Abstract
Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibular disorders. An investigation into the factors related to BPPV could contribute to its prevention and appropriate management. We investigated the association between climatic factors and incidence of BPPV in this study. A total of 365 patients who were diagnosed with idiopathic BPPV in the emergency room of our hospital in 2015 were included. The number of patients diagnosed with BPPV per week was calculated (every week). Climatic factors, including daily average humidity, temperature, atmospheric pressure, cloud amount, sunshine amount, and daylight time, were documented daily. The weekly mean climatic value in each week was calculated. Simple correlation analysis and multivariate regression analyses were performed to identify climatic factors associated with the number of patients diagnosed with BPPV. Simple correlation analysis revealed a significant association between the humidity (r = 0.276, p = 0.048), temperature (r = 0.275, p = 0.049), and cloud amount (r = 0.293, p = 0.035) and the number of BPPV patients diagnosed per week. Multivariate regression analysis revealed that only the cloud amount was a statistically significant factor associated with the number of BPPV patients diagnosed every week. A significant positive association was discovered between the cloud amount and BPPV incidence. Cloud amount can therefore have an association with the incidence of BPPV.
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References
Baloh RW, Honrubia V, Jacobson K (1987) Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 37:371–378
Bhattacharyya N et al. (2008) Clinical practice guideline: Benign Paroxysmal Positional Vertigo Otolaryngol Head Neck Surg 139:S47-S81 doi:https://doi.org/10.1016/j.otohns.2008.08.022
Buki B, Ecker M, Junger H, Lundberg YW (2013) Vitamin D deficiency and benign paroxysmal positioning vertigo. Med Hypotheses 80:201–204. https://doi.org/10.1016/j.mehy.2012.11.029
Chan KC, Tsai YT, Yang YH, Chen PC, Chang PH (2017) Osteoporosis is associated with increased risk for benign paroxysmal positional vertigo: a nationwide population-based study. Arch Osteoporos 12:106. https://doi.org/10.1007/s11657-017-0403-7
Ding J, Liu L, Kong WK, Chen XB, Liu X (2019) Serum levels of 25-hydroxy vitamin D correlate with idiopathic benign paroxysmal positional vertigo. Biosci Rep 39. https://doi.org/10.1042/bsr20190142
Fife TD et al (2008) Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the quality standards Subcommittee of the American Academy of Neurology. Neurology 70:2067–2074. https://doi.org/10.1212/01.wnl.0000313378.77444.ac
Gacek RR (2003) Pathology of benign paroxysmal positional vertigo revisited The Annals of otology, rhinology, and laryngology. 112:574–582. https://doi.org/10.1177/000348940311200702
Hoseinabadi R, Pourbakht A, Yazdani N, Kouhi A, Kamali M (2016) The effects of abnormality of cVEMP and oVEMP on rehabilitation outcomes in patients with idiopathic benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 273:643–648. https://doi.org/10.1007/s00405-015-3612-y
Islam MZ, Akhtaruzzaman M, Lamberg-Allardt C (2006) Hypovitaminosis D is common in both veiled and nonveiled Bangladeshi women. Asia Pac J Clin Nutr 15:81–87
Janssen HC, Samson MM, Verhaar HJ (2002) Vitamin D deficiency, muscle function, and falls in elderly people. Am J Clin Nutr 75:611–615. https://doi.org/10.1093/ajcn/75.4.611
Kim J-S, Zee DS (2014) Benign paroxysmal positional vertigo. N Engl J Med 370:1138–1147
Kim B-Y et al (2019) Diabetes fact sheets in Korea, 2018: an appraisal of current status. Diabetes Metab J 43:487–494
Korean Society H (2018) Hypertension epidemiology research working G, Kim HC, Cho M-C (2018) Korea hypertension fact sheet. Clin Hypertens 24:13–13. https://doi.org/10.1186/s40885-018-0098-0
Korres S, Gkoritsa E, Giannakakou-Razelou D, Yiotakis I, Riga M, Nikolpoulos TP (2011) Vestibular evoked myogenic potentials in patients with BPPV. Med Sci Monit 17:Cr42–Cr47
Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Finana M (2005) Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 262:507–511. https://doi.org/10.1007/s00405-004-0841-x
Meddeb N et al (2005) Vitamin D deficiency in Tunisia. Osteoporos Int 16:180–183. https://doi.org/10.1007/s00198-004-1658-6
Meghji S, Murphy D, Nunney I, Phillips JS (2017) The seasonal variation of benign paroxysmal positional vertigo. Otol Neurotol 38:1315–1318. https://doi.org/10.1097/mao.0000000000001534
Mizukoshi K, Watanabe Y, Shojaku H, Okubo J, Watanabe I (1988) Epidemiological studies on benign paroxysmal positional vertigo in Japan. Acta Otolaryngol Suppl 447:67–72. https://doi.org/10.3109/00016488809102859
Nedzelski JM, Barber HO, McIlmoyl L (1986) Diagnoses in a dizziness unit. J Otolaryngol 15:101–104
Ogun OA, Janky KL, Cohn ES, Buki B, Lundberg YW (2014) Gender-based comorbidity in benign paroxysmal positional vertigo. PLoS One 9:e105546. https://doi.org/10.1371/journal.pone.0105546
Parisi AV, Turnbull DJ, Downs NJ (2012) Influence of high levels of cloud cover on vitamin D effective and erythemal solar UV irradiances. Photochem Photobiol Sci 11:1855–1859. https://doi.org/10.1039/c2pp25160d
Park MK, Lee DY, Kim YH (2019) Risk factors for positional vertigo and the impact of vertigo on daily life: the korean national health and nutrition examination survey. J Audiol Otol 23:8–14. https://doi.org/10.7874/jao.2018.00178
Saeed BMN, Omari AF (2016) Climatic variations and benign paroxysmal positional vertigo. J Otolaryngol 11:33–37. https://doi.org/10.1016/j.joto.2016.03.002
Singh NK, Apeksha K (2016) Efficacy of cervical and ocular vestibular-evoked myogenic potentials in evaluation of benign paroxysmal positional vertigo of posterior semicircular canal. Eur Arch Otorhinolaryngol 273:2523–2532. https://doi.org/10.1007/s00405-015-3867-3
Strupp M, Brandt T (2013) Peripheral vestibular disorders. Curr Opin Neurol 26:81–89. https://doi.org/10.1097/WCO.0b013e32835c5fd4
Talaat HS, Kabel AM, Khaliel LH, Abuhadied G, El-Naga HA, Talaat AS (2016) Reduction of recurrence rate of benign paroxysmal positional vertigo by treatment of severe vitamin D deficiency Auris Nasus Larynx 43:237-241 doi:https://doi.org/10.1016/j.anl.2015.08.009
van der Meer IM et al (2008) Fatty fish and supplements are the greatest modifiable contributors to the serum 25-hydroxyvitamin D concentration in a multiethnic population. Clin Endocrinol 68:466–472. https://doi.org/10.1111/j.1365-2265.2007.03066.x
Vibert D, Kompis M, Hausler R (2003) Benign paroxysmal positional vertigo in older women may be related to osteoporosis and osteopenia. Ann Otol Rhinol Laryngol 112:885–889. https://doi.org/10.1177/000348940311201010
von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, Neuhauser H (2007) Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 78:710–715. https://doi.org/10.1136/jnnp.2006.100420
Welling DB, Parnes LS, O'Brien B, Bakaletz LO, Brackmann DE, Hinojosa R (1997) Particulate matter in the posterior semicircular canal. Laryngoscope 107:90–94
Whitman GT, Baloh RW (2015) Seasonality of benign paroxysmal positional vertigo. JAMA Otolaryngol 141:188–189. https://doi.org/10.1001/jamaoto.2014.2941
Zappia JJ (2013) Benign paroxysmal positional vertigo. Curr Opin Otolaryngol Head Neck Surg 21:480–486. https://doi.org/10.1097/MOO.0b013e32836463d6
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Oh, S.R., Min, S.J., Kim, C.E. et al. The effects of climate on the incidence of benign paroxysmal positional vertigo. Int J Biometeorol 64, 2119–2125 (2020). https://doi.org/10.1007/s00484-020-02002-y
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DOI: https://doi.org/10.1007/s00484-020-02002-y