Cold Hypersensitivity and Sleep Quality: A Cross-sectional Community-based Study
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Cold hypersensitivity (CH) and sleep disorders are not limited to patients with specific diseases, as they are also commonly observed in the general population. The objective of this study was to investigate the relationship between CH and sleep quality. Methods: This cross-sectional study analyzed data from a cohort of 5,052 individuals living in South Korea. Based on the results of a questionnaire on CH, the participants were classified into four groups: non-CH, CH in the hands (CHH), CH in the feet (CHF), and CH in the hands and feet (CHHF). Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Multiple regression was used for groupwise comparisons of total PSQI scores and the scores for each component, and logistic regression was used to find the odds ratios of being a “poor sleeper” (PSQI≥8.5). Results: The CHF and CHHF groups showed significantly higher scores than the non-CH group on the overall PSQI as well as on the following sleep components: subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbance, and sleep medication use. The odds ratios for being a “poor sleeper” were significant in the CHF (1.84; CI=1.38-2.43) and CHHF groups (1.54; CI=1.25-1.89), but the CHH group did not show any difference from the non-CH group. We identified a correlation between CH in the feet and poor sleep quality. Conclusions: These findings help to elucidate the relationship between sleep and CH and highlight the need to clarify the underlying mechanism.
Abstract
Background: Cold hypersensitivity (CH) and sleep disorders are not limited to patients with specific diseases, as they are also commonly observed in the general population. The objective of this study was to investigate the relationship between CH and sleep quality. Methods: This cross-sectional study analyzed data from a cohort of 5,052 individuals living in South Korea. Based on the results of a questionnaire on CH, the participants were classified into four groups: non-CH, CH in the hands (CHH), CH in the feet (CHF), and CH in the hands and feet (CHHF). Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Multiple regression was used for groupwise comparisons of total PSQI scores and the scores for each component, and logistic regression was used to find the odds ratios of being a “poor sleeper” (PSQI≥8.5). Results: The CHF and CHHF groups showed significantly higher scores than the non-CH group on the overall PSQI as well as on the following sleep components: subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbance, and sleep medication use. The odds ratios for being a “poor sleeper” were significant in the CHF (1.84; CI=1.38-2.43) and CHHF groups (1.54; CI=1.25-1.89), but the CHH group did not show any difference from the non-CH group. We identified a correlation between CH in the feet and poor sleep quality. Conclusions: These findings help to elucidate the relationship between sleep and CH and highlight the need to clarify the underlying mechanism.
참고문헌 (41)
- Besedovsky L, "Sleep and immune function", Pflugers Arch, 463(1), pp.121~137 (2012)
- Harding EC, "Sleep and thermoregulation", Curr Opin Physiol, 15, pp.7~13 (2020)
- Shokri-Kojori E, "β-Amyloid accumulation in the human brain after one night of sleep deprivation", Proc Natl Acad Sci USA, 115(17), pp.4483~4488 (2018)
- Singareddy R, "Risk factors for incident chronic insomnia : a general population prospective study", Sleep Med, 13(4), pp.346~353 (2012)
- Uhlig BL, "Prevalence and associated factors of DSM-V insomnia in Norway : the Nord-Trøndelag Health Study(HUNT 3)", Sleep Med, 15(6), pp.708~713 (2014)
- Kim KW, "Prevalence and clinical characteristics of insomnia and its subtypes in the Korean elderly", Arch Gerontol Geriatr, 68, pp.68~75 (2017)
- "Sleep disorder, tired after sleeping, annual average increase of 8.1% for 5 years in Wonju-si, Gangwon-do, Republic of Korea" (2019)[URL]
- Wolkove N, "Sleep and aging : 1. Sleep disorders commonly found in older people", CMAJ, 176(9), pp.1299~1304 (2007)
- Tsuboi S, "Are cold extremities an issue in women's health? Epidemiological evaluation of cold extremities among Japanese women", Int J Womens Health, 11, pp.31~39 (2019)
- Tokunaga H, "Clinical data mining related to the Japanese kampo concept"hie"(oversensitivity to coldness)in men and pre-and postmenopausal women", Evid Based Complement Alternat Med, 2014, pp.832824~ (2014)
- Phillips B, "Correlates of sleep complaints in adults : the ARIC study", J Clin Sleep Med, 1(3), pp.277~283 (2005)
- Krauchi K, "Cold extremities and difficulties initiating sleep : evidence of co-morbidity from a random sample of a Swiss urban population", J Sleep Res, 17(4), pp.420~426 (2008)
- Hur YM, "Feeling of cold hands and feet is a highly heritable phenotype", Twin Res Hum Genet, 15(2), pp.166~169 (2012)
- Bae KH, "The relationship between cold hypersensitivity in the hands and feet and health-related quality of life in Koreans : a nationwide population survey", Evid Based Complement Alternat Med, 2019, pp.6217036~ (2019)
- Yamazaki F, "The cutaneous vasoconstrictor response in lower extremities during whole-body and local skin cooling in young women with a cold constitution", J Physiol Sci, 65(5), pp.397~405 (2015)
- Konieczka K, "Flammer syndrome", EPMA J, 5(1), pp.11~ (2014)
- Na ID, "The study on Korean medical pattern differentiation of sleep-wake disorders by DSM-Ⅴ classification", J Physiol & Pathol Korean Med, 31(2), pp.83~93 (2017)
- Pache M, "Cold feet and prolonged sleep-onset latency in vasospastic syndrome", Lancet, 358(9276), pp.125~126 (2001)
- Kim YJ, "Cohort profile : The Korean Genome and Epidemiology Study(KoGES)Consortium", Int J Epidemiol, 46(2), pp.e20~ (2017)
- Jin HJ, "Constitutional multicenter bank linked to Sasang constitutional phenotypic data", BMC Complement Altern Med, 15, pp.46~ (2015)
- Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Res, 28(2), pp.193~213 (1989)
- Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16(3), pp.803~812 (2012)
- Chobanian AV, "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure", Hypertension, 42(6), pp.1206~1252 (2003)
- Bae KH, "The association between cold hypersensitivity in the hands and feet and chronic disease : results of a multicentre study", BMC Complement Altern Med, 18(1), pp.40~ (2018)
- Bae KH, "One year test-retest reliability of the Korea Sasang constitutional diagnostic questionnaire(KS-15)in university students", J Sasang Constitut Med, 31(2), pp.12~21 (2019)
- Bae KH, "Cold hypersensitivity in the Hands, Feet and Abdomen according to Sasang Constitution", J Sasang Constitut Med, 30(1), pp.50~57 (2018)
- Kräuchi K, "Warm feet promote the rapid onset of sleep", Nature, 401(6748), pp.36~37 (1999)
- Vollenweider S, "Chronobiological characterization of women with primary vasospastic syndrome : body heat loss capacity in relation to sleep initiation and phase of entrainment", Am J Physiol Regul Integr Comp Physiol, 294(2), pp.R630~R638 (2008)
- Kräuchi K, "The thermophysiological cascade leading to sleep initiation in relation to phase of entrainment", Sleep Med Rev, 11(6), pp.439~451 (2007)
- Flammer J, "The primary vascular dysregulation syndrome : implications for eye diseases", EPMA J, 4(1), pp.14~ (2013)
- Yoshino T, "Statistical analysis of hie(cold sensation)and hiesho(cold disorder)in kampo clinic", Evid Based Complement Alternat Med, 2013, pp.398458~ (2013)
- Bae KH, "Cold hypersensitivity in the hands and feet may be associated with functional dyspepsia : results of a multicenter survey study", Evid Based Complement Alternat Med, 2016, pp.8948690~ (2016)
- Bae KH, "Cold Feet and Sleep Quality : An Exploratory Study Using Polysomnography and Pittsburgh Sleep Quality Index", Journal of Society of Preventive Korean Medicine, 28(1), pp.109~118 (2024)
- Resta O, "Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects", Int J Obes Relat Metab Disord, 25(5), pp.669~675 (2001)
- Yang JL, "Clinical observation on the neurotransmitters regulation in patients of insomnia differentiated as yang deficiency pattern treated with warm acupuncture and auricular point sticking therapy", Zhongguo Zhen Jiu, 34(12), pp.1165~1168 (2014)
- Yang M, "Effects of Korean red ginseng(Panax Ginseng Meyer)on bisphenol A exposure and gynecologic complaints : single blind, randomized clinical trial of efficacy and safety", BMC Complement Altern Med, 14, pp.265~ (2014)
- Na ID, "The study on Korean medical pattern differentiation of sleep-wake disorders by DSM-Ⅴ classification", J Physiol & Pathol Korean Med, 31(2), pp.83~93 (2017)
- Mun SJ, "Association of cold", heat sensation with sleep quality and insomnia in middle-aged women, 2024, pp.45(1), 125~136
- Huh TY, "The Effect of Sayeok-san for Insomnia : A Systematic Review and Meta-Analysis", J Int Korean Med, 42(4), pp.547~562 (2021)
- Park JK, "A Case Report of Primary Insomnia treated by Oryeong-san decoction", J of KMediACS, 7(1), pp.45~52 (2015)
- Huh TY, "The Effect of Sayeok-san for Insomnia : A Systematic Review and Meta-Analysis", J Int Korean Med, 42(4), pp.547~562 (2021)
