Therapeutic Effect of the Correction of Vitamin D Deficiency in Patients with Benign Paroxysmal Positional Vertigo - A Randomized Clinical Trial
Int. arch. otorhinolaryngol. (Impr.)
;
26(4): 666-670, Oct.-Dec. 2022. tab, graf
Article
in English
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LILACS-Express
| LILACS
| ID: biblio-1421670
ABSTRACT
Abstract Introduction Benign paroxysmal positional vertigo (BPPV) appears during the same age group in which vitamin D and calcium deficiencies are evident. Vitamin D deficiency could predispose to BPPV, since these two entities share a demineralization process. Objective To establish the otological impact of vitamin D supplementation in patients with its deficiency who suffer from BPPV. Methods This was a randomized clinical trial. A total of 35 patients with vitamin D deficiency (< 30ng/ml) and BPPV were divided into 2 groups Group 1 (control group) treatment with repositioning maneuvers; and Group 2 treatment with repositioning maneuvers and vitamin D supplementation. Results A follow-up of between 6 and 13 months and a log rank test revealed that the probability of recurrence between the experimental groups was significantly different, with group 2 having a decreased recurrence of vertigo (p = 0.17). Scores in the Dizziness Handicap inventory (DHI) in patients treated with vitamin D supplementation were smaller (10 ± 9) when compared with a score of 36 ± 9 in the control group. Conclusion Plasmatic values of 25-hydroxyvitamin D have an impact in patients with BPPV, who present an improvement in their quality of life when their vitamin D levels are replaced with supplementation. Benign paroxysmal positional vertigo could stop being perceived as a purely otologic disease.
Full text:
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Index:
LILACS (Americas)
Type of study:
Controlled clinical trial
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2022
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra/MX
/
Instituto Nacional de Rehabilitación/MX
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