Demircan Sultan Keskin, Öner Fatih
Department of Geriatrics, Kastamonu Research and Training Hospital, Kastamonu, Turkey.
Department of Otorhinolaryngology, Faculty of Medicine, Kastamonu University, Kastamonu, Turkey.
Laryngoscope. 2025 Apr;135(4):1486-1492. doi: 10.1002/lary.31995. Epub 2025 Jan 6.
One-third of older adults suffer from dizziness and vertigo. Benign positional paroxysmal vertigo (BPPV), which occurs due to otoconia moving into the semicircular canal, is the most common vestibular disorder. We evaluated the connection between BPPV and geriatric symptoms.
A comprehensive geriatric evaluation included daily living activities, Mini-Mental State Examination (MMSE), and Geriatric Depression Scale tests for all patients. Patients' nutritional status was assessed using the Mini-Nutritional Assessment. Body weight and fat free mass were determined from the bioimpedance analyzer. Hand grip strength was measured using an electronic hand dynamometer to determine muscle strength. Sarcopenia was assessed using the European Working Group on Sarcopenia in Older People-2 recommendations. The patients were divided into three groups as BPPV-positive, BPPV-negative, and healthy (control).
Obesity, low muscle mass, dynapenia, gait speed, low gait speed, and history of falling statistically significantly differed between the three groups, but age, gender, smoking, alcohol consumption, body mass index, MMSE, depression, number of falls, and comorbid diseases did not differ. The BPPV-positive group had greater rates of obesity, low muscle mass, dynapenia, and sarcopenia than the control group (p = 0.008, 0.007, 0.01, 0.03). In the unadjusted univariate analysis, low muscle mass, sarcopenia, and obesity were risk factors for "BPPV" (Odds Ratio [OR]: 3.43, Confidence Interval [Cl]: 1.25-9.37, p = 0.016; OR: 3.47, Cl: 1.32-9.13, p = 0.011; OR: 2.71, Cl: 1.09-6.70, p = 0.031).
Obesity, sarcopenia, and low muscle mass are risk factors for BPPV, and we urge the older population to adopt healthy diet and exercise regimens to reduce BPPV-related falls.
3 Laryngoscope, 135:1486-1492, 2025.
三分之一的老年人患有头晕和眩晕。良性阵发性位置性眩晕（BPPV）是最常见的前庭疾病，它是由于耳石移入半规管所致。我们评估了BPPV与老年症状之间的联系。
对所有患者进行全面的老年评估，包括日常生活活动、简易精神状态检查表（MMSE）和老年抑郁量表测试。使用微型营养评定法评估患者的营养状况。通过生物电阻抗分析仪测定体重和去脂体重。使用电子握力计测量握力以确定肌肉力量。采用欧洲老年人肌肉减少症工作组-2的建议评估肌肉减少症。将患者分为三组：BPPV阳性组、BPPV阴性组和健康（对照）组。
三组之间在肥胖、低肌肉量、肌力减弱、步速、低步速和跌倒史方面存在统计学显著差异，但年龄、性别、吸烟、饮酒、体重指数、MMSE、抑郁、跌倒次数和合并疾病方面无差异。BPPV阳性组的肥胖、低肌肉量、肌力减弱和肌肉减少症发生率高于对照组（p = 0.008、0.007、0.01、0.03）。在未经调整的单因素分析中，低肌肉量、肌肉减少症和肥胖是“BPPV”的危险因素（优势比[OR]：3.43，置信区间[Cl]：1.25 - 9.37，p = 0.016；OR：3.47，Cl：1.32 - 9.13，p = 0.011；OR：2.71，Cl：1.09 - 6.70，p = 0.031）。
肥胖、肌肉减少症和低肌肉量是BPPV的危险因素，我们敦促老年人群采取健康的饮食和运动方案以减少与BPPV相关的跌倒。
3 《喉镜》，135:1486 - 1492，2025年。
