Evidence map›Paper›PMID 39194424›Full record

Trial reportOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Randomized Controlled Trial Assessing Vitamin D's Role in Reducing BPPV Recurrence in Older Adults.

Kenneth W De Chua, Xiaoting Huang, Xuan H Koh, Joshua F J Y Soh, Vivian C Barrera, Poongkulali Anaikatti, Deng Jing, Shirlene Moh, Miko Yeo, Heng W Yuen and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
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

12 authors.

Kenneth W De ChuaDepartment of Otorhinolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore.ORCID http://orcid.org/0000-0002-2677-1183
Xiaoting HuangDepartment of Geriatric Medicine, Singapore General Hospital, Singapore.
Xuan H KohDepartment of Health Service Research, Changi General Hospital, Singapore.
Joshua F J Y SohDepartment of Occupational Health, Ministry of Home Affairs, Home Team Medical Service Division, Singapore.
Vivian C BarreraDepartment of Geriatric Medicine, Changi General Hospital, Singapore.
Poongkulali AnaikattiDepartment of Emergency Medicine, Changi General Hospital, Singapore.
Deng JingDepartment of Otorhinolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore.
Shirlene MohDepartment of Allied Health, Dietetics, Changi General Hospital, Singapore.
Miko YeoDepartment of Allied Health, Dietetics, Changi General Hospital, Singapore.
Heng W YuenDepartment of Otorhinolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore.
David LowDepartment of Otorhinolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore.
Barbara H RosarioDepartment of Geriatric Medicine, Changi General Hospital, Singapore.ORCID http://orcid.org/0000-0001-5491-3524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if the recurrence rates of BPPV in older adults were lower in the vitamin D-treated group as compared to placebo groups. STUDY

designDouble-blinded randomized control placebo trial.

settingA single-centre study.

methodsDouble-blinded randomized controlled trial design with 12 months follow-up. Vitamin D3 deplete participants were randomized into treatment (Group A) or placebo groups (Group B). Treatment group received 13 weeks of 2000 IU vitamin D3 followed by 1000 IU for the next 13 weeks. Patients who were replete were allocated to a control group (Group C) for observation and follow up. All groups had dietary interventions for vitamin D3 and calcium.

resultsResults showed an 87% reduction in recurrence rates of BPPV in the treatment group (Group A), with 0.75 fewer clinical episodes per 1 person-year as compared to placebo (Group B). Time to first recurrence was also significantly longer in Group A. There was no statistically significant difference between Group A and C in both recurrence rates and dizziness handicap scores.

conclusionsThis clinical trial has laid the foundation to expand the investigation of vitamin D as standard of care treatment in BPPV patients in future phase IIb and III studies. SUMMARY: A reduction in BPPV episodes in older adults has implications on fall risk, as dizziness from BPPV may cause falls. With fewer BPPV episodes and longer time to recurrence, seniors may have better postural stability and hence reduced risk of falls. LEVEL OF EVIDENCE: 2:

Indexed as

Benign Paroxysmal Positional VertigoAgedAged, 80 and overCholecalciferolDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedRecurrenceSecondary PreventionTreatment OutcomeVitamin DVitaminsCholecalciferolVitamin DVitaminsBPPVdizzinessrandomized controlled trialrecurrencevitamin D deficiency

Identifiers

PMID39194424
PMCPMC11697526

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.