Zhu Jiqiang, Li Xianfeng, Sun Dongxia, Geng Kuo, Wei Mengcui, Liu Jia, Lu Jing
Neurology, Beijing HuaSheng Rehabilitation Hospital, Beijing, 100071, China.
Traditional Chinese Medicine, Xianghe County Traditional Chinese Medicine Hospital, Langfang, 065400, China.
BMC Public Health. 2025 Apr 22;25(1):1486. doi: 10.1186/s12889-025-22808-y.
Dizziness is a prevalent complaint in clinical settings; however, its relationship with physical activity remains unclear. This cross-sectional study aimed to explore the link between physical activity levels and symptomatic dizziness in a cohort of adult participants.
We used data from the 1999-2004 National Health and Nutrition Examination Survey (NHANES) in the United States. Activity and dizziness data were obtained using physical activity and balance questionnaires. The participants were divided into three subgroups, Group 1 (sedentary: almost no engagement in any form of aerobic or anaerobic exercise in the past 30 days), Group 2 (moderate: at least 10 minutes of moderate-intensity physical activity in the past 30 days, which results in light perspiration or a minor-to-moderate rise in heart and breathing rates), and Group 3 (vigorous: engaging in at least 10 minutes of vigorous-intensity exercise over the last 30 days, which leads to substantial sweating or a pronounced increase in both breathing and heart rates). Multivariable logistic regression and stratified interaction analyses were used to examine the association between physical activity and symptomatic dizziness.
A total of 6815 participants were enrolled, comprising 3446 males (50.6%) and 3369 females (49.4%), with a median age of 60.6±13.3 years. Our study revealed a negative association between physical activity and the prevalence of symptomatic dizziness after multivariate adjustment (Group 2, OR 0.76, 95% CI 0.66-0.87, p<0.001; Group 3, OR 0.76, 95% CI 0.64-0.90, p=0.001). Further exploratory subgroup analysis showed no statistical significance (all P-values for interaction were greater than 0.05).
The study found that physical activity is negatively associated with the prevalence of symptomatic dizziness in the US adult population.
头晕是临床环境中常见的主诉；然而，其与身体活动的关系仍不明确。这项横断面研究旨在探讨成年参与者队列中身体活动水平与症状性头晕之间的联系。
我们使用了美国1999 - 2004年国家健康和营养检查调查（NHANES）的数据。通过身体活动和平衡问卷获取活动和头晕数据。参与者被分为三个亚组，第1组（久坐组：在过去30天内几乎不参与任何形式的有氧运动或无氧运动），第2组（适度运动组：在过去30天内至少进行10分钟的中等强度身体活动，这会导致轻微出汗或心率和呼吸频率轻度至中度上升），以及第3组（剧烈运动组：在过去30天内进行至少10分钟的剧烈强度运动，这会导致大量出汗或呼吸和心率显著增加）。采用多变量逻辑回归和分层交互分析来检验身体活动与症状性头晕之间的关联。
共纳入6815名参与者，其中男性3446名（50.6%），女性3369名（49.4%），中位年龄为60.6±13.3岁。我们的研究显示，在多变量调整后，身体活动与症状性头晕的患病率呈负相关（第2组，比值比[OR]0.76，95%置信区间[CI]0.66 - 0.87，p<0.001；第3组，OR 0.76，95% CI 0.64 - 0.90，p = 0.001）。进一步的探索性亚组分析未显示统计学意义（所有交互作用的P值均大于0.05）。
该研究发现，在美国成年人群中，身体活动与症状性头晕的患病率呈负相关。
