Evidence map›Paper›PMID 36004953›Full record

ArticleAudiology research2022

Prevention of Recurrent Benign Paroxysmal Positional Vertigo: The Role of Combined Supplementation with Vitamin D and Antioxidants.

Giacinto Asprella Libonati, Antonello Leone, Salvatore Martellucci, Andrea Gallo, Roberto Albera, Sergio Lucisano, Maurizio Bavazzano, Giuseppe Chiarella, Pasquale Viola, Francesco Galletti and 17 more

Open access · goldAbstract read
In one paragraph

Article in Audiology research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Vestibular deficit and recovery in rare forms of benign paroxysmal positional vertigo with downbeat nystagmus.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 · 2026
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  14. Association between Serum Vitamin D Levels and Risk of Sudden Sensorineural Hearing Loss: A cross-sectional Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  15. Article
  16. Role of Serum Markers in Benign Paroxysmal Positional Vertigo: Are They Useful?Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  17. Recurring benign paroxysmal positional vertigo after successful canalith repositioning manoeuvers.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2023
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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

27 authors at 12 institutions in 1 country.

Giacinto Asprella LibonatiVestibology & ENT Unit, Giovanni Paolo II Hospital, 07026 Policoro, Italy.ORCID 0000-0003-1890-0384
Antonello LeoneVestibology & ENT Unit, Giovanni Paolo II Hospital, 07026 Policoro, Italy.
Salvatore MartellucciOtorhinolaryngology Unit, Santa Maria Goretti Hospital, AUSL, 04100 Latina, Italy.ORCID 0000-0001-5233-2478
Andrea GalloOtorhinolaryngology Unit, Santa Maria Goretti Hospital, AUSL, 04100 Latina, Italy.
Roberto AlberaDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.
Sergio LucisanoDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.
Maurizio BavazzanoDepartment of Otorhinolaryngology, Head and Neck Surgery, Clinical and Instrumental Vestibology, San Martino Polyclinic of Genova, 16132 Genoa, Italy.
Giuseppe ChiarellaAudiology Unit, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0002-9829-2229
Pasquale ViolaAudiology Unit, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0002-2352-1146
Francesco GallettiOtorhinolaryngology Unit, Department of Adult and Development Age Human Pathology "Gaetano Barresi", Policlinico G. Martino, University of Messina, 98122 Messina, Italy.
Francesco FreniOtorhinolaryngology Unit, Department of Adult and Development Age Human Pathology "Gaetano Barresi", Policlinico G. Martino, University of Messina, 98122 Messina, Italy.ORCID 0000-0001-5664-7493
Francesco CiodaroOtorhinolaryngology Unit, Department of Adult and Development Age Human Pathology "Gaetano Barresi", Policlinico G. Martino, University of Messina, 98122 Messina, Italy.
Vincenzo MarcelliOtorhinolaryngology Unit, Ospedale del Mare, 80147 Naples, Italy.
Giuseppe TortorielloOtorhinolaryngology Unit, Ospedale del Mare, 80147 Naples, Italy.
Leonardo Scotto di SantilloVestibology and Vestibular Rehabilitation Service, ASL 3 Genovese, 16162 Genoa, Italy.
Pasqualina Maria PicciottiOtolaryngology Institute, Department of Head and Neck, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Jacopo GalliOtolaryngology Institute, Department of Head and Neck, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Silvano VitalePhoniatrics Unit ASL Lecce, Department of Rehabilitation, 73100 Lecce, Italy.ORCID 0000-0001-6594-0819
Nicola QuarantaOtolaryngology Unit, Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0001-6214-2336
Giada CavallaroOtolaryngology Unit, Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-5772-6756
Paolo GambaDepartment of Otorhinolaryngology, Head and Neck Surgery, Laboratory of Clinical and Instrumental Vestibology-Poliambulanza Foundation Hospital, 25124 Brescia, Italy.ORCID 0000-0002-5256-8728
Roberto TeggiENT Division, San Raffaele Scientific Institute, 20132 Milano, Italy.ORCID 0000-0003-2948-4638
Iacopo CangianoENT Division, San Raffaele Scientific Institute, 20132 Milano, Italy.
Mario FaralliSection of Otolaryngology-Head and Neck Surgery, Department of Surgical and Biomedical Sciences, University of Perugia, 06122 Perugia, Italy.
Annalisa BarboniSection of Otolaryngology-Head and Neck Surgery, Department of Surgical and Biomedical Sciences, University of Perugia, 06122 Perugia, Italy.
Aldo MessinaOtoneurology and Tinnitus Unit, Chair of Audiology, P. Giaccone University Hospital, 90127 Palermo, Italy.ORCID 0000-0003-4651-9038
Giusi GrazianoCenter for Outcomes Rsearch and Clinical Epidemiology (CORESEARCH), 65100 Pescara, Italy.
University of Messina · ITMagna Graecia University · ITOspedale San Paolo · ITOspedale Santa Maria Goretti · ITSan Raffaele University of Rome · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bari Aldo Moro · ITUniversity of Perugia · ITUniversity of Turin · ITCenter for Outcomes Research and Clinical Epidemiology · ITFondazione Poliambulanza Istituto Ospedaliero · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Benign paroxysmal positional vertigo (BPPV) usually has a favorable course, although it is possible to observe BPPV with a high recurrence rate. Previous studies suggested that vitamin D deficiency might affect BPPV recurrences, and oxidative stress might play a complementary role in BPPV pathogenesis. This multicentric trial aimed to evaluate the effectiveness of oral nutritional supplementation with a compound of alpha-lipoic acid, Carnosine, and Zinc (LICA® (Difass International, Coriano (RN), Italy)), vitamins of group B and vitamin D in preventing BPPV recurrences. A total of 128 patients with high recurrence-BPPV were randomized in three arms: Arm 1 consisted of subjects with “insufficient” or “deficient” vitamin D blood levels, treated with daily oral supplementation of LICA®, vitamins of group B and vitamin D3 (800 UI), Arm 2 included BPPV subjects with “sufficient” vitamin D who did not receive any nutritional support, and Arm 3 included subjects with a “sufficient” serum concentration of vitamin D who received supplementation with a compound of LICA® and Curcumin. After six months of follow-up, a significant reduction of BPPV relapses compared to the baseline was found only in Arm 1 (−2.32, 95% CI: 3.41−1.62, p-value < 0.0001). Study results suggested that oral nutritional supplementation with vitamin D3 plus antioxidants can prevent relapses in patients suffering from high recurrence-BPPV.

Indexed as

antioxidantsBPPVBPPV relapseshigh recurrence BPPVLICA®otoconiaotolithsvitamin D

Identifiers

PMID36004953
PMCPMC9404917
OpenAlexW4292583094

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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.