Hyperinsulinemia and hyperglycemia: risk factors for recurrence of benign paroxysmal positional vertigo

Webster, Guilherme; Sens, Patrícia Maria; Salmito, Márcio Cavalcante; Cavalcante, José Diogo Rijo; Santos, Paula Regina Bonifácio dos; Silva, Ana Lívia Muniz da; Souza, Érica Carla Figueiredo de

doi:10.1016/j.bjorl.2014.09.008

Cited by 24 publications

(27 citation statements)

References 28 publications

(48 reference statements)

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“…The semicircular canal function, as well as the otolith one, declines with age (28). Cardio-cerebrovascular risk factors, including hypertension, hyperlipidemia, diabetes, coronary artery disease, migraine, are considered as independent risk factors for the occurrence and recurrence of BPPV (9,11,29). The older patients have more cardio-cerebrovascular risk factors in our study.…”

Section: Discussionmentioning

confidence: 57%

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Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Cao

Wang

et al. 2020

Front. Neurol.

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Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo, especially in the elderly. Several studies have revealed a possible seasonality to BPPV. However, whether the seasonality of BPPV also exists in China is unclear. The characteristics of cardio-cerebrovascular risk factors for BPPV in the cold season have not yet been investigated. Objectives: (1) To investigate the seasonality of BPPV; (2) To explore the relationship between cardio-cerebrovascular risk factors and seasonality of BPPV. Methods: A retrospective observational study was performed in Beijing Tiantan Hospital from Jan 2016 to Dec 2018. The study included 1,409 new-onset BPPV patients aged 18-88 years. The demographic data, onset time, and medical history of BPPV were collected. The meteorological data, including temperature, atmospheric pressure, rainfall, and insolation, was obtained from Beijing Meteorological service. The x 2 goodness of fit test was used to evaluate whether BPPV patients' numbers were significantly different among different months of the year. The Spearman correlation was used to detect the correlation between numbers of BPPV patients diagnosed monthly with each climatic parameter. The chi-square test for linear-by-linear association were used to investigate the relationship between cardio-cerebrovascular risk factor and seasonality of BPPV. Results: November to next March is the top 5 months with higher BPPV patient numbers (P < 0.001). The numbers of BPPV diagnosed monthly were conversely correlated with temperature and rainfall (r = −0.736, P = 0.010; r = −0.650, P = 0.022, respectively), positively correlated with atmospheric pressure (r = 0.708, P = 0.010), but no significant correlated with insolation. BPPV in the cold season (including January, February, March, November, and December) had a higher proportion, accounting for 54.2% of all BPPV patients. Among BPPV patients with ≥2, 1, and none cardio-cerebrovascular risk factors, the cold season accounted for 57.0, 56.0, 49.8%, respectively. As the number of cardio-cerebrovascular risk factors increased, the proportion of patients in the cold season of BPPV increased (P = 0.025). Cao et al. Seasonality, Cardio-Cerebrovascular Factors for BPPV Conclusions: BPPV patients are seen more in the months with low temperature, low rainfall, and high atmospheric pressure. Compared with the non-cold season, BPPV patients have more risk factors for cardio-cerebrovascular diseases in the cold season.

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Section: Discussionmentioning

confidence: 57%

“…Patients with BPPV had a higher prevalence of coronary artery disease (10). Moreover, hyperglycemia and hyperinsulinemia are risk factors for the recurrence of BPPV (11). Cardiovascular and cerebrovascular diseases have a high incidence in the cold season.…”

Section: Introductionmentioning

confidence: 99%

Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Cao

Wang

et al. 2020

Front. Neurol.

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“…The remaining instances are called secondary BPPV, in which certain risk factors are involved. Risk factors that lead to BPPV include chronic otitis media, head trauma, long‐term bed rest, and osteopenia/osteoporosis, among other factors . Some of these factors have been confirmed in animal experiments .…”

Section: Discussionmentioning

confidence: 84%

“…Risk factors that lead to BPPV include chronic otitis media, head trauma, long-term bed rest, and osteopenia/osteoporosis, among other factors. [21][22][23] Some of these factors have been confirmed in animal experiments. 24 In the cohort reported in the present study, three out of six (50%) children with BPPV were classified as secondary BPPV.…”

Section: Discussionmentioning

confidence: 99%

Benign paroxysmal positional vertigo in children

Yao

Song

Wang

et al. 2018

Clinical Otolaryngology

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“…As we all know, age, gender, sex hormones, osteoporosis, hypertension, hyperlipidemia, diabetes and hyperuricemia are all considered as risk factors of BPPV (6)(7)(8)(9). According to previous study that cerebrovascular risk factors in uenced BPPV recurrence (10).…”

Section: Discussionmentioning

confidence: 99%

Unhealthy lifestyle is an important risk factor for BPPV recurrence

Fu¹,

Zhang²,

Jin³

et al. 2020

Preprint

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Background: Benign paroxysmal positional vertigo (BPPV) is self-limiting and recurrent but the cost is considerable. The recurrence of BPPV increased significantly under the quarantine policy in Hangzhou. The unhealthy lifestyle risk factors of the recurrence of BPPV have not yet been investigated. So, the objective is to analyze the unhealthy lifestyle risk factors of recurrent BPPV.Methods: A retrospective observational study was conducted in the Department of Neurology in Tongde Hospital of Zhejiang Province from December 2018 to March 2020. The study included 186 patients aged 23–86 years. All patients received the definitive diagnosis and canalith repositioning maneuvers (CRM) treatment and finally accomplished follow-up for one year. Demographic variables, potential recurrence risk factors, neurological examination, cranial computed tomography and lifestyle were assessed.Data Analyses: The t-test or chi-squared test was first performed for group comparison, then logistic regression analysis was performed to investigate the recurrence risk factors in all of the patients.Results: The 1-year recurrence rates of BPPV patients after reposition maneuvers were 36.02%, is significantly higher than other study especially in the first quarter of 2020 (38.8% of patients with BPPV recurrence). Logistic regression analysis shows that BPPV patients who was poor physical activities and prolonged recumbent position time have more recurrence risks. Poor physical activities (odds ratio =5.690, 95% confidence interval: 1.650-19.618, p <0.006), prolonged recumbent position time (odds ratio = 1.651, 95% confidence interval: 1.370-2.003, p = 0.000), were risk factors for the recurrence of BPPV in patients.Conclusion: We conclude that poor physical activities and prolonged recumbent position time may be independent risk factors for the recurrence of BPPV patients, but aging, Ménière’s disease, sudden deafness migraine, hypertension, hyperlipemia, diabetes, CHD, POCI, mental factors, and mental labor do not increase the recurrence risk.

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Hyperinsulinemia and hyperglycemia: risk factors for recurrence of benign paroxysmal positional vertigo

Abstract: Hyperinsulinemia and hyperglycemia are risk factors for the recurrence of idiopathic BPPV and a normal exam is considered a protective factor.

Cited by 24 publications

References 28 publications

Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo in children

Unhealthy lifestyle is an important risk factor for BPPV recurrence

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