ArticleBrazilian journal of otorhinolaryngology
Hyperinsulinemia and hyperglycemia: risk factors for recurrence of benign paroxysmal positional vertigo.
Article in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Identifying key risk factors for the recurrence of benign paroxysmal positional vertigo following successful canalith repositioning maneuvers: a meta analysis.European journal of medical research · 2025Pooled it
- Risk factors for benign paroxysmal positional vertigo recurrence: a systematic review and meta-analysis.Journal of neurology · 2021Pooled it
- Sleep in Different Types of Dizziness.Brain and behavior · 2026Article
- Mechanisms of Vestibular System Damage in Diabetes Mellitus: Implications for Benign Paroxysmal Positional Vertigo Pathogenesis and Recurrence.Medical journal of the Islamic Republic of Iran · 2026Article
- Assessment of retinal and hearing impairments related to microvascular dysfunction in metabolic syndrome.Northern clinics of Istanbul · 2026Article
- Transcriptomic analysis reveals cross-talk genes between type 2 diabetes and recurrent benign paroxysmal positional vertigo.Heliyon · 2024Article
- Development and verification of a nomogram for recurrence risk of Benign Paroxysmal Positional Vertigo in middle-aged and older populations.Frontiers in neurology · 2024Article
- Vestibular Disorders and Hormonal Dysregulations: State of the Art and Clinical Perspectives.Cells · 2023Review
- Diabetes Mellitus and Hearing Loss: A Complex Relationship.Medicina (Kaunas, Lithuania) · 2023Review
- Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni.Audiology research · 2022Article
- Hormones and Vestibular Disorders: The Quest for Biomarkers.Brain sciences · 2022Article
- The influence of cerebral small vessel diseases on the efficacy of repositioning therapy and prognosis of benign paroxysmal positional vertigo.International journal of medical sciences · 2022Article
- Risk Factors for Recurrence of Benign Paroxysmal Positional Vertigo. A Clinical Review.Journal of clinical medicine · 2021Review
- Review of the pathology underlying benign paroxysmal positional vertigo.The Journal of international medical research · 2020Article
- Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo.Frontiers in neurology · 2020Article
- Unhealthy Lifestyle Is an Important Risk Factor of Idiopathic BPPV.Frontiers in neurology · 2020Article
- Falls and Fractures in Diabetes-More than Bone Fragility.Current osteoporosis reports · 2019Review
- Clinical Characteristics and Risk Factors for the Recurrence of Benign Paroxysmal Positional Vertigo.Frontiers in neurology · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionChanges in carbohydrate metabolism may lead to recurrence of benign paroxysmal positional vertigo.
objectiveTo evaluate the influence of the disturbance of carbohydrate metabolism in the recurrence of idiopathic BPPV.
methodsA longitudinal prospective study of a cohort, with 41 months follow-up. We analyzed the results of 72 glucose-insulin curves in patients with recurrence of BPPV. The curves were classified into intolerance, hyperinsulinemia, hyperglycemia and normal.
resultsThe RR for hyperinsulinism was 4.66 and p=0.0015. Existing hyperglycemia showed an RR=2.47, with p=0.0123. Glucose intolerance had a RR of 0.63, with p=0.096. When the examination was within normal limits, the result was RR=0.2225 and p=0.030. DISCUSSION: Metabolic changes can cause dizziness and vertigo and are very common in people who have cochleovestibular disorders. However, few studies discuss the relationship between idiopathic BPPV and alterations in carbohydrate metabolism. In the present study, we found that both hyperglycemia and hyperinsulinemia are risk factors for the recurrence of BPPV, whereas a normal test was considered a protective factor; all these were statistically significant. Glucose intolerance that was already present was not statistically significant in the group evaluated.
conclusionHyperinsulinemia and hyperglycemia are risk factors for the recurrence of idiopathic BPPV and a normal exam is considered a protective factor.
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