Risk Factors for Positional Vertigo and the Impact of Vertigo on Daily Life: The Korean National Health and Nutrition Examination Survey
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Background and Objectives: This study aimed to analyze risk factors for positional vertigo(PV) and the influence thereof on daily life and subjective quality-of-life (QoL). Subject andMethods: A cross-sectional study was conducted using data of the 2010 Korea NationalHealth and Nutrition Examination Survey. The study population consisted of 1,274 individualsaged >40 years for whom complete dizziness-related data were available. Blood andurine tests were performed, and nutritional intake, QoL, and subjective health status weremeasured using a questionnaire. The associations between PV and blood/urine test dataand nutritional intake were evaluated via multiple logistic regression analysis. Results: A historyof PV within the previous year was reported by 98 individuals (7.7%). Advanced age andfemale gender were both significantly associated with such a history. Serum hemoglobin,creatinine, and triglyceride levels correlated significantly with a history of PV. Carotene, vitaminA, and vitamin B2 intakes were significantly lower in individuals with PV. Multivariateanalysis revealed that only age was significantly associated with a history of PV (p=0.003). Although subjective health status score was not significantly lower in subjects with PV, subjectiveimpairments in mobility, self-care, the performance of usual activities, and anxiety/depressionwere more prominent in individuals with PV. A fall history and limitations of activitywere also significantly higher in individuals with PV (p<0.001 and p=0.003, respectively). Conclusions: Age was a risk factor for PV, which affected most QoL parameters, fall frequency,and the performance of normal activities.
Abstract
Background and Objectives: This study aimed to analyze risk factors for positional vertigo(PV) and the influence thereof on daily life and subjective quality-of-life (QoL). Subject andMethods: A cross-sectional study was conducted using data of the 2010 Korea NationalHealth and Nutrition Examination Survey. The study population consisted of 1,274 individualsaged >40 years for whom complete dizziness-related data were available. Blood andurine tests were performed, and nutritional intake, QoL, and subjective health status weremeasured using a questionnaire. The associations between PV and blood/urine test dataand nutritional intake were evaluated via multiple logistic regression analysis. Results: A historyof PV within the previous year was reported by 98 individuals (7.7%). Advanced age andfemale gender were both significantly associated with such a history. Serum hemoglobin,creatinine, and triglyceride levels correlated significantly with a history of PV. Carotene, vitaminA, and vitamin B2 intakes were significantly lower in individuals with PV. Multivariateanalysis revealed that only age was significantly associated with a history of PV (p=0.003). Although subjective health status score was not significantly lower in subjects with PV, subjectiveimpairments in mobility, self-care, the performance of usual activities, and anxiety/depressionwere more prominent in individuals with PV. A fall history and limitations of activitywere also significantly higher in individuals with PV (p<0.001 and p=0.003, respectively). Conclusions: Age was a risk factor for PV, which affected most QoL parameters, fall frequency,and the performance of normal activities.
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