The relationships between severity of dizziness and blood lipid levels in primary care
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Abstract
Background: Dizziness is a wide and nonspecific manifestation described as lightheadedness, vertigo, disequilibrium, and presyncope. It can cause various problems, including accidents and disturbances in daily life. Dyslipidemia is often the first cause of dizziness in patients. The aim is to find a correlation between blood lipid levels and the severity of dizziness by using the Dizziness Handicap Inventory - Thailand (DHI-T).
Design: Cross-sectional study
Methods: The 158 participants who presented with dizziness and had been treated at the Phichit Primary Care Unit from January to May 2024. Each participant completed the DHI-T and received blood lipid level testing. The investigations were completed within three months before or after the questionnaire. Using Pearson’s correlation analysis and multivariate logistic regression to determine the correlation of various factors. This participant was divided into two groups based on the DHI-T score. 1. High-dizziness group (> 21 points) 2. Low-dizziness group (< 21 points) to study the correlation
Results: The average DHI-T score was 31.78 ± 1.81. The severity of dizziness was not statistically correlated with the level of blood lipids. However, age, height, diastolic blood pressure, smoking, alcohol drinking, and eGFR were mildly correlated with the severity of dizziness. This study compared two groups, adjusted by multivariate logistic regression for the influence of the confounder, and no correlation was found for blood lipid levels and other factors with the severity of dizziness.
Conclusions: No evidence of the association between blood lipid levels and the severity of dizziness in the population of this study.
Keywords: severity of dizziness, blood lipid level
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References
Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010;82:361-9.
Reilly BM. Dizziness. In: Walker HK, Hall WD, Hurst JW, editors. Clinical methods: the history, physical, and laboratory examinations. 3rd ed. Boston: Butterworths; 1990. Chapter 212. Available from: https://www.ncbi.nlm.nih.gov/books/NBK325/
Maarsingh OR, Dros J, Schellevis FG, van Weert HC, van der Windt DA, ter Riet G, van der Horst HE. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med. 2010;8:196-205.
ปารยะ อาศนะเสน. ไขมันในเลือดที่สูง และ ปัญหาหูอื้อ เสียงดังในหู และเวียนศีรษะบ้านหมุน. [อินเทอร์เน็ต]. 2010. [เข้าถึงเมื่อ 15 มิ.ย. 2566]. เข้าถึงได้จาก : https://www.rcot.org/2021/ForPeople/Knowledge/1df2f735ac9d788f 67d3bfbe564216594ef4d7b2
Zhang R, Liu B, Bi J, Chen Y. Relationship Between Chronic Conditions and Balance Disorders in Outpatients with Dizziness: A Hospital-Based Cross-Sectional Study. Med Sci Monit. 2021;27:e928719-1-8.
Chang J, Hwang SY, Park SK, Kim JH, Kim HJ, Chae SW, Song JJ. Prevalence of dizziness and associated factors in south korea: a cross-sectional survey from 2010 to 2012. J Epidemiol. 2018;28:176-84.
Chávez-Delgado ME, Vázquez-Granados I, Rosales-Cortés M, Velasco-Rodríguez V. Cochleovestibular dysfunction in patients with diabetes mellitus, hypertension and dyslipidemia. Acta Otorrinolaringol Esp. 2012;63:93-101.
Sfakianaki I, Binos P, Karkos P, Dimas GG, Psillas G. Risk factors for recurrence of benign paroxysmal positional vertigo. A Clinical Review. J Clin Med. 2021;10:4372. PubMed PMID: 34640391
นัชชา เรืองเกียรติกุล. ความสัมพันธ์ระหว่างอาการเวียนศีรษะที่ไม่ทราบสาเหตุและระดับไขมันในเลือดในผู้สูงอายุ. วารสารกรมการแพทย์. 2565;47:21-6.
Jacobson GP, Newman CW. The Development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990;116:424–7.
Shirley Ryan Abilitylab. Dizziness Handicap Inventory. [Internet]. 2013. [cited 2023 Jun 15]. Available from : https://www.sralab.org/rehabilitation-measures/dizziness-handicap-inventory
ฐิติชญา เจนอนุศาสตร์, จันทร์ชัย เจรียงประเสริฐ, มนต์ทิพย์ เทียนสุวรรณ. ความสัมพันธ์ระหว่างแบบสอบถามผลกระทบของอาการเวียนศีรษะต่อการทำกิจวัตรประจำวันฉบับภาษาไทย (DHI-T) กับการตรวจการทำงานของระบบการทรงตัวที่หูชั้นใน. การประชุมวิชาการระดับชาติ วิทยาลัยนครราชสีมา ครั้งที่ 6 ประจำปี พ.ศ.2562. 2019;6:898-7.
Emasithi A, Pakdee S, Isaradisaikul SK, Uthaikhup S. Translation and validation of the dizziness handicap inventory into Thai Language. Otol Neurotol. 2022;43:e252-8.
Chang NC, Dai CY, Lin WY, Yang HL, Wang HM, Chien CY, Ho KY. Prevalence of persistent tinnitus and dizziness in an elderly population in southern Taiwan. J Int Adv Otol. 2019;15:99-105.
Tamber A-L, Bruusgaard D. Self-reported faintness or dizziness-comorbidity and use of medicines. An epidemiological study. Scand J Public Health. 2009;37:613-20.
Iwasaki S, Yamasoba T. Dizziness and imbalance in the elderly: age-related decline in the vestibular system. Aging Dis. 2014;6:38-47.
Gassmann KG, Rupprecht R; IZG Study Group. Dizziness in an older community dwelling population: a multifactorial syndrome. J Nutr Health Aging. 2009; 13:278-82.
Lindell E, Kollén L, Johansson M, Karlsson T, Rydén L, Zettergren A, et al. Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population. Aging Clin Exp Res. 2020;32:1049-56.
Jang Y, Hur HJ, Park B, Park HY. Psychosocial factors associated with dizziness and chronic dizziness: a nationwide cross-sectional study. BMC Psychiatry. 2024;24:13. PubMed PMID: 38166799
Penning R, McKinney A, Verster JC. Alcohol hangover symptoms and their contribution to the overall hangover severity. Alcohol Alcohol. 2012;47:248-52.
Nicola R College, Janet A Wilson, Celilia C A.Macintype, William J Maclennan. The prevalence and characteristics of dizziness in an elderly community. Age Ageing. 1994;23:117-20.
Heckerling PS, Leikin JB, Maturen A, Perkins JT. Predictors of occult carbon monoxide poisoning in patients with headache and dizziness. Ann Intern Med. 1987;107:174-6.
วุฒิเชษฐ รุ่งเรือง, ฐิติพล เยาวลักษณ์. ภาวะพิษจากก๊าซคาร์บอนมอนอกไซด์ (carbon monoxide poisoning). วารสารเภสัชกรรมโรงพยาบาล. 2564;31:229-36.
Rita Mor, Daniela de Moraes Jardim Garcia, Polyana da Silveira Bergamo Friedmann.Comparative analysis of vestibular answers to Caloric trial in patients submitted to Vestibular examination with and without using anti-dizziness medication. Sistema de Gestão de Publicações. 2006;10:22-7.
Ozmen A, Ozer F, Torun D, Seyra Erbek H, Sermed Erbek S, Naci Ozluoglu L. Audiological and vestibular measurements in chronic renal failure patients receiving hemodialysis treatment. J Int Adv Otol. 2024;20:50-6.
Jung I, Ahn SH, Lee J, Lee SU, Oh HJ, Kim HJ, Choi JY, Kim JS. Age-related deterioration of saccule-related neural function is associated with decreased estimated glomerular filtration rate and increased free thyroxine. Clin Neurophysio. 2019;130:795-801.
Onodugo OD, Ulasi II, Ijoma CK, Arodiwe EB, Okoye JU, Ezeala-Adikaibe BA, Onodugo NP, Ugwu EO. Predictors of autonomic dysfunction among predialysis chronic kidney disease patients in Nigeria. Niger J Clin Pract. 2018;21:932-8.
