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일반 인구집단의 사상체질에 따른 수면의 질 및 신체활동량과 복부비만과의 연관성

Association between Sleep Quality, Physical Activity and Abdominal Obesity in the Community-Based Population: Based on Sasang Constitution Types

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Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

Abstract

Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

참고문헌 (34)

  1. Global status report on noncommunicable diseases 2014, "World Health Organization", ~ (2014)
  2. Carmienke S, "General and abdominal obesity parameters and their combination in relation to mortality : a systematic review and meta-regression analysis", Eur J Clin Nutr, 67(6), pp.573~585 (2013)[DOI]
  3. Jacobs EJ, "Waist circumference and all-cause mortality in a large US cohort", Arch Intern Med, 170(15), pp.1293~1301 (2010)[DOI]
  4. Lee CMY, "Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI : a meta-analysis", J Clin Epidemiol, 61(7), pp.646~653 (2008)[DOI]
  5. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults:the evidence report, "Expert Panel on the Identification", National Institutes of Health, National Heart, Lung, and Blood Institute, 51~209 (1998)
  6. Lim J, "Trends in the prevalence of underweight, obesity, abdominal obesity and their related lifestyle factors in Korean young adults, 1998-2012", Obes Res Clin Pract, 12(4), pp.358~364 (2018)[DOI]
  7. Liu R-Q, "Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese : a large population-based study", J Clin Sleep Med, 13(4), pp.565~574 (2017)[DOI]
  8. Park SE, "The association between sleep duration and general and abdominal obesity in Koreans : data from the Korean National Health and Nutrition Examination Survey, 2001 and 2005", Obesity, 17(4), pp.767~771 (2009)[DOI]
  9. Morell-Azanza L, "Changes in objectively measured physical activity after a multidisciplinary lifestyle intervention in children with abdominal obesity : A randomized control trial", BMC Pediatr, 19(1), pp.1~8 (2019)[DOI]
  10. 백인경, "수면시간과 비만, 열량영양소 섭취비율 및 신체 활동량과의 관련성", 대한지역사회영양학회지, 16(3), pp.315~323 (2011), 대한지역사회영양학회
  11. Tsai MC, "Combined healthy lifestyle factors are more beneficial in reducing cardiovascular disease in younger adults : a meta-analysis of prospective cohort studies", Scientific reports, 10(1), pp.1~10 (2020)[DOI]
  12. 김상혁, "사상체질병증 임상진료지침: 사상체질병증 검사 및 체질진단", 사상체질의학회지, 27(1), pp.110~124 (2015), 사상체질의학회
  13. 배나영, "사상체질병증 임상진료지침: 예방 및 위험인자", 사상체질의학회지, 27(1), pp.82~109 (2015), 사상체질의학회
  14. 한유리, "Systematic review of type-specific pathophysiological symptoms of Sasang typology", Integrative Medicine Research, 5(2), pp.83~98 (2016), 한국한의학연구원[DOI]
  15. Park JE, "Effect of Lifestyle Factors on Hypertension by Constitution Type : A Large Community-Based Study", Evid Based Complement Alternat Med, 2019, pp.1~8 (2019)[DOI]
  16. Tae Yeong Kim, "Association between Sasang constitutional types with obesity factors and sleep quality", Integrative Medicine Research, 7(4), pp.341~350 (2018), 한국한의학연구원[DOI]
  17. Jang ES, "Could the Sasang constitution itself be a risk factor of abdominal obesity?", BMC Complement Altern Med, 13(1), pp.1~6 (2013)[DOI]
  18. Baek YH, "The prevalence of general and abdominal obesity ccording to sasang constitution in Korea", BMC Complement Altern Med, 14(1), pp.1~8 (2014)[DOI]
  19. 백영화, "한의임상정보은행 활용도 제고를 위한 교육용 데이터 개발", 사상체질의학회지, 29(3), pp.242~247 (2017), 사상체질의학회[DOI]
  20. Kim YJ, "Cohort profile: the Korean genome and epidemiology study (KoGES)consortium", International journal of epidemiology. Int J Epidemiol, 46(2), pp.1~10 (2016)[DOI]
  21. 백영화, "체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구", 사상체질의학회지, 27(2), pp.211~221 (2015), 사상체질의학회[DOI]
  22. 김윤영, "단축형 사상체질 진단 설문지(KS-15)의 검사-재검사 신뢰도 연구", 동의생리병리학회지, 30(3), pp.177~183 (2016), 한의병리학회[DOI]
  23. Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Res Clin Pract, 75(1), pp.72~80 (2007)[DOI]
  24. Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry research, 28(2), pp.193~213 (1989)[DOI]
  25. Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep and Breathing, 16(3), pp.803~812 (2012)[DOI]
  26. World Health Organization, "Global recommendations on physical activity for health", World Health Organization, ~ (2010)
  27. 남가은, "Obesity Fact Sheet in Korea, 2019: Prevalence of Obesity and Abdominal Obesity from 2009 to 2018 and Social Factors", Journal of Obesity & Metabolic Syndrome, 29(2), pp.124~132 (2020), 대한비만학회[DOI]
  28. Shin HY, "Recent trends in the prevalence of underweight, overweight, and obesity in Korean adults : The Korean National Health and Nutrition Examination Survey from 1998 to 2014", J Epidemiol, 27(9), pp.413~419 (2017)[DOI]
  29. Yoo S, "General and abdominal obesity in South Korea, 1998-2007 : gender and socioeconomic differences", Preventive medicine, 51(6), pp.460~465 (2010)[DOI]
  30. 강영호, "Trends in General and Abdominal Obesity among Korean Adults: Findings from 1998, 2001, 2005, and 2007 Korea National Health and Nutrition Examination Surveys", Journal of Korean Medical Science, 25(11), pp.1582~1588 (2010), 대한의학회
  31. 신소이, "사상체질별 운동요법 관련 연구 문헌 고찰- 데이터베이스 검색을 통해 -", 사상체질의학회지, 33(3), pp.29~53 (2021), 사상체질의학회[DOI]
  32. 박지은, "사상체질에 따른 수면의 질과 피로 및 삶의 질 관련성", 동의생리병리학회지, 34(1), pp.37~44 (2020), 한의병리학회
  33. 장은수, "사상체질별 7대 건강행위와 주관적 건강상태의 연관성", 사상체질의학회지, 30(1), pp.32~42 (2018), 사상체질의학회[DOI]
  34. Huang BH, "Sleep and physical activity in relation to all-cause, cardiovascular disease and cancer mortality risk", Br J Sports Med, 56(13), pp.718~724 (2022)[DOI]

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