The Relationship Between Benign Paroxysmal Positional Vertigo and Vitamin D

Resuli, Ali Seyed; Bedir, Ahmet; Özgür, Abdulkadir

doi:10.7759/cureus.26068

Cited by 4 publications

(4 citation statements)

References 27 publications

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“…Seven articles investigated serum vitamin D levels in both BPPV cases and controls. Among them, two articles reported a statistically significant difference, indicating that the mean serum vitamin D levels in the BPPV group were notably lower than those in the control group [ 24 , 27 ]. The reported serum vitamin D levels for BPPV cases and controls ranged from 17.1 to 31.4 ng/mL and 17.6 to 30.7 ng/mL, respectively, across the studies.…”

Section: Resultsmentioning

confidence: 99%

“…In line with these findings, another investigation indicated that individuals with recurrent BPPV exhibited notably diminished levels of vitamin D upon initial diagnosis, in contrast to those without recurrences (29.0 ± 12.0 vs. 37.6 ± 18.3 ng/mL; p = 0.012) [ 25 ]. Additionally, Resuli et al reported that individuals in the BPPV group had significantly lower vitamin D levels than those in the control group [ 24 ]. Bazoni et al, on the other hand, found no association between 25(OH) vitamin D levels and BPPV in the general population, but noted an association with bone mineral density in the elderly group with diabetes mellitus and BPPV [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Vitamin D Supplementation and Recurrence of Benign Paroxysmal Positional Vertigo

Rhim,

Kim

2024

Nutrients

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Positional vertigo manifests as a spinning sensation triggered by changes in head position relative to gravity. Benign paroxysmal positional vertigo (BPPV) is an inner ear disorder characterized by recurrent episodes of positional vertigo. The connection between vitamin D insufficiency/deficiency and the onset and recurrence of BPPV is established. This study aims to assess vitamin D as a recurring factor in BPPV and the efficacy of vitamin D supplementation in preventing its recurrence. A comprehensive literature review on the relationship between vitamin D and BPPV recurrence was conducted, searching PubMed, Embase, Web of Science, and article reference lists for studies published from 2020 to 2023. A total of 79 articles were initially identified through the search, with 12 of them being utilized in the study. Recurrence rates for BPPV varied from 13.7% to 23% for studies with follow-up less than 1 year and 13.3% to 65% for studies with follow-up equal to or exceeding 2 years. Risk factors for BPPV recurrence include advanced age, female sex, hypertension, diabetes mellitus, hyperlipidemia, osteoporosis, and vitamin D deficiency. While earlier studies did not establish a link between low vitamin D levels and initial BPPV occurrence, they did associate recurrent episodes with low vitamin D levels. Recent research indicates that vitamin D supplementation in BPPV patients with deficiency or insufficiency decreases both the numbers of relapsing patients and relapses per patient. To validate these findings across diverse populations, further randomized controlled studies with larger cohorts and extended follow-up durations are essential.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vitamin D Supplementation and Recurrence of Benign Paroxysmal Positional Vertigo

Rhim,

Kim

2024

Nutrients

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“…By allowing extra time for the treatment session, clinics provide sufficient time for patients to recover following repositioning manoeuvres. The session can also be used to identify risk factors for recurrence that may not have been previously discussed, such as vitamin D deficiency and poorly controlled type II diabetes, 19 both identified to be represented in higher numbers in those with BPPV. A recent systematic review and meta-analysis 20 supports the recommendation that all fallers should be screened and, if found to have BPPV, treated with effective manoeuvres.…”

Section: Discussionmentioning

confidence: 99%

The rationale and recommendations for inclusion of screening for benign paroxysmal positional vertigo in falls clinics

Metz,

Bryce

2024

J. Laryngol. Otol.

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Background There have been many studies linking falls and benign paroxysmal positional vertigo. This article collates those studies, and demonstrates how a community falls service fast-tracked patients with benign paroxysmal positional vertigo by implementing validated screening tools and recognised guidance. Objective This study aimed to explore whether routine screening of referrals to a community falls service can identify those with benign paroxysmal positional vertigo, for fast-tracked management. Methods Patients referred to a community falls service were screened for possible benign paroxysmal positional vertigo using the Dizziness Handicap Inventory, and triaged to a physiotherapy-led falls and benign paroxysmal positional vertigo assessment service. Results Twenty-five per cent of patients were fast-tracked to a falls and benign paroxysmal positional vertigo assessment service for management. The community falls service waiting list reduced by 25 per cent. Conclusion The data support incorporating assessment and treatment of benign paroxysmal positional vertigo into routine practice within all falls services.

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“…However, a recent systematic review revealed that age is not considered a risk factor for the recurrence of BPPV [10]. While, a recent study from Iraq reported that the age might be a risk factor for BPPV recurrence [28].…”

Section: • Causesmentioning

confidence: 99%

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Al-Ani,

Al-Rawi,

Aljuboori

et al. 2024

KJMS

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Benign paroxysmal positional vertigo (BPPV) is a short-lived attack of rotatory vertigo provoked by certain head movements. The most acceptable theories for its pathogenesis are canalithiasis and cupulolithiasis as a result of the detachment of otoconia from the otolithic membrane. Although canal repositioning maneuvers resolve BPPV, recurrence is a common feature. During the last two decades, there is a revolution in research in understanding many aspects of this disorder. The advanced age, female gender, migraine, Meniere's disease, trauma, and infection are recognized examples of the BPPV causes. Vitamin D deficiency or insufficiency is considered a risk factor for the occurrence and recurrence of the disease as indicated by many investigations. Therefore, estimation of vitamin D serum level in all subjects with BPPV is highly recommended. In addition to canal repositioning procedures such as the Epley maneuver, vitamin D supplementation in patients with deficient or insufficient vitamin D is the best treatment for primary BPPV. In this review, we discussed the updating knowledge of the risk factors of BPPV as an initiator for the disease or a risk factor for its recurrence.

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The Relationship Between Benign Paroxysmal Positional Vertigo and Vitamin D

Cited by 4 publications

References 27 publications

Vitamin D Supplementation and Recurrence of Benign Paroxysmal Positional Vertigo

Vitamin D Supplementation and Recurrence of Benign Paroxysmal Positional Vertigo

The rationale and recommendations for inclusion of screening for benign paroxysmal positional vertigo in falls clinics

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

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