Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Sleep Quality on Fatigue and Quality of Life : a Sasang Constitutional Medicine Perspective

사상체질에 따른 수면의 질과 피로 및 삶의 질 관련성

  • Park, Ji-Eun (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Mun, Sujeong (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Siwoo (Future Medicine Division, Korea Institute of Oriental Medicine)
  • 박지은 (한국한의학연구원 미래의학부) ;
  • 문수정 (한국한의학연구원 미래의학부) ;
  • 이시우 (한국한의학연구원 미래의학부)
  • Received : 2019.11.04
  • Accepted : 2020.01.30
  • Published : 2020.02.25
Download PDF
⟨ Previous Next ⟩

Abstract

Previous studies have reported an association between poor sleep and various symptoms and diseases, such as fatigue, obesity, depression, and anxiety. The effects of poor sleep may differ by age and sex. In addition, sleep characteristics and their effects may vary according to Sasang constitutional type. The aim of this study was to investigate the associations between sleep quality, fatigue, and quality of life and to assess whether these differ by constitutional type. Participants were individuals aged 40-69 years living in two Korean communities in 2012-2014. Sleep quality, fatigue, and quality of life were measured using the Pittsburgh Sleep Quality Index (PSQI), the Fatigue Severity Scale, and the 12-item Short Form Health Survey, respectively. The effects of total PSQI score and PSQI component scores were analyzed using a generalized additive model. A Korean Sasang constitutional diagnostic questionnaire was used to assess Sasang constitution. Data for 5,793 participants were analyzed. Poor sleep quality was related to greater fatigue, and lower physical and mental quality of life. The PSQI components including subjective sleep quality, sleep latency, sleep disturbances, use of sleep medications, and daytime dysfunction were associated with fatigue and physical and mental quality of life. Sleep quality was significantly lower in So-Eum compared to So-Yang and Tae-Eum. PSQI component scores for fatigue and quality of life differed significantly by Sasang constitution: for Tae-Eum, sleep latency and use of sleep medications; for So-Eum, daytime dysfunction; and for So-Yang, use of sleep medications and daytime dysfunction. The effects of different aspects of sleep quality differ by Sasang constitution. To improve sleep quality, interventions need to be tailored to constitutional type.

Keywords

References

  1. Koo DL, Kim J. The Physiology of Normal Sleep. Hanyang Medical Reviews (Hanyang Med Rev). 2013;33:190-6. https://doi.org/10.7599/hmr.2013.33.4.190
  2. Kim KW, Kang SH, Yoon IY, Lee SD, Ju G, et al. Prevalence and clinical characteristics of insomnia and its subtypes in the Korean elderly. Arch Gerontol Geriatr. 2017;68:68-75. https://doi.org/10.1016/j.archger.2016.09.005
  3. Lee S, Cheong YS, Park EW, Choi E, Y.,, Yoo HK, et al. Prevalence of Sleep Disorder and Associated Factors in Family Practice. Korean Journal of Family Medicine. 2010;31(11):837-44. https://doi.org/10.4082/kjfm.2010.31.11.837
  4. Ogilvie RP, Patel SR. The epidemiology of sleep and obesity. Sleep Health. 2017;3(5):383-8. https://doi.org/10.1016/j.sleh.2017.07.013
  5. Potter GDM, Cade JE, Hardie LJ. Longer sleep is associated with lower BMI and favorable metabolic profiles in UK adults: Findings from the National Diet and Nutrition Survey. PLoS One. 2017;12(7):e0182195. https://doi.org/10.1371/journal.pone.0182195
  6. Pires GN, Bezerra AG, Tufik S, Andersen ML. Effects of acute sleep deprivation on state anxiety levels: a systematic review and meta-analysis. Sleep Med. 2016;24:109-18. https://doi.org/10.1016/j.sleep.2016.07.019
  7. Yu J, Rawtaer I, Fam J, Jiang MJ, Feng L, et al. Sleep correlates of depression and anxiety in an elderly Asian population. Psychogeriatrics. 2016;16(3):191-5. https://doi.org/10.1111/psyg.12138
  8. Marques DR, Meia-Via AMS, da Silva CF, Gomes AA. Associations between sleep quality and domains of quality of life in a non-clinical sample: results from higher education students. Sleep Health. 2017;3(5):348-56. https://doi.org/10.1016/j.sleh.2017.07.004
  9. Sariarslan HA, Gulhan YB, Unalan D, Basturk M, Delibas S. The relationship of sleep problems to life quality and depression. Neurosciences (Riyadh). 2015;20(3):236-42. https://doi.org/10.17712/nsj.2015.3.20150157
  10. Swanson CM, Shea SA, Wolfe P, Cain SW, Munch M, et al. Bone Turnover Markers After Sleep Restriction and Circadian Disruption: A Mechanism for Sleep-Related Bone Loss in Humans. J Clin Endocrinol Metab. 2017;102(10):3722-30. https://doi.org/10.1210/jc.2017-01147
  11. National Health Insureance Service Ilsan Hospital. Prevalence and characteristics of sleep disorder and concomitant disease using national healthcare data. 2015.
  12. Christie AD, Seery E, Kent JA. Physical activity, sleep quality, and self-reported fatigue across the adult lifespan. Exp Gerontol. 2016;77:7-11. https://doi.org/10.1016/j.exger.2016.02.001
  13. Mong JA, Cusmano DM. Sex differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc Lond B Biol Sci. 2016;371(1688):20150110. https://doi.org/10.1098/rstb.2015.0110
  14. Han YR, Lee HB, Han SY, Kim BJ, Lee SJ, et al. Systematic review of type-specific pathophysiological symptoms of Sasang typology. Integr Med Res. 2016;5(2):83-98. https://doi.org/10.1016/j.imr.2015.11.002
  15. Sok S, Kim KB. A Comparative Study on Sleep State, Satisfaction of Sleep, and Life Satisfaction of Korean Elderly Living with Family by Sasangin Constitution. J Korean Acad Psychiatr Ment Health Nurs. 2009;18(3):341-50.
  16. Kim TY, You SE, Ko YS. Association between Sasang constitutional types with obesity factors and sleep quality. Integr Med Res. 2018;7(4):341-50. https://doi.org/10.1016/j.imr.2018.06.007
  17. Ko YS. Research on Physique, Bone Density, Obesity, Body Composition, and Physical Strength to Sleep duration by Sasang Constitution. The Korean Journal of Growth and Development 2010;18(4):271-8.
  18. Korea Institute of Oriental Medicine. Korean medicine Data Center 2019 [Available from: https://kdc.kiom.re.kr/html/.
  19. Baek Y, Jang E, Park K, Yoo J, Iin H, et al. Development and Validation of Brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) Based on Body Shape, Temperament and Symptoms. J Sasang Constitut Med. 2015;27(2):211-21. https://doi.org/10.7730/JSCM.2015.27.2.211
  20. Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  21. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121-3. https://doi.org/10.1001/archneur.1989.00520460115022
  22. Jenkinson C, Layte R. Development and testing of the UK SF-12 (short form health survey). J Health Serv Res Policy. 1997;2(1):14-8. https://doi.org/10.1177/135581969700200105
  23. Choi J, Park S. A Clinical Study of Sleep According to Sasang constitution. Journal of Sasang constution Medicine. 2003;15(3):204-15.
  24. Lee SK, Yoon DW, Yi H, Lee SW, Kim JY, et al. Tae-eum type as an independent risk factor for obstructive sleep apnea. Evid Based Complement Alternat Med. 2013;2013:910382.
  25. Lee HB, Han YR, Han SY, Kim YI, Son K, et al. Systematic Review on the Sasang Type-specific Pathophysiological Symptoms of Sleep. J of Oriental Neuropsychiatry 2015;26(4):337-48. https://doi.org/10.7231/jon.2015.26.4.337
  26. Hyun MY. Yangseng and Health status according to Sasang constutition of University students. Department of Nursing, Woosuk University. 2005.
  27. Kim JS, Sok SR. A study on Yangsaeng (health management) of Korean older adults by 4 constitution types. Holist Nurs Pract. 2012;26(6):317-25. https://doi.org/10.1097/HNP.0b013e31826ed0ff
  28. Ko YS, You SE. Comparisons of physical fitness and body composition among Sasang types with and without body mass index as a covariate. Integr Med Res. 2015;4(1):41-7. https://doi.org/10.1016/j.imr.2015.04.387
  29. Lee JM. Dongui-Susebowon Sasang Chobongwon. Paju; South Korea: Jipmundang; 2005.
  30. Lee SO, Ahn SH, Kim MO. A Study on Women's Fatigue and Sleeping Disturbance. Korean J Women Health Nurs. 2005;11(2):163-8. https://doi.org/10.4069/kjwhn.2005.11.2.163
  31. Kim JA, Kang SW. Relationship among Sleep Quality, Heart Rate Variability, Fatigue, Depression, and Anxiety in Adults. Korean Journal of Adult Nursing. 2017;29(1):87-97. https://doi.org/10.7475/kjan.2017.29.1.87
  32. Son C. Review of the Prevalence of Chronic Fatigue Worldwide. The Journal of Korean Oriental Medicine. 2012;33(2):25-33.
  33. Kim CH, Shin HC, Won CW. Prevalence of chronic fatigue and chronic fatigue syndrome in Korea: community-based primary care study. J Korean Med Sci. 2005;20(4):529-34. https://doi.org/10.3346/jkms.2005.20.4.529
  34. The Organisation for Economic Co-operation and Development (OECD). How's Life? ; 2017. http://www.oecd.org/statistics/how-s-life-23089679.htm
  35. Kara N. Effect of Sleep Quality on Psychiatric Symptoms and Life Quality in Newspaper Couriers. Noro Psikiyatr Ars. 2016;53(2):102-7. https://doi.org/10.5152/npa.2015.10164
  36. Bani-Issa W, Al-Shujairi AM, Patrick L. Association between quality of sleep and health-related quality of life in persons with diabetes mellitus type 2. J Clin Nurs. 2018;27(7-8):1653-61. https://doi.org/10.1111/jocn.14221
  37. Sezgin M, Hasanefendioglu EZ, Sungur MA, Incel NA, Cimen OB, et al. Sleep quality in patients with chronic low back pain: a cross-sectional study assesing its relations with pain, functional status and quality of life. J Back Musculoskelet Rehabil. 2015;28(3):433-41. https://doi.org/10.3233/BMR-140537