Epidemiology of Balance Symptoms and Disorders in the Community

Murdin, Louisa; Schilder, Anne G. M.

doi:10.1097/mao.0000000000000691

Cited by 181 publications

(145 citation statements)

References 31 publications

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“…Balance disorders increase risk of falls [3], especially in the elderly, with high associated morbidity, mortality, and consequent economic burden [4]. A recent review [5] reports a lifetime prevalence of 17 to 30%. Bisdorff [6] using a more analytic survey for vertigo, dizziness, and unsteadiness, resulting from a range of vestibular and non-vestibular conditions, found a 1- year prevalence of 48.3%, 35.6% and 39.1%, respectively.…”

Section: Introductionmentioning

confidence: 99%

Dizziness and Falls in Obese Inpatients Undergoing Metabolic Rehabilitation

Corna¹,

Aspesi²,

Cau³

et al. 2017

PLoS ONE

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AimThe relationship between dizziness and falls in the obese population is a relatively unexplored issue. The aims of the present study were to define the 1-year prevalence of dizziness in an obese inpatient population undergoing metabolic rehabilitation and to investigate possible correlations with fall events.Materials and MethodsWe recruited 329 obese subjects: 203 female (BMI 43,74 kg/m2 ± 0.5 SE; age 17–83 years, 58.33 ± 0.9 SE) and 126 male (BMI 44,27kg/m2 ± 0.7 DE age 27–79 years, 58.84 ± 1 SE). To assess dizziness we used the validated Italian version (38) of the Dizziness Handicap Inventory (DHI).ResultsOut of the experimental sample, 100 subjects did not complain of dizziness and felt confident about their balance control, while 69.6% reported some degree of dizziness. Their mean DHI score was 22.3, which corresponds to mild dizziness. Twenty-one percent reported more severe dizziness (DHI score > 40). The majority of our sample reported minor dizziness and its perception appears to be independent from BMI: DHI scores were consistent across classes of obesity.DiscussionThe rate of dizziness and falls (30.1%) in this obese population was higher than that previously reported in a general matched population. However, obese subjects, in our sample, seem to underestimate their risk of fall and DHI score does not appear a reliable predictor of falls. Since complications associated with falls in obese persons generally require longer treatments than in lean individuals, our findings should be taken into account in order to identify other predictors, including cognitive and perceptual, of risk of fall and to implement fall prevention programs.

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Section: Introductionmentioning

confidence: 99%

Dizziness and Falls in Obese Inpatients Undergoing Metabolic Rehabilitation

Corna¹,

Aspesi²,

Cau³

et al. 2017

PLoS ONE

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“…[117][118][119] Data from the National Health and Nutrition Examination Survey demonstrated a 12-fold increase in the risk for falls among older individuals who were clinically symptomatic (reporting dizziness). 118 Among community-dwelling adults aged >65 years, 1 in 3 falls each year.…”

Section: Action Statement Profile For Statement 2bmentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

586

776

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Objective. This update of a 2008 guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate added to the update group; new evidence from 2 clinical practice guidelines, 20 systematic reviews, and 27 randomized controlled trials; enhanced emphasis on patient education and shared decision making; a new algorithm to clarify action statement relationships; and new and expanded recommendations for the diagnosis and management of BPPV.Purpose. The primary purposes of this guideline are to improve the quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. The primary outcome considered in this guideline is the resolution of the symptoms associated with BPPV. Secondary outcomes considered include an increased rate of accurate diagnoses of BPPV, a more efficient return to regular activities and work, decreased use of inappropriate medications and unnecessary diagnostic tests, reduction in recurrence of BPPV, and reduction in adverse events associated with undiagnosed or untreated BPPV. Other outcomes considered include minimizing costs in the diagnosis and treatment of BPPV, minimizing potentially unnecessary return physician visits, and maximizing the health-related quality of life of individuals afflicted with BPPV.Action Statements. The update group made strong recommendations that clinicians should (1) diagnose posterior semicircular canal BPPV when vertigo associated with torsional, upbeating nystagmus is provoked by the Dix-Hallpike maneuver, performed by bringing the patient from an upright to supine position with the head turned 45° to one side and neck extended 20° with the affected ear down, and (2) treat, or refer to a clinician who can treat, patients with posterior canal BPPV with a canalith repositioning procedure. The update group made a strong recommendation against postprocedural postural restrictions after canalith repositioning procedure for posterior canal BPPV. The update group made recommendations that the clinician should (1) perform, or refer to a clinician who can perform, a supine roll test to assess for lateral semicircular canal BPPV if the patient has a history compatible with BPPV and the Dix-Hallpike test exhibits horizontal or no nystagmus; (2) differentiate...

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“…It is essential to have a good understanding of the epidemiology of the conditions and their symptomatic presentation in the community. Much literature in this area is based around specialist clinic and hospital experience that is likely to be subject to bias [2].…”

Section: Introductionmentioning

confidence: 99%

Ménière’s Disease: Epidemiology

Teixeira¹,

Cavalcante²

2017

Up to Date on Meniere's Disease

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Meniere's disease is a disorder of the membranous labyrinth of the inner ear manifesting as vertigo, tinnitus, sensory neural hearing loss and aural fullness of known or unknown origin. The aim of this chapter is to estimate the prevalence of Ménière's disease (MD) and its relationship with demographic factors, symptoms and conditions that are known. Few articles have been published on the epidemiology of Meniere's disease from 1975 to 1990, studies from Japan indicated a fairly constant prevalence of 17 cases per 100,000 population. These studies were undertaken by a Research Committee on Meniere's Disease. Kotimaki and colleagues analysed the Finnish population of five million people between 1992 and 1996. A prevalence of 43/100,000 and an average yearly incidence of 4.3/100,000 population were found by the authors. MD is 1-3 times higher in women than in men and also observed a higher prevalence in adulthood and white people. MD seems to be much more common in white adults with higher body mass index categories, in their fourth and fifth decade. However, in recent years, especially in the last decades, there have been several safe and effective medical and surgical therapies for the treatment of the disease and its sequels.

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Epidemiology of Balance Symptoms and Disorders in the Community

Cited by 181 publications

References 31 publications

Dizziness and Falls in Obese Inpatients Undergoing Metabolic Rehabilitation

Dizziness and Falls in Obese Inpatients Undergoing Metabolic Rehabilitation

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Ménière’s Disease: Epidemiology

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