The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Analysis of the Difference in the Prevalence of Metabolic Syndrome According to Sasang Constitution and Cold and Heat Pattern Identification

사상체질과 한열에 따른 대사증후군 유병률 차이분석

  • Ki-Hyun, Park (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Sang-Hyuk, Kim (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Siwoo, Lee (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Kwang-Ho, Bae (KM Data Division, Korea Institute of Oriental Medicine)
  • 박기현 (한국한의학연구원 한의약 데이터부) ;
  • 김상혁 (한국한의학연구원 한의약 데이터부) ;
  • 이시우 (한국한의학연구원 한의약 데이터부) ;
  • 배광호 (한국한의학연구원 한의약 데이터부)
  • Received : 2022.09.15
  • Accepted : 2022.12.28
  • Published : 2022.12.30
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Abstract

Objectives: The aim of this study was to investigate the differences in the prevalence of metabolic syndrome (MetS) according to the Sasang constitution (SC) and cold and heat pattern identification (CHPI). Methods: SC, CHPI, MetS, and component data were obtained from 2,561 participants in 26 Korean medical clinics from 2007 to 2013. SC, diagnosed by Korean medicine doctors, was confirmed by positive responses to herbal medicines administered according to that constitution. The CHPI was verified by a questionnaire about thermal sensitivity and drinking habits. The diagnosis criteria for MetS were: 1) waist circumference (WC) ≥90 cm (male) and ≥80 cm (female); 2) triglycerides ≥150 mg/dL; 3) high density lipoprotein cholesterol (HDL) <40 mg/dL (male) and <50 mg/dL (female); 4) blood pressure ≧130/85 mmHg; and 5) fasting blood glucose ≥100 mg/dL. Odds ratios (ORs) and differences in MetS and its components were compared using logistic regression and ANCOVA. Results: The MetS prevalence rates were 54.1%, 22.0%, and 33.3% for Taeeumin (TE), Soeumin (SE), and Soyangin (SY), respectively, and 30.5% and 44.5% for the cold and heat patterns, respectively. ANCOVA for MetS components showed significantly higher WC in TE than in SE or SY, and all components except HDL were higher in the heat pattern group than in the cold pattern group. Logistic regression for MetS prevalence showed a significant association between TE and the heat pattern group (OR=1.653) but not for non-TE and the cold pattern group. Conclusions: Considering SC and CHPI together may be more effective in managing MetS than considering SC alone.

Keywords

Acknowledgement

본 연구는 2022년도 한국한의학연구원 기관주요 사업인 "빅데이터 기반 한의 예방 치료 원천기술 개발"(Grant No. KSN2023120)의 지원을 받아 수행된 연구임.

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