Association between cold-heat symptoms and sleep disturbances according to the Sasang constitution: a cross-sectional community study
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Objectives : Evidence supporting the cold-heat symptom and sasang constitution type, which are diagnostic items of traditional Korean medicine, is needed to manage sleep disturbances, which is a typical symptom of mibyeong (subhealth). This study examined the association between each cold-heat symptom and sleep disturbances according to each sasang constitution type. Methods : This research was a cross-sectional study of 5,793 subjects from the Korean Medicine Data Center (KDC) community cohort survey. The association between each cold-heat symptom and sleep disturbances was analyzed by logistic regression analysis adjusted for several demographic variables. Subgroup analysis was then performed for each type of sasang constitution. Results : The soeum and soyang types were 1.53 and 1.26 times more likely to have sleep disturbances than the taeum type. Sleep disturbances were associated with ‘coldness of the abdomen’, ‘watery mouth’ in the cold domain items, and ‘body feverishness’, ‘flushed face and eye’, ‘thirst’, and ‘scanty dark urine’ in the heat domain items. The soeum and soyang types were 1.55 and 1.39 times more likely to sleep less than five hours per night than the taeeum type. In addition, the associations of those showed a different pattern for each sasang constitution type. Conclusions : Sleep disturbances are associated with specific cold-heat symptoms, and the associated coldheat symptoms differ according to the sasang constitution type. These results may help traditional medicine specialists select customized interventions for patients with sleep disturbances.
Abstract
Objectives : Evidence supporting the cold-heat symptom and sasang constitution type, which are diagnostic items of traditional Korean medicine, is needed to manage sleep disturbances, which is a typical symptom of mibyeong (subhealth). This study examined the association between each cold-heat symptom and sleep disturbances according to each sasang constitution type. Methods : This research was a cross-sectional study of 5,793 subjects from the Korean Medicine Data Center (KDC) community cohort survey. The association between each cold-heat symptom and sleep disturbances was analyzed by logistic regression analysis adjusted for several demographic variables. Subgroup analysis was then performed for each type of sasang constitution. Results : The soeum and soyang types were 1.53 and 1.26 times more likely to have sleep disturbances than the taeum type. Sleep disturbances were associated with ‘coldness of the abdomen’, ‘watery mouth’ in the cold domain items, and ‘body feverishness’, ‘flushed face and eye’, ‘thirst’, and ‘scanty dark urine’ in the heat domain items. The soeum and soyang types were 1.55 and 1.39 times more likely to sleep less than five hours per night than the taeeum type. In addition, the associations of those showed a different pattern for each sasang constitution type. Conclusions : Sleep disturbances are associated with specific cold-heat symptoms, and the associated coldheat symptoms differ according to the sasang constitution type. These results may help traditional medicine specialists select customized interventions for patients with sleep disturbances.
참고문헌 (45)
- Sateia MJ, "International classification of sleep disorders-third edition : highlights and modifications", Chest, 146(5), pp.1387~1394 (2014)
- Santoso AMM, "Prevalence of sleep disturbances among head and neck cancer patients : A systematic review and meta-analysis", Sleep Med Rev, 47, pp.62~73 (2019)
- Ohayon MM, "Epidemiological Overview of sleep Disorders in the General Population", Sleep Med Res, 2(1), pp.1~9 (2011)
- Grandner MA, "Sleep, Health, and Society", Sleep Med Clin, 15(2), pp.319~340 (2020)
- Lujan MR, "Past, Present, and Future of Multisensory Wearable Technology to Monitor Sleep and Circadian Rhythms", Front Digit Health, 3, pp.721919~ (2021)
- Smith MT, "Use of Actigraphy for the Evaluation of Sleep Disorders and Circadian Rhythm Sleep-Wake Disorders: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment", Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 14(7), pp.1209~1230 (2018)
- Tobin SY, "Challenges and Opportunities for Applying Wearable Technology to Sleep", Sleep Med Clin, 16(4), pp.607~618 (2021)
- Organization WH, "WHO international standard terminologies on traditional medicine in the western pacific region", ~ (2007)
- Maeda-Minami A, "Discrimination of prediction models between cold-heat and deficiency-excess patterns", Complementary therapies in medicine, 49, pp.102353~ (2020)
- 여민경, "건강 증진을 위한 평소 증상 기반의 한열변증 설문지 개발 – 신뢰도를 중심으로", 동의생리병리학회지, 30(2), pp.116~123 (2016), 한의병리학회[DOI]
- 허은정, "치매의 한열허실 변증 지표문항에 대한 예비분석", 동의신경정신과학회지, 26(3), pp.283~291 (2015), 대한한방신경정신과학회
- 배광호, "건강 증진을 위한 평소 증상 기반의 한열변증 설문지 개발 - 일치도를 중심으로", 대한예방한의학회지, 20(2), pp.17~26 (2016), 대한예방한의학회
- Jo J, "Exploratory analysis of cold, heat, deficiency, or excess pattern distribution in women with dysmenorrhea", Explore : the journal of science and healing, 16(3), pp.185~188 (2020)
- Zhu HM, "Observational Study of Chinese Medicine Syndrome Distribution in Patients with Acute Myocardial Infarction and Its Impact on Prognosis", Chin J Integr Med, 25(11), pp.825~830 (2019)
- 손미주, "寒熱 변증에 따른 한의 외용 치료제 비염고의 치료 효과 : 하위 그룹 분석", 한방안이비인후피부과학회지, 32(4), pp.29~40 (2019), 대한한방안이비인후피부과학회[DOI]
- 방연희, "喘息 환자의 虛實寒熱辨證과 특성 비교 분석", 대한한방내과학회지, 38(6), pp.955~970 (2017), 대한한방내과학회
- 이희범, "기침에 대한 비내시경을 이용한 寒熱辨證의 임상적 가치평가", 대한한방내과학회지, 35(3), pp.274~287 (2014), 대한한방내과학회
- 안진향, "알레르기 비염 환자의 비내시경 평가척도와 寒熱 변증과의 상관성", 한방안이비인후피부과학회지, 28(4), pp.1~11 (2015), 대한한방안이비인후피부과학회[DOI]
- Ok JM, "Disruption of Pathological Patterns in a Young Population with Dysfunctional Breathing", Evid Based Complement Alternat Med, 2020, pp.9614574~ (2020)
- 김종원, "한열허실 팔강진단과 사상체질과의 관련성 연구 -월경통이 있는 여성과 없는 여성 500명을 대상으로-", 사상체질의학회지, 32(3), pp.18~32 (2020), 사상체질의학회[DOI]
- Wang Y, "Prognostic Significance of Serum Interleukins and Soluble ST2 in Traditional Chinese Medicine(TCM)Syndrome-Differentiated Rheumatoid Arthritis", Med Sci Monit, 24, pp.3472~3478 (2018)
- 양나래, "항고혈압제제를 복용 중인 성인 고혈압 환자의 한열 특성에 관한 연구", 대한한방내과학회지, 34(3), pp.267~277 (2013), 대한한방내과학회
- Lee S-W, "The guide book : Korean Medicine Data Center(KDC)(2006-2014)", Korea Institute of Oriental Medicine, ~ (2014)
- Hyun MK, "Association between digestive symptoms and sleep disturbance : a cross-sectional community-based study", BMC Gastroenterology, 19(1), pp.34~ (2019)
- 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 and Breathing, 16(3), pp.803~812 (2012)
- 배광호, "평소 증상 기반 한열변증 설문지의 신뢰도 및 타당도 연구", 동의생리병리학회지, 32(5), pp.341~346 (2018), 한의병리학회[DOI]
- Hur YM, "Heritability of Cold and Heat Patterns : A Twin Study", Twin Res Hum Genet, 21(3), pp.227~232 (2018)
- Lu C, "Cold and heat pattern of rheumatoid arthritis in traditional Chinese medicine : distinct molecular signatures indentified by microarray expression profiles in CD4-positive T cell", Rheumatology international, 32(1), pp.61~68 (2012)
- 김명근, "사상체질과 한열의 관점에서 본 성격과 소증의 연관성 연구", 동의생리병리학회지, 22(6), pp.1354~1358 (2008), 한의병리학회
- 윤영흠, "Developing an optimized cold", heat questionnaire, 2015, pp.4(4), 225~230[DOI]
- 백영화, "체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구", 사상체질의학회지, 27(2), pp.211~221 (2015), 사상체질의학회[DOI]
- 김윤영, "단축형 사상체질 진단 설문지(KS-15)의 검사-재검사 신뢰도 연구", 동의생리병리학회지, 30(3), pp.177~183 (2016), 한의병리학회[DOI]
- 장은수, "태양인 체형, 안면, 음성, 성격 특성", 사상체질의학회지, 25(3), pp.145~157 (2013), 사상체질의학회[DOI]
- Sung S-H, "The utilization of medical devices by traditional Korean medicine doctors investigated through traditional Korean medicine clinical studies", Evidence-Based Complementary and Alternative Medicine, 2018 (2018)
- "International Classification of Diseases (ICD-11)"[URL]
- Fung KW, "The new International Classification of Diseases 11th edition : a comparative analysis with ICD-10and ICD-10-CM", Journal of the American Medical Informatics Association, 27(5), pp.738~746 (2020)
- Solos I, "Traditional Medicine Diagnostic Codes in ICD-11and Alternative Diagnostic Classifications in the Mainstream Healthcare", Chinese Medicine and Culture, 4(2), pp.86~ (2021)
- 이재철, "Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web-based survey of Korean medicine practitioners", Integrative Medicine Research, 3(2), pp.60~66 (2014), 한국한의학연구원[DOI]
- Lee S, "Urinary Function of the Sasang Type and Cold-Heat Subgroup Using the Sasang Urination Inventory in Korean Hospital Patients", Evid Based Complement Alternat Med, 2020, pp.7313581~ (2020)
- Lee SK, "Tae-eum type as an independent risk factor for obstructive sleep apnea", Evid Based Complement Alternat Med, 2013, pp.910382~ (2013)
- Lee T-G, "Sasang constitution as a risk factor for diabetes mellitus : a crosssectional study", Evidence-Based Complementary and Alternative Medicine, 6(S1), pp.99~103 (2009)
- 고승우, "수부냉증 진단방법에 관한 기초연구", 대한한방내과학회지, 36(3), pp.228~235 (2015), 대한한방내과학회
- Song HW, "Quantitative Sasang Constitution Diagnosis Method for Distinguishing between Tae-eumin and Soeumin Types Based on Elasticity Measurements of the Skin of the Human Hand", Evid Based Complement Alternat Med, 6(Suppl 1(Suppl 1)), pp.93~98 (2009)
- Do J-H, "Development of an integrated Sasang constitution diagnosis method using face, body shape, voice, and questionnaire information", BMC complementary and alternative medicine, 12(1), pp.1~9 (2012)