than in normal sleep group. Comparing Heart Rate Variability between two groups, Standard deviation of the NN interval (SDNN), Total Power (TP), and Low Frequency (LF) values were significantly lower in insomnia group. Conclusions: Chest discomfort and palpitations were more frequent in insomnia patients in menopausal women than normal sleep group, and Standard deviation of the NN interval (SDNN), Total Power (TP), Low Frequency (LF) were significantly lower in HRV values.

Keywords

References

  1. Choi JE, et al. The clinical Analysis of the Symptoms and Characteristics on 50 Cases of Postmenopause syndrome. J Korean Obstet Gynecol. 2002;15(2):144-54.
  2. Macpherson KI. Menopause as Disease: The Social Construction of a Metaphor. AJS. 1981;39(3):551-61.
  3. Healthcare Bigdata Hub. Statistics of Disease subdivision[cited 2017 July 10]. Available from:URL:http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do.
  4. Korean Society of Obstetrics and Gynecology. Gynecology. 5th. Seoul:Korea Medical Book Publishing Company. 2015:655.
  5. Attarian H, et al. Treatment of chronic insomnia disorder in menopause: evaluation of literature. Menopause. 2015;22(6):674-84. https://doi.org/10.1097/GME.0000000000000348
  6. Seo SK. Insomnia. 2nd. Seoul:Hakjisa. 2016:8-16.
  7. Yang DH, Oh KM, Kim BK. The Relation of HRV, PSQI and IQ with Symptoms of Insomnia Patients. Journal of Oriental Neuropsychiatry. 2008;19(3):143-78.
  8. Kang HS, et al. A Clinical Report of Two Patients with Depression and Menopausal Symptoms Improved by Korean Traditional Treatment and Psychotherapy. Journal of Oriental Neuropsychiatry. 2009;20(2):177-86.
  9. Bonnet M, Arand DL. Heart rate variability in insomniacs and matched normal sleepers. Psychosom Med. 1998;60(5):610-15. https://doi.org/10.1097/00006842-199809000-00017
  10. Ha JW, Kim BK, Jung JH. A Study on the Correlation of the accompanying symptoms, Heart RatVariability and Body Component Analysis in 350 Insomnia Patients. Journal of Oriental Neuropsychiatry. 2012;23(3):47-62. https://doi.org/10.7231/JON.2012.23.3.047
  11. Cho JH, et al. Study of Relationship between Autonomic Nerve System and Post Stroke Insomnia by Heart Rate Variability. Journal of Oriental Rehab Med. 2007;17(1):135-44.
  12. Park JJ, Lim LC, Seol ICl. The consideration about the insomnia patient which sees as HRV. Journal of Haewha Medicine. 2004;13(1):39-45.
  13. National Institute for Health and Care Excellence. Menopause[cited 2017 July 27]. Available from:URL:https://www.nice.org.uk/guidance/qs143.
  14. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obsetrics &Gynecology-2. 1st. Seoul:Eui Seong Dang Punblishing co. 2012:268-81.
  15. Krystal AD. Insomnia in women. Clinical Cornerstone. 2003;5(3):41-50. https://doi.org/10.1016/S1098-3597(03)90034-2
  16. Kuh DL, Wadsworth M, Hardy R. Women's health in midlife: the influence of the menopause, social factors and health in earlier life. Br J Obstet Gynaecol. 1997;104(8):923-33. https://doi.org/10.1111/j.1471-0528.1997.tb14352.x
  17. Kim JS. A Study on Adult Women's Sleep Disorder and Depression. The Journal of Korean Academic Society of Adult Nursing. 2003;15(2):296-304.
  18. De Zambotti M, et al. Altered nocturmal blood pressure profiles in women with insomnia disorder in the menopausal transition. Menopause. 2017;24(3):278-87. https://doi.org/10.1097/GME.0000000000000754
  19. Lee SK, et al. The effect of aerobic and muscular combined exercise on the body composition, heart rate variability and hemodynamic factors of middle-aged obese women. The official Jounal of the Korean Academy of Kinesiology. 2009;11(1):1-8.
  20. Park YK, et al. Study on Heart Rate Variability Characteristics of Cold Hypersensitivity of Hands and Feet Patients. J Korean Obstet Gynecol. 2015;28(1):92-101. https://doi.org/10.15204/jkobgy.2015.28.1.092
  21. Kim JA, Kang SW. Relationship among Sleep Quality, Heart Rate Variability, Fatigue, Depression, and Anxiety in Adults. The Journal of Korean Academic Society of Adult Nursing. 2017;29(1):87-97. https://doi.org/10.7475/kjan.2017.29.1.87
  22. Zhong X, et al. Increased sympathetic and decreased parasympathetic cardiovascular modulation in normal humans with acute sleep deprivation. Journal of Applied Physiology. 2005;98(6):2024-32. https://doi.org/10.1152/japplphysiol.00620.2004
  23. Jehan S, et al. Sleep disorders in postmenopausal women. Journal of sleep disorder&therapy. 2015;4(5):1000212.
  24. Eichling PS, Sahni J. Menopause related sleep disorders. Journal of clinical sleep medicine. 2005;1(3):291-300.
  25. Polo-Kantola P, et al. Effect of short-term transdermal estrogen replacement therapy on sleep: a randomized, double-blind crossover trial in postmenopausal women. Fertil Steril. 1999;71(5):873-80. https://doi.org/10.1016/S0015-0282(99)00062-X
  26. Kim MY, et al. A Study on Heart Rate Variability(HRV) of Women with Atrophic Vaginitis. J Korean Obstet Gynecol. 2015;28(3):11-20. https://doi.org/10.15204/jkobgy.2015.28.3.011
  27. The Committee of Text book Compilation about Oriental Neuropsychiatry in Oriental Medicine College. Oriental Neuropsychology. 1st. Seoul:Jipmoondang. 2012:249-251.