Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Sahlgrenska Universitetssjukhuset, Gothenburg University, Gröna Stråket 5, 413 45, Gothenburg, Sweden.
Department of Otorhinolaryngology, Region Västra Götaland, Sahlgrenska University Hospital, 413 45, Gothenburg, Sweden.
Health Qual Life Outcomes. 2021 Oct 2;19(1):231. doi: 10.1186/s12955-021-01864-z.
Dizziness is a common complaint among older adults and may affect quality of life in a negative way. The aim of this study was to assess health-related quality of life (HRQL), sense of coherence (SOC), self-rated health (SRH) and comorbidity in relation to dizziness, among older persons from an urban population.
The study is part of the Gothenburg H70 Birth Cohort Studies (H70). A cross-sectional population-based sample including 662 79-years-olds (404 women, 258 men, 62% response rate) were surveyed with questions regarding dizziness, imbalance, comorbidities and general health. HRQL was assessed using the 36-item Short Form-36 Health Survey (SF-36) and SOC with the 13-items questionnaire Sense of Coherence (SOC-13).
Half of the participants reported problems with dizziness (54%). Dizziness was negatively associated with HRQL, including after adjusting for comorbidities, especially in the physical domains of SF-36. Having dizziness was also associated with poorer SRH, tiredness and comorbidity among both men and women. SOC (mean total score), however, did not differ between dizzy and non-dizzy participants.
Dizziness was negatively associated with HRQL, also after adjusting for comorbidities. Identification and treatment of dizziness, when possible, are important because reduction of dizziness symptoms may potentially help to enhance overall well-being in this age group.
头晕是老年人常见的主诉，可能会对生活质量产生负面影响。本研究旨在评估与头晕相关的健康相关生活质量（HRQL）、心理韧性（SOC）、自我报告健康状况（SRH）和共病情况，研究对象为城市人群中的老年人。
该研究是哥德堡 H70 出生队列研究（H70）的一部分。采用横断面基于人群的样本，包括 662 名 79 岁老年人（404 名女性，258 名男性，应答率为 62%），调查内容包括头晕、失衡、共病和一般健康状况。HRQL 采用 36 项简短健康调查问卷（SF-36）进行评估，SOC 采用 13 项问卷心理韧性量表（SOC-13）进行评估。
一半的参与者报告有头晕问题（54%）。头晕与 HRQL 呈负相关，包括在调整了共病情况后，尤其是在 SF-36 的生理领域。头晕与 SRH 较差、疲劳和男女共病均有关。然而，头晕组和非头晕组之间的 SOC（总分均值）没有差异。
头晕与 HRQL 呈负相关，即使在调整了共病情况后也是如此。识别和治疗头晕非常重要，因为减少头晕症状可能有助于提高该年龄段人群的整体幸福感。
