The effects of climate variations on the incidence of benign paroxysmal positional vertigo

Authors

DOI:

https://doi.org/10.34631/sporl.2095

Keywords:

Benign Paroxysmal Positional Vertigo, Temperature, Atmospheric Pressure, Humidity, Meteorology

Abstract

Background and objective: Vestibular symptoms are among the most common medical complaints in the emergency room. Benign Paroxysmal Positional Vertigo (BPPV) is one of the most frequently observed diagnoses in these patients and has a considerable personal and health care burden. Our aim is to evaluate the weekly and seasonal incidence of BPPV and study the possible relationship between the incidence of BPPV and the climate variations that occurred throughout the year 2021, in the metropolitan area of Lisbon.
Material and Methods: Retrospective study of adult patients (18 years or older), diagnosed with BPPV at Centro Hospitalar Universitário Lisboa Central, between January and December 2021. Meteorological factors for the same period were collected from official data for the metropolitan area of Lisbon, namely atmospheric temperature, atmospheric pressure, humidity, cloud amount, daylight time and solar radiation.
Results: A total of 178 patients were diagnosed with BPPV; 62 were male (34.8%) and 116 were female (65.2%). A seasonality pattern was found in the incidence of BPPV, with a lower number of patients diagnosed with BPPV in the summer months (p = 0.0002). There was a negative and statistically significant association between atmospheric temperature (r = -0.5215, p = 0.000063), daylight time (r = -0.4024, p = 0. 002847) and solar radiation (r = -0.4463, p = 0.000817) with the number of BPPV patients diagnosed per week. A positive and significant association was found between cloud amount and the incidence of BPPV (r = 0.537, p = 0.000034). No statistically significant association was found between atmospheric pressure (r = -0.0366, p = 0.798015) or humidity (r = 0.2525, p = 0.068707) with the incidence of BPPV.
Conclusions: The incidence of BPPV decreases in the summer months, when atmospheric temperature, solar radiation and daylight time are higher and cloud amount is lower.

References

Bittar RS, Oiticica J, Bottino MA, Ganança FF, Dimitrov R. Population epidemiological study on the prevalence of dizziness in the city of São Paulo. Braz J Otorhinolaryngol. 2013 Nov-Dec;79(6):688-98. doi: 10.5935/1808-8694.20130127.

Jeong J, Eo TS, Oh J, Shin HA, Chung HJ, Choi HS. Monthly and seasonal variations in benign paroxysmal positional vertigo. J Vestib Res. 2021;31(2):101-107. doi: 10.3233/VES-200030.

von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T. et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007 Jul;78(7):710-5. doi: 10.1136/jnnp.2006.100420.

Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T. Burden of dizziness and vertigo in the community. Arch Intern Med. 2008 Oct 27;168(19):2118-24. doi: 10.1001/archinte.168.19.2118.

Adamec I, Krbot Skorić M, Handžić J, Habek M. Incidence, seasonality and comorbidity in vestibular neuritis. Neurol Sci. 2015 Jan;36(1):91-5. doi: 10.1007/s10072-014-1912-4

Ogun OA, Janky KL, Cohn ES, Büki B, Lundberg YW. Gender-based comorbidity in benign paroxysmal positional vertigo. PLoS One. 2014 Sep 4;9(9):e105546. doi: 10.1371/journal.pone.0105546

Oh SR, Min SJ, Kim CE, Chang M, Mun SK. The effects of climate on the incidence of benign paroxysmal positional vertigo. Int J Biometeorol. 2020 Dec;64(12):2119-2125. doi: 10.1007/s00484-020-02002-y.

Seidel DU, Park JJ, Sesterhenn AM, Kostev K. Demographic data and seasonal variation in peripheral vestibular disorders in ENT practices in Germany. J Vestib Res. 2019;29(4):181-190. doi: 10.3233/VES-190668.

Pereira AB, Almeida LA, Pereira NG, Menezes PA, Felipe L, Volpe FM. Seasonality of dizziness and vertigo in a tropical region. Chronobiol Int. 2015 Jun;32(5):585-90. doi: 10.3109/07420528.2015.1014094.

Saeed BMN, Omari AF. Climatic variations and benign paroxysmal positional vertigo. J Otol. 2016 Mar;11(1):33-37. doi: 10.1016/j.joto.2016.03.002.

Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ. et al. 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. 2008 May 27;70(22):2067-74. doi: 10.1212/01.wnl.0000313378.77444.ac.

Zuma E Maia FC, de Fraga RB, Ramos BF, Cal RV, Mangabeira Albernaz PL. Seasonality and solar radiation variation level in benign paroxysmal positional vertigo. Acta Otolaryngol. 2019 Jun;139(6):497-499. doi: 10.1080/00016489.2019.1590636.

Whitman GT, Baloh RW. Seasonality of benign paroxysmal positional vertigo. JAMA Otolaryngol Head Neck Surg. 2015 Feb;141(2):188-9. doi: 10.1001/jamaoto.2014.2941.

Shu L, Wu J, Jiang CY, Sun XH, Pan H, Fang J. et al. Seasonal variation of idiopathic benign paroxysmal positional vertigo correlates with serum 25-hydroxyvitamin D levels: a six-year registry study in Shanghai, China. Sci Rep. 2019 Nov 7;9(1):16230. doi: 10.1038/s41598-019-52803-4.

Meghji S, Murphy D, Nunney I, Phillips JS. The seasonal variation of benign paroxysmal positional vertigo. Otol Neuroto. 2017 Oct;38(9):1315-1318. doi: 10.1097/MAO.0000000000001534.

Büki B, Ecker M, Jünger H, Lundberg YW. Vitamin D deficiency and benign paroxysmal positioning vertigo. Med Hypotheses. 2013 Feb;80(2):201-4. doi: 10.1016/j.mehy.2012.11.029.

Published

2024-03-24

How to Cite

Chantre, T., Moreira, I. A., Oliveira, M., & Sousa, H. (2024). The effects of climate variations on the incidence of benign paroxysmal positional vertigo. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 62(1), 29–35. https://doi.org/10.34631/sporl.2095

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Original Article