Jung Hie Lee's research while affiliated with Kangwon National University Hospital and other places
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Publications (44)
Introduction
Sleep disruption and circadian misalignment has been evident in patients with mild cognitive impairment (MCI). Together, sleep and circadian rhythm dysregulation can contribute to dyslipidemia, which has been proposed to play crucial roles in neurodegenerative process according to its known neurotoxicity. We aimed to compare parameters...
Background and Objective Sleep disturbance in patients with Alzheimer’s disease (AD) could increase institutionalization due to caregiver burden. The objective of this study was to examine the relationship of subjective and objective sleep quality with caregiver burden in AD patients with insomnia symptoms. Methods AD patients of mild to moderate d...
Conflicting results have been reported regarding the effectiveness of light treatment (LT) in patients with Alzheimer’s disease (AD). We investigated the effectiveness of blue-enriched white LT on sleep, cognition, mood and behavior in patients with mild and moderate AD. The treatment group (n = 14) sat about 60 cm away from a small (136 × 73 × 16...
Selecting participants who constitute a representative sample while protecting them from potential adverse outcomes is a concern for clinical researchers. Our research group conducts deep phenotyping studies of the circadian timing system and sleep–wake regulation in long (up to 3 months) laboratory experiments, similar in many ways to “exceptional...
Objective
We aimed to compare the sleep onset, dim melatonin onset (DLMO) and phase angle (PA) between sleep onset and DLMO of insomnia patients with those of controls, and to examine the difference in these parameters in relation to objective sleep quality.
Methods
Participants were recruited from three Public Health Centers in Korea. Actigraphy...
The relevance of altered rest-activity rhythm (RAR) and light exposure rhythm (LER) in insomnia patients under natural conditions remains unclear. The aim of this study was to compare the parametric and nonparametric circadian variables of RAR and those of LER under natural conditions between insomnia patients and normal controls (NC) in a communit...
Background and Objective: We aimed to compare the differences in the subjective and objective sleep quality, and quality of life (QOL) according to the duration and timing of exercise in community-dwelling adults, and to compare these between the exercise group (EG) and non-exercise group (non-EG) in insomnia patients. Methods: We recruited 223 vol...
Age-related disrupted sleep has been associated with modifications in the timing of endogenous circadian rhythms. There are studies suggesting a decreased sensitivity of the aging circadian pacemaker to light. In this study, we aimed to test whether a moderate illuminance light stimulus would produce significant phase shifts in older adults, and wh...
No nonsynonymous single-nucleotide polymorphism (SNP) in PER1 has been reported with respect to diurnal preference. We aimed to determine whether a functional polymorphism in PER1 is involved in diurnal preference. Forty-seven morning-type (MT, age: 44.57 ± 12.33 years), 59 neither-type (NT, age: 35.20 ± 9.53 years), and 50 evening-type (ET, age: 2...
Objective
We aimed to determine napping characteristics of community-dwelling patients with insomnia disorder (ID) compared to characteristics of normal controls (NC), and to examine the effect of napping on nocturnal sleep.
Methods
Adult volunteers who were more than 18 years old were recruited from three rural public health centers in Korea. Dat...
The CLOCK 3111T/C polymorphism has been associated with evening preference, but most of the following studies did not replicate the original finding. Although several studies suggested that the sleep quality was also influenced by genetic factors, the relationship of CLOCK 3111T/C polymorphism with sleep quality has not been identified in general p...
Background and Objective Individuals have a unique circadian preference, which is based on differences in endogenous rhythm and environmental factors. There has been no study on the relationship between the morningness-eveningness (ME) preference and the polymorphisms of PER2 and CRY1 genes, which may play an essential role in the modulation of cir...
We examined the difference in responses to donepezil between carriers and non-carriers of the A allele at the +4 position of the choline acetyltransferase (ChAT) gene in Koreans.
Patients who met the criteria for probable Alzheimer's disease (AD) (n=199) were recruited. Among these, 145 completed the 12-week follow-up evaluation and 135 completed t...
The light therapy has been known to be effective to non-seasonal affective disorder as well as seasonal affective disorder. Although the mechanism of action of light therapy for depressive disorder has not been verified yet, its clinical application revealed similar effects like antidepressants and relatively smaller side effects. However, it is no...
Background:
This study aimed to investigate the influences of age, education, and gender on the two total scores (TS-I and TS-II) of the Consortium to Establish a Registry for Alzheimer's Disease Neuropsychological assessment battery (CERAD-NP) and to provide normative information based on an analysis for a large number of elderly persons with a w...
Morningness-Eveningness (ME) can be defined by the difference in individual diurnal preference observed from general behavioral patterns including sleep habits. The Horne & Östberg Morningness-Eveningness Questionnaire (MEQ) has been used for classifying ME types. We examined the reliability of a Korean version of the MEQ (Korean MEQ) and verified...
The aim of this study was to examine the differences in subjective sleep quality and objective sleep parameters between groups with different severities of limb movements during sleep in elderly persons with sleep complaints.
Objective:
To review circadian rhythm sleep disorders, including underlying causes, diagnostic considerations, and typical treatments.
Methods:
Literature review and discussion of specific cases.
Results:
Survey studies (1,2) suggest that up to 3% of the adult population suffers from a circadian rhythm sleep disorder (CRSD). However, these sle...
Background and Objective Previous studies in adults have focused on differences in sleep timing with respect to morning and evening (ME) types, or gender difference in the distribution of ME types. We aimed to examine sleep habits and behaviors (daytime sleepiness and caffeine consumption) of adult ME types, and to examine whether the factors assoc...
The aim of our study was to compare sleep wake patterns and nocturnal sleep parameters between the morning type (MT) and evening type (ET).
Background and Objective Sleep disturbances resulting from a mismatch between the sleep-wake schedule and an individual’s chronotype can influence work or school performance and numerous health outcomes. Individual chronotype can be determined by genetic factors, and is influenced by environmental factors which could change throughout life. We aime...
Sleep apnea syndrome (SAS) is considered a risk factor for cognitive decline in the elderly. The specific neurocognitive decline has been suggested as a predictive factor for dementia in patients with mild cognitive impairment (MCI). The authors aim to illustrate the sleep characteristics related to the specific neurocognitive decline in the commun...
Sleep disorders, including sleep-disordered breathing and periodic limb movements during sleep, are associated with an increased risk for cardiovascular diseases, which are the leading causes of death in patients with ESRD. This study investigated the association between sleep disorders and mortality in patients with ESRD.
Thirty patients on mainte...
This study aimed to validate the two total scores (TS-I and TS-II) of the Consortium to Establish a Registry for Alzheimer Disease neuropsychological battery (CERAD-NP) for a large elderly population including mild cognitive impairment (MCI) and dementia patients with various etiologic backgrounds. The authors also investigated whether the addition...
This study aimed to estimate prevalence of cognitive impairment with no dementia (CIND) in older people. It was conducted in an urban area of Korea, Seoul, and employed a two-stage design for case identification.
Overall 643 persons aged 65 years and older participated and 217 persons sampled from the three levels of performance of MMSE underwent a...
It has been suggested that oxidative stress and inflammation are associated with the pathophysiology of sleep disorders in end-stage renal disease (ESRD) patients. We examined the relationship of the sleep variables reflecting sleep breathing disorder and limb movements during sleep with the clinical variables reflecting the metabolic abnormalities...
The purpose of this study was to develop a Korean version of the behavior rating scale for dementia (BRSD-K) for evaluating behavioral and psychological symptoms of dementia.
The BRSD-K was administered to the informants of 268 subjects with dementia. Internal, inter-rater and test-retest reliabilities were tested. To evaluate construct validity, e...
Daytime sleep has been noted to accompany dementing illness and is more pronounced as dementia severity increases. Although acknowledged by caregivers, sleepiness during the daytime is among the least troublesome of sleep behaviors described in Alzheimer Disease (AD) patients. The purpose of this study was to examine whether patient and spouse/care...
Background: The cognitive function is impaired in patients with hypoxemic chronic obstructive pulmonary disease (COPD). However, there are conflicting results regarding the cognitive function in patients with non-hypoxemic COPD. COPD patients also have sleep disorders. This study examined the cognitive function in non-hypoxemic COPD patients, and n...
Hemodialysis (HD) is associated with restless legs syndrome (RLS) and periodic leg movements in sleep (PLMS), but the mechanisms underlying these relationships remain unclear. African-American HD patients have been reported previously to have a reduced likelihood of RLS. Alterations in iron metabolism, known to be a risk factor for idiopathic forms...
The purpose of this study was to explore the effects of age, education and gender on the performance of the Trail Making Test (TMT) and provide normative information in Korean elders.
The TMT was administered to 997 community-dwelling volunteers aged 60-90. People with serious neurological, medical and psychiatric disorders, including dementia, wer...
It recently was suggested that sleep apnea syndrome (SAS) is associated with the cardiovascular complications and outcomes seen in patients with end-stage renal disease (ESRD). This study investigates the association of SAS with coronary artery disease and antioxidant status in patients with ESRD.
Twenty-six hemodialysis patients underwent overnigh...
To estimate prevalence of dementia and its subtypes in older people in Seoul, a metropolitan area of Korea, and compare these findings with estimates reported for other populations.
The study employed a two-stage design for case identification. Initially, the Mini-Mental State Examination in the Korean version (MMSE-KC) of the Consortium to Establi...
A Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K) was created. The English-American version of CERAD clinical and neuropsychological assessment batteries was translated into Korean, and the psychometrical properties of the cognitive tests in the CERAD-K were established. In the translatio...
We analyzed the transferrin (TF) and apolipoprotein E (APOE) genotypes of 164 probable Alzheimer's disease (AD) patients and 239 cognitively normal elderly controls in Koreans. We failed to detect a significant difference in genotypic frequencies and allelic frequencies of the TF polymorphism between the AD group and control group (P>0.1 by Chi squ...
Alpha-2-macroglobulin (A2M) deletion polymorphism was recently reported to be associated with Alzheimer’s disease (AD) in a way comparable to apolipoprotein E (APOE) polymorphism in a family-based study. However, the association of A2M deletion polymorphism with AD has not been consistently replicated in successive case-controlled studies. In order...
We analyzed the aplolipoprotein E (APOE) genotypes of 110 probable AD patients and 226 cognitively normal controls in Koreans. The APOE epsilon4 allele was more prevalent in both early- and late-onset AD patients (P < 0.01) than in controls. The odds for the APOE epsilon4-heterozygous subjects were 2.7 (95% CI = 1.6-4.5), and those for the APOE eps...
A cross-sectional survey was conducted to estimate prevalence of dementia and to determine factors related to dementia among residents in a rural area, Yonchon county, Korea, in 1993.
Of the study population more than 65 years of age (n = 2171), 1674 persons participated in the cross-sectional survey using the Korean version of the Mini-Mental Stat...
Using magnetic resonance imaging-based planimetry, we measured cortical and cerebral (cortical and ventricular) atrophy in 26 patients with Alzheimer's disease (AD) (age, 72.2 ± 7.0) according to NINCDS-ADRDA criteria and 22 control subjects (age, 71.5 ± 5.4). AD patients exhibited greater cerebral atrophy (p < .05) than control subjects. Cerebral...
Citations
... Another recent clinical trial demonstrated the efficacy of bright light therapy in improving objective cognitive function in the survivors of hematopoietic stem cell transplants [24]. Blue-enriched light therapy has been found to be beneficial in improving general cognitive function in patients with mild and moderate Alzheimer's disease (AD) [25]. Overall, it seems that light intervention is useful for improving alertness in healthy individuals, but the evidence for its effect on other cognitive functions, such as memory, attention, and executive function, is not adequate. ...
... The medical screening included routine clinical tests on blood and urine, an electrocardiogram, a physical examination, and a medical history to rule out acute or chronic illnesses and medication use. All participants were in good psychological health as determined by the Geriatric Depression Scale, Mattis Dementia Rating Scale, Folstein Mini-Mental State Exam, the Minnesota Multiphasic Personality Inventory-2, and by clinical interview [30], and all were free from clinically significant sleep disorders as determined by all-night clinical polysomnography. None of the participants were under the care of a physician for any chronic medical condition, and none were regularly taking medications. ...
... ight melatonin onset. Typically, good sleepers attempt sleep about 2 h after their DLMO and have short sleep latencies. The insomnia participants attempting sleep at an abnormally early circadian phase had exceptionally longer sleep latencies. They suggested that these insomnia participants were attempting sleep within their wake-maintenance zones.Kim et al. (2020) have also shown a relation between the timing of DLMO and sleep maintenance problems. The earlier the dim light melatonin onset, the more wake time was experienced after initial sleep onset. ...
... While van Veen et al. (2010) reported an attenuated 24 h amplitude of the rest-activity pattern and lower interdaily stability of adults with insomnia comorbid with ADHD, no differences in inter-or intradaily rhythm variables were found in children with ADHD and insomnia (van der Heijden et al., 2005). The few other studies published on diurnal rhythm variables in insomnia also failed to find differences between patients and controls (Kim, Lim, Kwon, & Lee, 2020;Natale et al., 2009), with the actual numbers of null results possibly being much larger due to the file drawer problem (Rosenthal, 1979). ...
... Therefore, many people have started engaging in positive activities, such as physical exercise and maintaining a healthy diet, which factors can relieve the symptoms of their psychological distress and sleep disorders [37]. Exercise is useful for improving the sleep quality and quality of life of insomniacs [38]. Individuals can also engage in diversionary activities to distract from observing COVID-19-related news to avoid potentially incorrect information. ...
... Sleep timing and central circadian characteristics of older and younger adults. Sleep/wake timing was earlier in older participants from Scheuermaier et al. 22 , compared to younger participants from Rahman et al. 23 , who were studied in equivalent protocols ( Supplementary Fig. 1). Endogenous circadian phase of the melatonin rhythm was earlier in the older group than in the younger group, but the difference in relative alignment between sleep and circadian phase of the melatonin rhythm was not different between the age groups. ...
... Circadian measures unrelated to the above approach are labelled non-parametric and provide information on rhythm fragmentation (IV), day-to-day similarity of activity patterns (IS), relative amplitude of restactivity rhythm (RA), least active hours (L5) and most active hours (M10) of the day. used actigraphy in conjunction with sleep diaries to analyse naps in patients with ID and HC [28]. ID patients showed higher nap frequency than HC, and additionally, the napping frequency was associated with poorer subjective sleep quality (assessed through the Pittsburgh Sleep Quality Index, PSQI) [28]. ...
... In this study, the KESS scores of the NC were significantly higher than those of insomnia group without exercise (Table 3). Although it may be expected that daytime sleepiness will occur to compensate for sleep deprivation in insomnia patients, it has been reported that daytime sleepiness may decrease due to the disrupted sleep homeostasis [39]. In this study, the degree of hyper-arousal indicated by the HAS was observed to be higher in the insomnia group than the NC group, although the difference was not statistically significant. ...
... The delay in bed time in teens is caused by a combination of both biological (i.e., puberty-associated delay in the timing of the circadian clock) and social factors (e.g., increased socialization, education requirements, entertainment options) [3]. For individuals who are evening-type, the delay may be worse and lead to even shorter sleep durations and greater daytime sleepiness [4,5]. ...
... It was suggested that carriers of the morningness allele (C) had an MEQ score on average 2.8 higher than T/T homozygotes (Katzenberg et al., 1998). However, with one exception (Mishima, Tozawa, Satoh, Saitoh, & Mishima, 2005), no other groups have reported being able to replicate this finding (Barclay et al., 2011;Chang, Buch, Bradstreet, Klements, & Duffy, 2011;Choub et al., 2011;Kim, Lee, Lee, Hwang, & Suh, 2016;Pedrazzoli et al., 2007;Robilliard et al., 2002). There is also a single report of association between an intronic polymorphism (rs922270) in the ARNTL2 gene, which encloses BMAL2, and MEQ score (Parsons et al., 2014). ...
Reference: Natural Variation in Human Clocks