한국 일반인의 한증과 수면의 질과의 상관성 연구 = Study on the Relationship between Cold type and Sleep Quality in Koreans

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the relationship between sleep quality and sleep duration according to individual characteristics, and the relationship between sleep quality and cold type. A total of 1998 participants aged 30-55 who participated in a community cohort study at KIOM's Oriental Medicine Data Center (KDC) was analyzed. Cold type was diagnosed with a common the Questionnaire of Cold Pattern Identification (8 items). Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The participants in this study were classified into 1193 with cold type and 805 with non-cold type. The poor sleep quality was found in more women than men, and the Body Mass Index (BMI) was higher in the non-cold type. In the cold type group, average sleep quality was poor and sleep duration was short. There was a statistically significant correlation between cold score, sleep quality, and sleep duration. Cold type was related to the sleep quality. The risk of poor sleep quality increased 1.46 with increased cold type (95% CI = 1.16-1.84, p <.001). In particular, it was found that various programs to improve the quality of sleep, focusing on the cold type among personal characteristics, are needed to maintain adequate sleep to improve the sleep quality. In the future, when analyzing the relationship between cold type and sleep quality, it is thought that an attempt to derive other objective quantitative indicators is needed.

참고문헌 (Reference)

1 문수정, "한열변증과 체형 및 체성분의 연관성 분석 – 50세 이상 장년 및 노년층을 대상으로" 한의병리학회 34 (34): 209-214, 2020

2 주종천, "한열변증 점수를 이용한 한증과 열증의 건강 상태와 미병 특징 비교" 대한한의학회 39 (39): 13-21, 2018

3 유현희, "한열 변증 설문지 개발에 관한 연구" 한의병리학회 22 (22): 1410-1415, 2008

4 배광호, "추적관찰을 통해 살펴본 한증 HRV지표" 한의병리학회 34 (34): 30-36, 2020

5 백영화, "체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구" 사상체질의학회 27 (27): 211-221, 2015

6 이은정, "중년 남성에서 수면의 질과 대사증후군 및 염증지표와의 관련성" 대한가정의학회 30 (30): 344-351, 2009

7 권정연, "여성 수족냉증 환자의 임상 특성에 관한 연구" 대한한의학회 39 (39): 64-79, 2018

8 김혜금, "수면과 온도" 대한수면의학회 23 (23): 47-52, 2016

9 배광호, "사상체질에 따른 수부, 족부, 복부의 냉증" 사상체질의학회 30 (30): 50-57, 2018

10 이일석, "뇌졸중 후 우울증과 한열허실 변증의 상관관계" 대한한방내과학회 35 (35): 50-58, 2014

11 김수정, "건강군과 미병군의 한열지표 차이에 관한 연구" 대한예방한의학회 21 (21): 49-56, 2017

12 여민경, "건강 증진을 위한 평소 증상 기반의 한열변증 설문지 개발 – 신뢰도를 중심으로" 한의병리학회 30 (30): 116-123, 2016

13 배광호, "건강 증진을 위한 평소 증상 기반의 한열변증 설문지 개발 - 일치도를 중심으로" 대한예방한의학회 20 (20): 17-26, 2016

14 Li S, "Understanding ZHENG in Traditional Chinese Medicine in the Context of Neuro-endocrine-immune Network" 1 (1): 51-60, 2007

15 Li JB, "Traditional Chinese medicine" People's Medical Publishing House 2008

16 Krauchi K, "Thermoregulatory effects of melatonin in relation to sleepiness" 23 (23): 475-484, 2006

17 Kingma B., "The thermoneutral zone: implications for metabolic studies" E4 (E4): 1975-, 2012

18 Buysse DJ, "The Pittsburgh sleep quality index : a new instrument for psychiatric practice and research" 28 (28): 193-213, 1989

19 Jang SJ, "Standardization of health related data collection and measurement" Gyechuk Munhwasa 92-143, 2000

20 Thurston RC, "Sleep characteristics and carotid atherosclerosis among midlife women" 40 (40): 2017

21 Choi H, "Psychometric properties of the Korean versions of three sleep evaluation questionnaires" 24 (24): 526-538, 2015

22 Craig CL, "International Physical Activity Questionnaire : 12-country reliability and validity" 35 : 1381-1395, 2003

23 Gangwisch JE, "Insomnia and sleep duration as mediators of the relationship between depression and hypertension incidence" 23 (23): 62-69, 2010

24 Kang EJ, "In-depth analyses of the third National Health and Nutrition Examination Survey : the health interview and health behavior survey part" Korea Institute for Health and Social Affairs 2007

25 Chung JS, "Gender Difference in Sleep Patterns of Korean Adolescents : Focusing on Psychosocial Circumstances and Biological Changes" 24 (24): 58-66, 2019

26 Sakaguchi S, "Extraction of items identifying hiesho(cold disorder)and their utility in young males and females" 14 (14): 36-43, 2016

27 Nishida S, "Effects of a traditional herbal medicine on peripheral blood flow in women experiencing peripheral coldness : a randomized controlled trial" 15 (15): 105-, 2015

28 Krauchi K, "Cold extremities and difficulties initiating sleep : evidence of co-morbidity from a random sample of a Swiss urban population" 17 (17): 420-426, 2008

29 Ushiroyama N., "Chill sensation: Pathological findings and its therapeutic approach" 215 : 925-929, 2005

30 Ma T, "Bridging the Gap between Traditional Chinese Medicine and Systems Biology : the Connection of Cold Syndrome and NEI Network" 6 (6): 613-619, 2010

31 Liu Y, "Association between perceived insufficient sleep, frequent mental distress, obesity and chronic diseases among US adults, 2009 behavioral risk factor surveillance system" 13 : 84-, 2013

32 National Health Insurance Service, "2018 National Health Insurance Statistical Yearbook"