Pauwels Sara, Lemkens Nele, Lemmens Winde, Meijer Kenneth, Bijnens Wouter, Meyns Pieter, van de Berg Raymond, Spildooren Joke
Faculty of Rehabilitation Sciences, REVAL-Rehabilitation Research Centre, Hasselt University, 3590 Diepenbeek, Belgium.
Department of Otorhinolaryngology and Head and Neck Surgery, School for Mental Health and Neuroscience, Faculty of Health Medicine and Life Sciences, Maastricht University Medical Centre, 6229 Maastricht, The Netherlands.
J Clin Med. 2024 Dec 11;13(24):7542. doi: 10.3390/jcm13247542.
: Benign Paroxysmal Positioning Vertigo (BPPV), diagnosed in 46% of older adults with complaints of dizziness, causes movement-related vertigo. This case-control study compared physical activity, frailty and subjective well-being between older adults with BPPV (oaBPPV) and controls. : Thirty-seven oaBPPV (mean age 73.13 (4.8)) were compared to 22 matched controls (mean age 73.5 (4.5)). Physical activity was measured using the MOX accelerometer and the International Physical Activity Questionnaire. Modified Fried criteria assessed frailty. The Dizziness Handicap Inventory, Falls Efficacy Scale, and 15-item Geriatric Depression Scale assessed subjective well-being. A post-hoc sub-analysis compared all variables compared between frail oaBPPV, robust oaBPPV and robust controls. Significance level was set at α = 0.05. : oaBPPV were significantly less physically active and were more (pre-)frail ( < 0.001) compared to controls. They performed significantly less active bouts ( = 0.002) and more sedentary bouts ( = 0.002), and a significantly different pattern of physical activity during the day. OaBPPV reported significantly less time in transportation activities ( = 0.003), leisure ( < 0.001), walking ( < 0.001) and moderate-intensity activities ( = 0.004) compared to controls. Frail oaBPPV were even less active ( = 0.01) and experienced more fear of falling ( < 0.001) and feelings of depression ( < 0.001) than robust oaBPPV and controls. : BPPV can induce a vicious cycle of fear of provoking symptoms, decreased physical activity, well-being and consequently frailty. It is also possible that frail and less physically active older adults have an increased prevalence of BPPV. Post-treatment follow-up should assess BPPV, frailty and physical activity to determine if further rehabilitation is needed.
良性阵发性位置性眩晕（BPPV）在46%有头晕症状的老年人中被诊断出来，会引发与运动相关的眩晕。这项病例对照研究比较了患有BPPV的老年人（oaBPPV）和对照组之间的身体活动、虚弱状况和主观幸福感。：将37名oaBPPV患者（平均年龄73.13（4.8））与22名匹配的对照组（平均年龄73.5（4.5））进行比较。使用MOX加速度计和国际身体活动问卷测量身体活动。采用改良的弗里德标准评估虚弱状况。使用头晕残障量表、跌倒效能感量表和15项老年抑郁量表评估主观幸福感。事后亚组分析比较了虚弱的oaBPPV、强健的oaBPPV和强健的对照组之间的所有变量。显著性水平设定为α = 0.05。：与对照组相比，oaBPPV的身体活动明显较少，且更（预）虚弱（<0.001）。他们进行的活跃时段明显较少（=0.002），久坐时段明显较多（=0.002），且白天的身体活动模式明显不同。与对照组相比，oaBPPV报告在交通活动（=0.003）、休闲活动（<0.001）、步行（<0.001）和中等强度活动（=0.004）上花费的时间明显更少。与强健的oaBPPV和对照组相比，虚弱的oaBPPV活动更少（=0.01），对跌倒的恐惧更多（<0.001），抑郁情绪更多（<0.001）。：BPPV可引发对诱发症状的恐惧、身体活动减少、幸福感下降以及随之而来的虚弱的恶性循环。身体虚弱且身体活动较少的老年人患BPPV的患病率也可能更高。治疗后的随访应评估BPPV、虚弱状况和身体活动，以确定是否需要进一步康复治疗。
