Evidence map›Paper›PMID 34804669›Full record

ArticleCureus2021

Climatic Variations as Indicators of Vitamin D Levels and Benign Paroxysmal Positional Vertigo.

Giorgos Sideris, Marilia C Sapountzi, Vangelis Malamas, George Korres, Alexander Delides, Thomas Nikolopoulos

Abstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Seasonal and monthly variation in benign paroxysmal positional vertigo: a systematic review and meta‑analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Giorgos SiderisSecond Ear-Nose-Throat Department, Attikon University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Marilia C SapountziSecond Ear-Nose-Throat Department, Attikon University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Vangelis MalamasDepartment of Infomatics, University of Peiraeus, Peiraeus, GRC.
George KorresSecond Ear-Nose-Throat Department, Attikon University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Alexander DelidesSecond Ear-Nose-Throat Department, Attikon University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Thomas NikolopoulosSecond Ear-Nose-Throat Department, Attikon University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective To investigate the possible correlation between benign paroxysmal positional vertigo (BPPV), seasonality, and climatic variations as indicators of vitamin D deficiency, since otoconia are calcium carbonate crystals. Methods This is a study of patients who received the diagnosis of BPPV from September 2015 to August 2019. Gender, age, and month of diagnosis were factors recorded and analyzed. The cut-off age of 50 years is used to include osteoporotic patients and postmenopausal women. Meteorological and climatic data of latitude, temperature, sunshine hours, humidity, precipitation, wind force, atmospheric pressure, and horizontal solar irradiance were collected. Results Four hundred and eighty-five patients were included in the study; 206 were male (42%) and 279 were female (58%). The mean age was 57.8±15.4 and 54.9±13.9, respectively; 192 patients were ≤50 years old (121 female and 71 male) and 293 patients were over 50 years old (135 male and 158 female). A statistical significance in seasonal variation during autumn months was demonstrated (p-value= 5.2 e-05, z-statistic: 9.8164). There was no statistical correlation between the median number of BPPV patients and the median sunshine hours per month, horizontal solar irradiance, or other climatic variables. Conclusions Our study demonstrates seasonality in BPPV patients in Greece but no correlation between BPPV and climatic variations as a proxy for Vitamin-D levels was documented.

Indexed as

benign positional paroxysmal vertigoclimateclimatic variationsdix hallpikeinner earseasonalityvestibular disordervitamin d

Identifiers

PMID34804669
PMCPMC8591250

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.