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:: دوره 7، شماره 3 - ( 4-1395 ) ::
جلد 7 شماره 3 صفحات 177-173 برگشت به فهرست نسخه ها
The effect serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study
چکیده:   (7878 مشاهده)

Background: Benign paroxysmal positional vertigo (BPPV) is a condition with recurrent attacks in a significant proportion of patients. The present case- control study was conducted to assess the influence of serum vitamin D normalization on recurrent attacks of vitamin D deficient patients.

Methods: Diagnosis of BPPV was made based on history and clinical examination and exclusion of other conditions. Serum 25-hydroxy vitamin D (25-OHD) was measured using ELISA method and a levels of < 20 ng/ml was considered a deficiency of vitamin D. Inclusion criteria were as follows: history of recurrent attacks and serum 25-OHD<20.ng/ml. While the patients with history of trauma, surgery and chronic systemic diseases were excluded. The patients were classified into two groups: treatment and control, intermittently. Both groups received Epley rehabilitation therapy one session per week for 4 weeks but the treatment group received an additional supplement of 50.000 IU of vitamin D (cholecalciferol) weekly for two months to achieve serum 25-OHD ≥ 30 ng/ml and the study patients were followed-up for 6 months.

Results: Twenty-seven patients were allocated to each group. At baseline, serum 25-OHD was similar (10.7±2.3 vs 11.41±1.9, P=0.23). At month 2, serum 25-OHD in the treatment group increased significantly to ≥ 30 ng/ ml, whereas serum 25-OHD in the control group remained unchanged (34.2±3.3 vs 10.6 10.6±2.2 ng/ml, P=0.001). During the follow-up period, attacks of BPPV in the treatment group decreased significantly compared with the control group (14.8% vs 96.3% OR= 0.18, P=0.001).

Conclusion: The findings of this study indicate that the normalization of serum vitamin D significantly reduces BPPV recurrences.

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نوع مطالعه: Original Article | موضوع مقاله: Internal
دریافت: 1394/8/9 | پذیرش: 1394/8/17 | انتشار: 1395/3/18
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Sheikhzadeh M, Lotfi Y, Mousavi A, Heidari B, Bakhshi E. The effect serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study . Caspian J Intern Med. 2016; 7 (3) :173-177
URL: http://caspjim.com/article-1-650-fa.html

The effect serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study . 1. 1395; 7 (3) :177-173

URL: http://caspjim.com/article-1-650-fa.html



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دوره 7، شماره 3 - ( 4-1395 ) برگشت به فهرست نسخه ها
Caspian Journal of Internal Medicine
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