Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
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Study on the Relationship between Cold type and Sleep Quality in Koreans

한국 일반인의 한증과 수면의 질과의 상관성 연구

  • Seo, Bok-Nam (Clinical Medicine Division) ;
  • Jeong, Kyoungsik (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Baek, Younghwa (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Siwoo (Future Medicine Division, Korea Institute of Oriental Medicine)
  • 서복남 (한국한의학연구원 임상의학부) ;
  • 정경식 (한국한의학연구원 미래의학부) ;
  • 백영화 (한국한의학연구원 미래의학부) ;
  • 이시우 (한국한의학연구원 미래의학부)
  • Received : 2020.12.01
  • Accepted : 2021.02.22
  • Published : 2021.02.25
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Abstract

The purpose of this study was to investigate the relationship between sleep quality and sleep duration according to individual characteristics, and the relationship between sleep quality and cold type. A total of 1998 participants aged 30-55 who participated in a community cohort study at KIOM's Oriental Medicine Data Center (KDC) was analyzed. Cold type was diagnosed with a common the Questionnaire of Cold Pattern Identification (8 items). Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The participants in this study were classified into 1193 with cold type and 805 with non-cold type. The poor sleep quality was found in more women than men, and the Body Mass Index (BMI) was higher in the non-cold type. In the cold type group, average sleep quality was poor and sleep duration was short. There was a statistically significant correlation between cold score, sleep quality, and sleep duration. Cold type was related to the sleep quality. The risk of poor sleep quality increased 1.46 with increased cold type (95% CI = 1.16-1.84, p <.001). In particular, it was found that various programs to improve the quality of sleep, focusing on the cold type among personal characteristics, are needed to maintain adequate sleep to improve the sleep quality. In the future, when analyzing the relationship between cold type and sleep quality, it is thought that an attempt to derive other objective quantitative indicators is needed.

Keywords

References

  1. National Health Insurance Service. 2018 National Health Insurance Statistical Yearbook. 2019.
  2. Liu Y, Croft JB, Wheaton AG, Perry GS, Chapman DP, Strine TW, et al. Association between perceived insufficient sleep, frequent mental distress, obesity and chronic diseases among US adults, 2009 behavioral risk factor surveillance system. BMC Public Health. 2013;13:84. https://doi.org/10.1186/1471-2458-13-84
  3. Thurston RC, Chang Y, von Kanel R, Barinas-Mitchell E, Jennings JR, Hall MH, et al. Sleep characteristics and carotid atherosclerosis among midlife women. Sleep. 2017;40(2) doi: 10.1093/sleep/zsw052.
  4. Chung JS, Choi E, Hyun Y, Kim J, Kim BN, Park S, Park MH. Gender Difference in Sleep Patterns of Korean Adolescents: Focusing on Psychosocial Circumstances and Biological Changes. J Korean Assoc Soc Psychiatry. 2019;24(2):58-66.
  5. Gangwisch JE, Malaspina D, Posner K, Babiss LA, Heymsfield SB, Turner JB, et al. Insomnia and sleep duration as mediators of the relationship between depression and hypertension incidence. Am. J. Hypertens. 2010;23(1):62-9. https://doi.org/10.1038/ajh.2009.202
  6. Ryu HH, Lee HJ Jang ES, Choi SM, Lee SG, Lee SW. Study on development of cold-heat pattern questionnaire. Korean J Oriental Physiol Pathol. 2008:22:1410-5.
  7. Yeo MK, Park KH, Bae KH, Jang E. Development on the Questionnaire of Cold-Heat Pattern Identification Based on Usual Symptoms for Health Promotion - Focused on Reliability Study. J Physiol & Pathol Korean Med. 2016:30(2):116-23. https://doi.org/10.15188/kjopp.2016.04.30.2.116
  8. Mun SJ, Park KH, Lee SW. Association of Cold-heat Pattern and Anthropometry/body Composition in Individuals Between 50-80 Years of Age. J Physiol & Pathol Korean Med. 2020;34(4):209-14. https://doi.org/10.15188/kjopp.2020.08.34.4.209
  9. Sakaguchi S, Kuge H, Mori H, Miyazaki J, Tanaka TH, Hanyu K et al. Extraction of items identifying hiesho (cold disorder) and their utility in young males and females. J Integr Med. 2016;14(1):36-43. https://doi.org/10.1016/S2095-4964(16)60232-7
  10. Ushiroyama N. Chill sensation: Pathological findings and its therapeutic approach. Igaku No Ayumi. Japanese. 2005; 215: 925-9.
  11. Lee EJ, Kang SG, Shin JH, Hwang YN, Ryu KS, Song SW. Relationship between Sleep Quality and Metabolic Syndrome and Infl ammatory Markers in Middle-aged Men in Korea. Korean Journal of Family Medicine, 2009;30(5):344-51. https://doi.org/10.4082/kjfm.2009.30.5.344
  12. Bae KH, Park KH, Jang E. Heart Rate Variability in Cold Pattern: 3-year Follow-up Study. J Physiol Pathol Korean Med. 2020;34(1):30-6. https://doi.org/10.15188/kjopp.2020.02.34.1.30
  13. Krauchi K, Gasio PF, Vollenweider S, Von Arb M, Dubler B, Orgül S, et al. Cold extremities and difficulties initiating sleep: evidence of co-morbidity from a random sample of a Swiss urban population. J Sleep Res. 2008;17(4):420-6. https://doi.org/10.1111/j.1365-2869.2008.00678.x
  14. Lee IS, Park KE, Hong HJ, Song IJ, Sung KK, Lee SK. Correlation between Post-Stroke Depression and Cold, Heat, Deficiency and Excess Patterns. The Journal of Internal Korean Medicine. 2014;35(1):50-8.
  15. Craig CL, Marshall AL, Sjostrom M, Bauman A, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International Physical Activity Questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise. 2003;35:1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
  16. Kang EJ, Kim NE, Kim DJ, Kim HR, Byun HC, Seo MJ. In-depth analyses of the third National Health and Nutrition Examination Survey: the health interview and health behavior survey part. Seoul: Korea Institute for Health and Social Affairs. 2007.
  17. Bae KH, Yoon YH, Yeo MK, Kim HS, Lee YS, Lee SW. Development on the Questionnaire of Cold-Heat Pattern Identification Based on Usual Symptoms for Health Promotion - Focused on Agreement Study. J Soc Prev Korean Med. 2016;20(2):17-26.
  18. Buysse DJ, Reynolds CF, 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
  19. Choi H, Kim S, Kim B, Kim I. Psychometric properties of the Korean versions of three sleep evaluation questionnaires. Clinical Nursing Research. 2015;24(5):526-38. https://doi.org/10.1177/1054773814549827.
  20. Jang SJ. Stress. In: The Korea Society of Preventive Medicine, editors. Standardization of health related data collection and measurement. Seoul: Gyechuk Munhwasa; 2000;92-143.
  21. Joo JC, Lee S, Park SJ. Comparison of Health Status and Mibyeong Characteristics between Cold Syndrome and Heat Syndrome by Cold Heat Syndrome Differentiation Score. The J of Korean Medicine, 2018;39(1):13-21.
  22. Bae KH, Park KH, Lee SW. Cold hypersensitivity in the Hands, Feet and Abdomen according to Sasang Constitution. Journal of Sasang Constitutional Medicine, 2018;30(1):50-7. https://doi.org/10.7730/JSCM.2018.30.1.50
  23. Baek YH, Jang ES, Park KH, Yoo JH, Jin HJ, Lee SW. 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
  24. Kim SJ, Lee SW, Lee YS. A Study on the Difference of Cold-heat Patterns between Health and Mibyeong Group. J of Society of Prevent Korean Medicine. 2017;21(1):49-56. https://doi.org/10.25153/spkom.2017.21.1.006
  25. Kwon JY, Kim YJ, Kong KH, Jeon CY, Go HY, Ko YM. A Study of Clinical Characteristics of Female Patients with Cold Hypersensitivity on Hands and Feet. The J of Korean Medicine. 2018;39(2):64-79. https://doi.org/10.13048/jkm.18016
  26. Kingma B. The thermoneutral zone: implications for metabolic studies. Front Biosci. 2012;E4(1):1975. https://doi.org/10.2741/E518
  27. Li S, Zhang ZQ, Wu LJ, Zhang XG, Li YD, Wang YY. Understanding ZHENG in Traditional Chinese Medicine in the Context of Neuro -endocrine-immune Network. IET Syst Biol. 2007;1(1):51-60. https://doi.org/10.1049/iet-syb:20060032
  28. Ma T, Tan C, Zhang H, Wang M, Ding W, Li S. Bridging the Gap between Traditional Chinese Medicine and Systems Biology: the Connection of Cold Syndrome and NEI Network. Mol Biosyst. 2010;6(4):613-9. https://doi.org/10.1039/b914024g
  29. Li JB. Traditional Chinese medicine (7th ed.). Beijing: People's Medical Publishing House. 2008.
  30. Krauchi K, Cajochen C, Pache M, Flammer J, Wirz-Justice A. Thermoregulatory effects of melatonin in relation to sleepiness. European Pineal and Biological Rhythms Society. 2006;23(1-2):475-84. http://dx.doi.org/10.1080/0742052050 0545854
  31. Kim HG, Seo WS. Sleep and temperature. Sleep Medicine and Psychophysiology, 2016;23(2):47-52. https://doi.org/10.14401/KASMED.2016.23.2.47
  32. Nishida S, Eguchi E, Ohira T, Kitamura A, Kato YH, Hagihara K, Iso H. Effects of a traditional herbal medicine on peripheral blood flow in women experiencing peripheral coldness: a randomized controlled trial. BMC Complement Altern Med. 2015;15(1):105. https://doi.org/10.1186/s12906-015-0617-4