Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Correlations between Sleep Quality and Heart Rate Variability, Tongue Diagnosis, and Korean Medical Questionnaires

수면의 질과 심박변이도, 설진 및 한의학적 문진 결과의 상관성

  • Shim, Hyeyoon (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University) ;
  • Park, Jeong Hwan (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Sanghun (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Hojun (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University)
  • 심혜윤 (동국대학교 한의과대학 한방재활의학교실) ;
  • 박정환 (한국한의학연구원 미래의학부) ;
  • 이상훈 (한국한의학연구원 미래의학부) ;
  • 김호준 (동국대학교 한의과대학 한방재활의학교실)
  • Received : 2021.10.22
  • Accepted : 2021.11.03
  • Published : 2022.01.31
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Abstract

Objectives We aimed to characterize the results obtained from Korean medical examinations and questionnaires on the quality of sleep. Methods The quality of sleep was measured using the Pittsburgh sleep quality index in 400 subjects. Afterwards, heart rate variability (HRV) measurements were done, along with the analyses for tongue color, teeth marks, and tongue coating through the tongue diagnosis system. A questionnaire about body's heat, cold and sweating conditions, and the perceived stress scale (PSS) were performed. Finally, correlations between all these indicators and the sleep quality were analyzed. Results As the quality of sleep decreased, the sympathetic nervous system was stimulated. The subjects who had the blue-purple colored tongue experienced decreased quality of sleep. The quality of sleep was also deteriorated in the subjects who usually feel cold and hot easily, sweat a lot, and feel a lot of discomfort. According to the PSS questionnaire, the higher the stress level is, the lower was the quality of sleep. Conclusions We obtained meaningful results by comprehensively analyzing the sleep quality, HRV, tongue diagnosis, heat and cold conditions, sweating, and stress conditions. In particular, the sleep quality had a significant correlation with the rest of the indicators.

Keywords

Acknowledgement

본 연구는 한국한의학연구원 주요사업인 'AI 한의사 개발을 위한 임상 빅데이터 수집 및 서비스 플랫폼 구축(KSN2013110)'의 지원을 받아 수행되었음.

References

  1. The Korean Society of Oriental Neuropsychiatry. Korean neuropsychiatry. 3rd ed. Seoul:Jipmoondang. 2007:549-52.
  2. Ministry of Health and Welfare. Statistics for insomnia [Internet] 2020 [cited 2020 Feb 18]. Available from: URL: http://opendata.hira.or.kr/op/opc/ olapMfrnIntrsIlnsInfo.do.
  3. 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
  4. Park KJ, Jeong HJ. Assessing methods of heart rate variability. Korean J Clin Neurophysiol. 2014;16(2):49-54. https://doi.org/10.14253/kjcn.2014.16.2.49
  5. Kim JA, Kang SW. Relationship among sleep quality, heart rate variability, fatigue, depression, and anxiety in adults. Korean J Adult Nurs. 2017;29(1):87-97. https://doi.org/10.7475/kjan.2017.29.1.87
  6. Kageyama T, Nishikido N, Kobayashi T, Kurokawa Y, Kaneko T, Kabuto M. Self-reported sleep quality, job stress, and daytime autonomic activities assessed in terms of short-term heart rate variability among male white-collar workers. Industrial Health. 1998;36.3:263-72. https://doi.org/10.2486/indhealth.36.263
  7. Kim JY, Han GJ, Ko SJ, Nam DH, Park JW, Ryu BH, Kim JS. Tongue diagnosis system for quantitative assessment of tongue coating in patients with functional dyspepsia: a clinical trial. Journal of Ethnopharmacology. 2014;155(1):709-13. https://doi.org/10.1016/j.jep.2014.06.010
  8. 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
  9. Ryu HH, Lee HJ, Jang ES, Choi SM, Lee SG, Lee SW. Study on development of cold-heat pattern questionnaire. Korean J Oriental Physiology & Pathology. 2008;22(6):1410-5.
  10. Liao WC. Effects of passive body heating on body temperature and sleep regulation in the elderly: a systematic review. International Journal of Nursing Studies. 2002;39.8:803-10. https://doi.org/10.1016/S0020-7489(02)00023-8
  11. Mold JW, Woolley JH, Nagykaldi Z. Associations between night sweats and other sleep disturbances: an OKPRN study. The Annals of Family Medicine September. 2006;4(5):423-6. https://doi.org/10.1370/afm.554
  12. Shim HY, Kwon OJ, Kim MJ, Song EJ, Moon SY, Nam YD, Nam DH, Lee JH, Koo BS, Kim HJ. A comparative study on the quality of sleep, tongue diagnosis, and oral microbiome in accordance to the Korean medicine pattern differentiation of insomnia. J Korean Med Obes Res. 2020;20(1):40-51. https://doi.org/10.15429/jkomor.2020.20.1.40
  13. Shin SJ, Hwang EH. A study on the subjective and objective sleep of the insomniac adults. Korean J Health Promot Dis Prev. 2008;8(3):141-9.
  14. Park MS, Choi MN, Lee HG, Lee MB. Quality of sleep and heart rate variability by physical activity in high school students. Child Health Nurs Res. 2015;21(3):195-203. https://doi.org/10.4094/chnr.2015.21.3.195
  15. Xhyheri B, Manfrini O, Mazzolini M, Pizzi C, Bugiardini R. Heart rate variability today. Progress in Cardiovascular Diseases. 2012;55(3):321-31. https://doi.org/10.1016/j.pcad.2012.09.001
  16. Lee JH, Shin CM, Ko YH, Lim JH, Joe SH, Kim SH, Jung IK, Han CS. The reliability and validity studies of the Korean version of the perceived stress scale. Korean Journal of Psychosomatic Medicine. 2012;20(2):127-34.
  17. Li W, Ruan W, Peng Y, Lu Z, Wang D. Associations of socioeconomic status and sleep disorder with depression among US adults. Journal of Affective Disorders. 2021;295:21-7. https://doi.org/10.1016/j.jad.2021.08.009
  18. Xia L, Lan L, Tang J, Wan Y, Lin Y, Wang Z. Bed heating improves the sleep quality and health of the elderly who adapted to no heating in a cold environment. Energy and Buildings. 2020;210:109687. https://doi.org/10.1016/j.enbuild.2019.109687
  19. Zheng G, Li K, Wang Y. The effects of high-temperature weather on human sleep quality and appetite. Int J Environ Res Public Health. 2019;16(2):270. https://doi.org/10.3390/ijerph16020270
  20. Cho YW, Shin WC, Yun CH, Hong SB, Kim J, Earley CJ. Epidemiology of insomnia in Korean adults: prevalence and associated factors. J Clin Neurol. 2009;5(1):20-3. https://doi.org/10.3988/jcn.2009.5.1.20
  21. Cho JH, Shin DJ, Lee JS, Kim SS. Study of relationship between autonomic nerve system and post stroke insomnia by heart rate variability. J Oriental Rehab Med. 2007;17(1):135-44.
  22. Kim JE, Park DW, Han JY, Lee JH. Comparisons of HRV parameters among anxiety disorder, depressive disorder and trauma.stressor related disorder. Korean Journal of Psychosomatic Medicine. 2020;28(1):81-8. https://doi.org/10.22722/KJPM.2020.28.1.81
  23. Bae EJ, Kim DH, Rheu KH, Park SU, Yoon SW, Ko CN. Clinical study for characteristics of heart rate variability in Hwabyung patients. Korean J Orient Int Med. 2005;26(4):844-52.
  24. Kim KT, Ko H, Shin SM, Jung JH. Study of the diagnostic indicators of yin-deficiency pattern using by AHP. The Journal of the Korean Medicine Diagnostics. 2014;18(3):175-86.
  25. Kim KH, Park GM. Tongue diagnosis's past and future prospects. The Magazine of the IEIE. 2010;37(7):62-71.
  26. Kim GH, Nam DH. Trends in the development of the tongue diagnosis machine. The Magazine of the IEIE. 2016;43(12):35-43.
  27. Park SW, Kang KW, Kang BG, Kim JC, Kim BY, Choi DJ, Cho HK, Lee I, Seol IC, Cho KH, Choi SM. Study of tongue diagnosis for pattern identification in stroke patients. Journal of Physiology & Pathology in Korean Medicine. 2008;22(1):262-6.
  28. Kim GH. Development trend and application direction of health diagnosis device using tongue. Convergence Research Review. 2018;4(2):32-6.
  29. Kim MJ, Bose S, Shin NR, Park SH, Kwon OJ, Song EJ, Nam YD, Koo BS, Nam DH, Lee JH, Kim HJ. The herbal formula CWBSD improves sleep quality dependent on oral microbial type and tongue diagnostic features in insomnia. J Pers Med. 2021;11(5):325. https://doi.org/10.3390/jpm11050325
  30. Zhou Q, Wang B, Hua Q, Jin Q, Xie J, Ma J, Jin F. Investigation of the relationship between hot flashes, sweating and sleep quality in perimenopausal and post-menopausal women: the mediating effect of anxiety and depression. BMC Women's Health. 2021;21(1):1-8. https://doi.org/10.1186/s12905-020-01152-w