“…Retrospective studies have found an association between reduced head and to tal BMD, hearing, and balance impairments especially in elderly patients [Kahveci et al, 2014;Mendy et al, 2014]. Further crosssectional studies have reported associa tions between a reduced BMD of the weightbearing hip and lower extremity bones, and gait abnormality evalu ated by the modified Romberg test [Park and Kim, 2016] and saccular dysfunction measured by cVEMPs [Bigelow et al, 2016]. Increasing recent evidence has implicated osteoporosis as a risk factor for BPPV [Byun et al, 2019;Jang and Kang, 2009;Jeong et al, 2009;Parham et al, 2013;Vibert et al, 2003], its recurrence [Byun et al, 2019;Chan et al, De Stefano et al, 2014;Yamanaka et al, 2013], and treatment failure [Jang and Kang, 2009].…”