Impaired Vestibular Function and Low Bone Mineral Density: Data from the Baltimore Longitudinal Study of Aging

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Abstract

Animal studies have demonstrated that experimentally induced vestibular ablation leads to a decrease in bone mineral density, through mechanisms mediated by the sympathetic nervous system. Loss of bone mineral density is a common and potentially morbid condition that occurs with aging, and we sought to investigate whether vestibular loss is associated with low bone mineral density in older adults. We evaluated this question in a cross-sectional analysis of data from the Baltimore Longitudinal Study of Aging (BLSA), a large, prospective cohort study managed by the National Institute on Aging (N = 389). Vestibular function was assessed with cervical vestibular evoked myogenic potentials (cVEMPs), a measure of saccular function. Bone mineral density was assessed using dual-energy X-ray absorptiometry (DEXA). In two-way t test analysis, we observed that individuals with reduced vestibular physiologic function had significantly lower bone mineral density. In adjusted multivariate linear regression analyses, we observed that older individuals with reduced vestibular physiologic function had significantly lower bone mineral density, specifically in weight-bearing hip and lower extremity bones. These results suggest that the vestibular system may contribute to bone homeostasis in older adults, notably of the weight-bearing hip bones at greatest risk of osteoporotic fracture. Further longitudinal analysis of vestibular function and bone mineral density in humans is needed to characterize this relationship and investigate the potential confounding effect of physical activity.

Keywords

vestibular bone mineral density aging osteoporosis 
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Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Funding

This work was supported by the National Institutes of Health grant NIH/NIDCD K23 DC013056 and 5T32 DC000023-30. The Baltimore Longitudinal Study of Aging is supported by the National Institute on Aging.

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Copyright information

© Association for Research in Otolaryngology 2016

Authors and Affiliations

  • Robin T Bigelow
    • 1
  • Yevgeniy R Semenov
    • 1
  • Eric Anson
    • 1
  • Sascha du Lac
    • 1
    • 2
  • Luigi Ferrucci
    • 3
  • Yuri Agrawal
    • 1
  1. 1.Department of Otolaryngology - Head & Neck SurgeryJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of NeurologyJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Longitudinal Studies Section, Clinical Research BranchNational Institute on AgingBaltimoreUSA

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