Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo

Previous studies have demonstrated an association of osteopenia/osteoporosis with idiopathic benign paroxysmal positional vertigo (BPPV). Since vitamin D takes part in the regulation of calcium and phosphorus found in the body and plays an important role in maintaining proper bone structure, decreas...

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Veröffentlicht in:Journal of neurology 2013-03, Vol.260 (3), p.832-838
Hauptverfasser: Jeong, Seong-Hae, Kim, Ji-Soo, Shin, Jong Wook, Kim, Sungbo, Lee, Hajeong, Lee, Ae Young, Kim, Jae-Moon, Jo, Hyunjin, Song, Junghan, Ghim, Yuna
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container_title Journal of neurology
container_volume 260
creator Jeong, Seong-Hae
Kim, Ji-Soo
Shin, Jong Wook
Kim, Sungbo
Lee, Hajeong
Lee, Ae Young
Kim, Jae-Moon
Jo, Hyunjin
Song, Junghan
Ghim, Yuna
description Previous studies have demonstrated an association of osteopenia/osteoporosis with idiopathic benign paroxysmal positional vertigo (BPPV). Since vitamin D takes part in the regulation of calcium and phosphorus found in the body and plays an important role in maintaining proper bone structure, decreased bone mineral density in patients with BPPV may be related to decreased serum vitamin D. We measured the serum levels of 25-hydroxyvitamin D in 100 patients (63 women and 37 men, mean age ± SD = 61.8 ± 11.6) with idiopathic BPPV and compared the data with those of 192 controls (101 women and 91 men, mean age ± SD = 60.3 ± 11.3) who had lived in the same community without dizziness or imbalance during the preceding year. The selection of the controls and acquisition of clinical information were done using the data from the Fourth Korean National Health and Nutrition Examination Survey, 2008. The serum level of 25-hydroxyvitamin D was lower in the patients with BPPV than in the controls (mean ± SD = 14.4 ± 8.4 versus 19.1 ± 6.8 ng/ml, p  = 0.001). Furthermore, patients with BPPV showed a higher prevalence of decreased serum vitamin D (
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Since vitamin D takes part in the regulation of calcium and phosphorus found in the body and plays an important role in maintaining proper bone structure, decreased bone mineral density in patients with BPPV may be related to decreased serum vitamin D. We measured the serum levels of 25-hydroxyvitamin D in 100 patients (63 women and 37 men, mean age ± SD = 61.8 ± 11.6) with idiopathic BPPV and compared the data with those of 192 controls (101 women and 91 men, mean age ± SD = 60.3 ± 11.3) who had lived in the same community without dizziness or imbalance during the preceding year. The selection of the controls and acquisition of clinical information were done using the data from the Fourth Korean National Health and Nutrition Examination Survey, 2008. The serum level of 25-hydroxyvitamin D was lower in the patients with BPPV than in the controls (mean ± SD = 14.4 ± 8.4 versus 19.1 ± 6.8 ng/ml, p  = 0.001). Furthermore, patients with BPPV showed a higher prevalence of decreased serum vitamin D (&lt;20 ng/ml, 80.0 vs. 60.1 %, p  &lt; 0.001) than the controls. Multiple logistic regression analyses adjusted for age, sex, body mass index, hypertension, diabetes, proteinuria, regular exercise and the existence of decreased bone mineral density demonstrated that vitamin D insufficiency (10–20 ng/ml) and deficiency (&lt;10 ng/ml) were associated with BPPV with the odds ratios of 3.8 (95 % confidence interval = 1.51–9.38, p  = 0.004) and 23.0 (95 % confidence interval = 6.88–77.05, p  &lt; 0.001). Our study demonstrated an association between idiopathic BPPV and decreased serum vitamin D. 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Since vitamin D takes part in the regulation of calcium and phosphorus found in the body and plays an important role in maintaining proper bone structure, decreased bone mineral density in patients with BPPV may be related to decreased serum vitamin D. We measured the serum levels of 25-hydroxyvitamin D in 100 patients (63 women and 37 men, mean age ± SD = 61.8 ± 11.6) with idiopathic BPPV and compared the data with those of 192 controls (101 women and 91 men, mean age ± SD = 60.3 ± 11.3) who had lived in the same community without dizziness or imbalance during the preceding year. The selection of the controls and acquisition of clinical information were done using the data from the Fourth Korean National Health and Nutrition Examination Survey, 2008. The serum level of 25-hydroxyvitamin D was lower in the patients with BPPV than in the controls (mean ± SD = 14.4 ± 8.4 versus 19.1 ± 6.8 ng/ml, p  = 0.001). 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Since vitamin D takes part in the regulation of calcium and phosphorus found in the body and plays an important role in maintaining proper bone structure, decreased bone mineral density in patients with BPPV may be related to decreased serum vitamin D. We measured the serum levels of 25-hydroxyvitamin D in 100 patients (63 women and 37 men, mean age ± SD = 61.8 ± 11.6) with idiopathic BPPV and compared the data with those of 192 controls (101 women and 91 men, mean age ± SD = 60.3 ± 11.3) who had lived in the same community without dizziness or imbalance during the preceding year. The selection of the controls and acquisition of clinical information were done using the data from the Fourth Korean National Health and Nutrition Examination Survey, 2008. The serum level of 25-hydroxyvitamin D was lower in the patients with BPPV than in the controls (mean ± SD = 14.4 ± 8.4 versus 19.1 ± 6.8 ng/ml, p  = 0.001). Furthermore, patients with BPPV showed a higher prevalence of decreased serum vitamin D (&lt;20 ng/ml, 80.0 vs. 60.1 %, p  &lt; 0.001) than the controls. Multiple logistic regression analyses adjusted for age, sex, body mass index, hypertension, diabetes, proteinuria, regular exercise and the existence of decreased bone mineral density demonstrated that vitamin D insufficiency (10–20 ng/ml) and deficiency (&lt;10 ng/ml) were associated with BPPV with the odds ratios of 3.8 (95 % confidence interval = 1.51–9.38, p  = 0.004) and 23.0 (95 % confidence interval = 6.88–77.05, p  &lt; 0.001). Our study demonstrated an association between idiopathic BPPV and decreased serum vitamin D. Decreased serum vitamin D may be a risk factor of BPPV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>23096068</pmid><doi>10.1007/s00415-012-6712-2</doi><tpages>7</tpages></addata></record>
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subjects Adult
Age
Aged
Aged, 80 and over
Benign Paroxysmal Positional Vertigo
Biomarkers - blood
Bone density
Female
Head injuries
Hospitals
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neuroradiology
Neurosciences
Nutrition
Original Communication
Osteoporosis
University colleges
Vertigo
Vertigo - blood
Vertigo - diagnosis
Vertigo - epidemiology
Vitamin D
Vitamin D - blood
Vitamin D Deficiency - blood
Vitamin D Deficiency - diagnosis
Vitamin D Deficiency - epidemiology
Womens health
title Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo
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