수족냉증과 건강 관련 삶의 질 및 정신 건강 연관성 : 국민건강영양조사 결과
Association of Cold Hypersensitivity in the Hands and Feet with Health-Related Quality of Life and Mental Health : Findings from the Korea National Health and Nutrition Examination Survey
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Objective : The purpose of this study was to investigate the association of cold hypersensitivity in the hands and feet (CHHF) with health-related quality of life (HRQoL) and mental health. Methods : We utilized data from the fifth Korea National Health and Nutrition Examination Survey (2010-2012), including 17,030 adults aged 20 years or older. CHHF was assessed via questionnaire, HRQoL using EuroQol 5 Dimension (EQ-5D), and mental health through average sleep duration, sleep duration range (short/normal/long), suicidal ideation and attempts, stress, and depressive symptoms. Complex sample design was applied, and logistic regression analysis and linear regression analysis were performed. Results : With CHHF group showed significantly lower EQ-5D index(B=-0.019, P＜0.001) and EQ-VAS scores (B =-3.141, P＜0.001) compared to without CHHF group. Furthermore, with CHHF group exhibited significantly higher odds ratios for reporting ‘problems’ (level 2 or 3) across all five EQ-5D domains(mobility: 1.367, self-care : 1.677, usual activities : 1.764, pain/discomfort : 1.584, anxiety/depression : 1.801 ; all P <0.001). Additionally, with CHHF group showed significantly higher odds ratios compared to without CHHF group for suicidal ideation (OR : 1.711, P＜0.001), depressive symptoms (OR : 1.710, P＜0.001), high stress (OR: 1.458, P＜0.001), and short or long sleep duration(OR: 1.186, P＜0.01). However, no statistically significant differences were observed in average sleep duration or suicide attempts. Conclusion : CHHF is associated with decreased HRQoL and various mental health problems. Therefore, comprehensive evaluation and intervention for mental health should be considered in the clinical management of CHHF.
Abstract
Objective : The purpose of this study was to investigate the association of cold hypersensitivity in the hands and feet (CHHF) with health-related quality of life (HRQoL) and mental health. Methods : We utilized data from the fifth Korea National Health and Nutrition Examination Survey (2010-2012), including 17,030 adults aged 20 years or older. CHHF was assessed via questionnaire, HRQoL using EuroQol 5 Dimension (EQ-5D), and mental health through average sleep duration, sleep duration range (short/normal/long), suicidal ideation and attempts, stress, and depressive symptoms. Complex sample design was applied, and logistic regression analysis and linear regression analysis were performed. Results : With CHHF group showed significantly lower EQ-5D index(B=-0.019, P＜0.001) and EQ-VAS scores (B =-3.141, P＜0.001) compared to without CHHF group. Furthermore, with CHHF group exhibited significantly higher odds ratios for reporting ‘problems’ (level 2 or 3) across all five EQ-5D domains(mobility: 1.367, self-care : 1.677, usual activities : 1.764, pain/discomfort : 1.584, anxiety/depression : 1.801 ; all P <0.001). Additionally, with CHHF group showed significantly higher odds ratios compared to without CHHF group for suicidal ideation (OR : 1.711, P＜0.001), depressive symptoms (OR : 1.710, P＜0.001), high stress (OR: 1.458, P＜0.001), and short or long sleep duration(OR: 1.186, P＜0.01). However, no statistically significant differences were observed in average sleep duration or suicide attempts. Conclusion : CHHF is associated with decreased HRQoL and various mental health problems. Therefore, comprehensive evaluation and intervention for mental health should be considered in the clinical management of CHHF.