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KMID : 0861120220260010059
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Korean Journal of Oriental Preventive Medicine
2022 Volume.26 No. 1 p.59 ~ p.74
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Association between cold-heat symptoms and sleep disturbances according to the Sasang constitution: a cross-sectional community study
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Hyun Min-Kyung
Yoshino Tetsuhiro
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Abstract
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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.
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KEYWORD
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Sleep-Wake Disorders, Cold-heat symptoms, Sasang constitution, Diagnosis, Medicine, East Asian Traditional, Cross-Sectional Studies
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