Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
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Association of Sleep Quality and Chronotype with Nutritional Quotient according to Sasang Constitution

사상체질에 따른 수면의 질, 수면 일주기 유형과 영양상태와의 관련성

  • Kyoungsik Jeong (Korean Medicine Data Division, Korea Institute of Oriental Medicine) ;
  • Siwoo Lee (Korean Medicine Data Division, Korea Institute of Oriental Medicine) ;
  • Jieun Kim (Korean Medicine Data Division, Korea Institute of Oriental Medicine) ;
  • Sueun Lim (Korean Medicine Data Division, Korea Institute of Oriental Medicine) ;
  • Younghwa Baek (Korean Medicine Data Division, Korea Institute of Oriental Medicine)
  • 정경식 (한국한의학연구원 한의약데이터부) ;
  • 이시우 (한국한의학연구원 한의약데이터부 ) ;
  • 김지은 (한국한의학연구원 한의약데이터부 ) ;
  • 임수은 (한국한의학연구원 한의약데이터부) ;
  • 백영화 (한국한의학연구원 한의약데이터부)
  • Received : 2024.04.03
  • Accepted : 2024.05.09
  • Published : 2024.07.31
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Abstract

Objectives The purpose of this study was to compare sleep quality and chronotype by Sasang constitution and examine the relationship with nutritional status. Methods This study used 672 follow-up data from the Korean Medicine Daejeon Citizen Cohort study (KDCC). Demographic, Sasang constitution, sleep quality, chronotype, and nutritional status evaluation were conducted based on questionnaires. Multiple linear regression analysis was used to confirm the relationship between sleep quality and chronotype according to Sasang constitution and nutritional status. Results The relationship between sleep quality and chronotype by Sasang constitution and nutritional status is that Taeeum nutritional index is related to sleep quality (adj. B = -0.46, 95% CI = -0.79 ~ -0.12) and chronotype (adj. B = 0.38, 95% CI = 0.24 ~ 0.52), and Soeum and Soyang showed an association between nutritional indices only in chronotype (adj. B = 0.43, 95% CI = 0.23 ~ 0.63 in SE, adj. B = 0.55, 95% CI = 0.38 to 0.73 in SY). Conclusions This study confirmed the relationship between sleep quality and chronotype and healthy eating habits. For a balanced nutritional status, overall sleep management is necessary. Based on the results of this study, we intend to use it as basic data on the impact of the relationship between nutritional status and chronotype by Sasang constitution on health.

Keywords

Acknowledgement

이 연구는 2024년도 한국한의학연구원의 '빅데이터 기반 한의 예방 치료 원천기술 개발'(KSN1732121)의 지원을 받아 수행되었습니다.

References

  1. Kastorini CM, Milionis HJ, Esposito K, Giugliano D, Goudevenos JA, Panagiotakos DB. The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals. J Am Coll Cardiol. 2011;57(11):1299-1313. DOI: 10.1016/j.jacc.2010.09.073 
  2. Buscemi S, Nicolucci A, Mattina A, Rosafio G, Massenti F, Lucisano G, et al. Association of dietary patterns with insulin resistance and clinically silent carotid atherosclerosis in apparently healthy people. Eur J Clin Nutr. 2013;67(12):1284-1290. DOI: 10.1038/ejcn.2013.172 
  3. Kim BJ, Choi SA, Rho JO. Dietary Life among Korean Adolescents Before COVID-19 (2018~2019) and During COVID-19 (2020-2021): Data Analysis of the 2018-2021 Youth Consumer Behavior Survey for Food. J Korean Soc Food Sci Nutr. 2023;52(6):640-50. (Korean) DOI: 10.3746/jkfn.023.52.6.640 
  4. Kim SM, DeRoo LA, Sandler DP. Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutr. 2011;14(5):889-95. DOI: 10.1017/S136898001000296X 
  5. Montaruli A, Castelli L, Mule A, Scurati R, Esposito F, Galasso L, et al. Biological rhythm and chronotype: new perspectives in health. Biomolecules. 2021;11(4):487. DOI: 10.3390/biom11040487 
  6. Lotti S, Pagliai G, Asensi MT, Giangrandi I, Colombini B, Sofi F, et al. Morning chronotype is associated with higher adherence to the Mediterranean diet in a sample of Italian adults. Nutr Metab Cardiovasc Dis. 2022;32(9):2086-92. DOI: 10.1016/j.numecd.2022.05.023 
  7. Lotti S, Pagliai G, Colombini B, Sofi F, Dinu M. Chronotype differences in energy intake, cardiometabolic risk parameters, cancer, and depression: a systematic review with meta-analysis of observational studies. Adv Nutr. 2022;13(1):269-81. DOI: 10.1093/advances/nmab115 
  8. Farhangi MA. Night eating syndrome and its relationship with emotional eating, sleep quality and nutritional status among adolescents' boys. Community Ment Health J. 2019;55(8):1411-8. DOI: 10.1007/s10597-019-00395-8 
  9. Kim JA, Lee SY. Health Behaviors and Dietary Habits according to Sleep Duration in Korean Adults Based on the 2013-2015 Korea National Health and Nutrition Examination Survey. Korean J Health Promo. 2019;19(4):237-47. (Korean) DOI: 10.15384/kjhp.2019.19.4.237 
  10. Akdevelioglu Y, Sahin TO, Yesildemir O. Sleep quality and its relationship with night eating syndrome, the risk of diabetes, and nutritional status among university students. Prog Nutr. 2020;22(1):304-15. DOI: 10.23751/pn.v22i1.9148 
  11. Kim SH, Kim HS, Lee SW. Comparison of Lifestyle by Sasang Constitution Type and Health Status. J Sasang Constitut Med. 2018;30(1):24-31. (Korean) DOI: 10.7730/JSCM.2018.30.1.24 
  12. Lee HB, Han YR, Han SY, Kim YI, Son K, Lee MS, et al. Systematic review on the Sasang type-specific pathophysiological symptoms of sleep. J of Oriental Neuropsychiatry. 2015;26(4):337-48. (Korean) DOI: 10.7231/jon.2015.26.4.337 
  13. Lee MS, Sohn K, Kim YH, Hwang M-W, Kwon YK, Bae NY, et al. Digestive system-related pathophysiological symptoms of Sasang typology: Systematic review. Integr Med Res. 2013;2(2):39-48. DOI: 10.1016/j.imr.2013.04.001 
  14. Park KH, Jeong KS, Kim SH. Comparison of Sleep by Sasang Constitutional Type Using Pittsburgh Sleep Quality Index. J Sasang Constitut Med. 2021;33(1):102-8. (Korean) DOI: 0.7730/JSCM.2021.33.1.102  https://doi.org/10.7730/JSCM.2021.33.1.102
  15. Jeong KS, Park KH, Lee SW, Hwang JY, Baek YH. Evaluation of Dietary Behaviors According to Sasang Constitution Using a Nutrition Quotient: A Korean Medicine Daejeon Citizen Cohort Study. J Sasang Constitut Med. 2020;32(4):86-95. (Korean) DOI: 10.7730/JSCM.2020.32.4.86 
  16. Jeong KS, Lee SW, Kim JE, Baek YH. Association of Breakfast, Eating Frequency, and Energy Intake with Health-related Quality of Life According to Sasang Constitution: in Korean General Population. J Sasang Constitut Med. 2021;33(2):37-46. (Korean) DOI: 10.7730/JSCM.2021.33.2.37 
  17. Baek YH, Seo BN, Jeong KS, Yoo HR, Lee SW. Lifestyle, genomic types and non-communicable diseases in Korea: a protocol for the Korean Medicine Daejeon Citizen Cohort study (KDCC). BMJ open. 2020;10(4):e034499. DOI: 10.1136/bmjopen-2019-034499 
  18. Baek YH, Jang ES, Park KH, Yoo JH, Jin HJ, Lee SW. Development and validation of brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) based on body shape, temperament and symptoms. J Sasang Constitut Med. 2015;27(2):211-21. (Korean) DOI: 10.7730/JSCM.2015.27.2.211 
  19. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97-110.  https://doi.org/10.1037/t02254-000
  20. Lee JH, Kim SJ, Lee SY, Jang KH, Kim IS, Duffy JF. Reliability and validity of the Korean version of Morningness-Eveningness Questionnaire in adults aged 20-39 years. Chronobiol Int. 2014;31(4):479-86. DOI: 10.3109/07420528.2013.867864 
  21. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.  https://doi.org/10.1016/0165-1781(89)90047-4
  22. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath. 2012;16:803-12. DOI: 10.1007/s11325-011-0579-9 
  23. Lee JS, Kim HY, Hwang JY, Kwon S, Chung HR, Kwak T-K, et al. Development of Nutrition Quotient for Korean adults: item selection and validation of factor structure. J Nutr Health. 2018;51(4):340-56. (Korean) DOI: 10.4163/jnh.2018.51.4.340 
  24. Choi BJ, Ha KT, Choi DY, Kim JK. Study on the dispositonal symptom (Dispositional disease) in Dongyi Suse Bowon the dicourse on the constitutional symptoms and diseases. J Physiol & Pathol Korean Med. 2007;21(1):1-9. (Korean) 
  25. Park JE, Mun SJ, Lee SW. Effect of Sleep Quality on Fatigue and Quality of Life: a Sasang Constitutional Medicine Perspective. J Physiol & Pathol Korean Med. 2020;34(1):37-44. (Korean) DOI: 10.15188/kjopp.2020.02.34.1.37 
  26. Martinez-Lozano N, Barraco GM, Rios R, Ruiz MJ, Tvarijonaviciute A, Fardy P, et al. Evening types have social jet lag and metabolic alterations in school-age children. Sci Rep. 2020;10(1):16747. DOI: 10.1038/s41598-020-73297-5 
  27. Taillard J, Sagaspe P, Philip P, Bioulac S. Sleep timing, chronotype and social jetlag: impact on cognitive abilities and psychiatric disorders. Biochem Pharmacol. 2021;191:114438. DOI: 10.1016/j.bcp.2021.114438 
  28. Naja F, Hasan H, Khadem SH, Buanq MA, Al-Mulla HK, Aljassmi AK, et al. Adherence to the Mediterranean diet and its association with sleep quality and chronotype among youth: a cross-sectional study. Front Nutr. 2022;8:805955. DOI: 10.3389/fnut.2021.805955 
  29. Vera B, Dashti HS, Gomez-Abellan P, Hernandez-Martinez AM, Esteban A, Scheer FA, et al. Modifiable lifestyle behaviors, but not a genetic risk score, associate with metabolic syndrome in evening chronotypes. Sci Rep. 2018;8(1):945. DOI: 10.1038/s41598-017-18268-z 
  30. Mazri FH, Manaf ZA, Shahar S, Mat Ludin AF. The association between chronotype and dietary pattern among adults: a scoping review. Int J Environ Res Public Health. 2020;17(1):68. DOI: 10.3390/ijerph17010068 
  31. Watson EJ, Coates AM, Kohler M, Banks S. Caffeine consumption and sleep quality in Australian adults. Nutrients. 2016;8(8):479. DOI: 10.3390/nu8080479 
  32. Ehlers CL, Wills D, Gilder DA. A history of binge drinking during adolescence is associated with poorer sleep quality in young adult Mexican Americans and American Indians. Psychopharmacology. 2018;235:1775-82. DOI: 10.1007/s00213-018-4889-5 
  33. Robinson D, Gelaye B, Tadesse MG, Williams MA, Lemma S, Berhane Y. Daytime sleepiness, circadian preference, caffeine consumption and Khat use among college students in Ethiopia. J Sleep Disord Treat Care. 2013;3(1). DOI: 10.4172/2325-9639.1000130 
  34. Jang ES, Kim YY, Baek YH, Lee SW. The Association between Seven Health Practices and Self Rated Health by Sasang Constitution. J Sasang Constitut Med. 2018;30(1):32-42. (Korean) DOI: 10.7730/SCM.2018.30.1.32 
  35. Wu W, Zhao A, Szeto IMY, Wang Y, Meng L, Li T, et al. Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross sectional study in eight cities of China. Food Sci Nutr. 2019;7(6):2091-102. DOI: 10.1002/fsn3.1050 
  36. Maukonen M, Kanerva N, Partonen T, Mannisto S. Chronotype and energy intake timing in relation to changes in anthropometrics: a 7-year follow-up study in adults. Chronobiol Int. 2019;36(1):27-41. DOI: 10.1080/07420528.2018.1515772.