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[Relationship between serum level of uric acid and benign paroxysmal positional vertigo].

Identifieur interne : 000150 ( Main/Exploration ); précédent : 000149; suivant : 000151

[Relationship between serum level of uric acid and benign paroxysmal positional vertigo].

Auteurs : Junliang Yuan ; Yili Chen ; Yudan Chen ; Shiqin Niu ; Shujuan Li ; Qian Dong ; Wenli Hu

Source :

RBID : pubmed:26168668

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To confirm the possible relationships between serum level of uric acid (UA) and benign paroxysmal positional vertigo (BPPV).

METHODS

A total of 87 patients with BPPV and 36 age- and gender-matched control subjects were recruited from our hospital between July 1, 2013 and July 1, 2014. All patients underwent a complete audio-vestibular test battery, such as Dix-Hallpike maneuver for posterior semicircular canal and supine roll test for horizontal semicircular canal. All risk factors such as the histories of heart and cerebral vascular diseases, and routine hematological and biochemical analyses were analyzed between two groups.

RESULTS

No significant inter-group differences existed in age, gender, histories of hypertension, diabetes mellitus, hyperlipidemia, coronary heart disease, smoking or drinking (P > 0.05). No significant differences existed between systolic blood pressure, diastolic blood pressure, ejection fraction, whole blood count, lipid profile, homocysteine, prealbumin and blood urea nitrogen in patients with BPPV compared with controls (P >0. 05). However, the values of UA (267 ± 86 vs 325 ± 75) µmol/L, hemoglobin ale (5.6 ± 1. 4 vs 6.5 ± 1. 0)%, albumin (36 ± 4 vs 40 ± 4) g/L and creatinine (72 ± 20 vs 81 ± 22) µmol/L were much lower in patients with BPPV versus controls (P < 0. 05). According to multiple Logistic regression model, the lower levels of hemoglobin ale and albumin were independently associated with BPPV (P <0. 05) with the odds ratio of 1. 473 (95% CI 1. 066 - 2. 037) and 1. 162 (95% CI 1. 025 - 1. 318), respectively. However, the level of UA was not independently correlated with the occurrence of BPPV [OR = 1. 005 (95% CI 1. 000 - 1. 011), P =0. 063].

CONCLUSION

The lower levels of hemoglobin alc and albumin are independently associated with BPPV. Although the value of UA is lower in patients with BPPV versus controls, it is not an independent risk factor for BPPV. Due to limited patient data, further studies are needed to clarify the association in a larger sample size of different ethnic groups or longer follow ups.


PubMed: 26168668


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Relationship between serum level of uric acid and benign paroxysmal positional vertigo].</title>
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<name sortKey="Yuan, Junliang" sort="Yuan, Junliang" uniqKey="Yuan J" first="Junliang" last="Yuan">Junliang Yuan</name>
</author>
<author>
<name sortKey="Chen, Yili" sort="Chen, Yili" uniqKey="Chen Y" first="Yili" last="Chen">Yili Chen</name>
</author>
<author>
<name sortKey="Chen, Yudan" sort="Chen, Yudan" uniqKey="Chen Y" first="Yudan" last="Chen">Yudan Chen</name>
</author>
<author>
<name sortKey="Niu, Shiqin" sort="Niu, Shiqin" uniqKey="Niu S" first="Shiqin" last="Niu">Shiqin Niu</name>
</author>
<author>
<name sortKey="Li, Shujuan" sort="Li, Shujuan" uniqKey="Li S" first="Shujuan" last="Li">Shujuan Li</name>
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<author>
<name sortKey="Dong, Qian" sort="Dong, Qian" uniqKey="Dong Q" first="Qian" last="Dong">Qian Dong</name>
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<name sortKey="Hu, Wenli" sort="Hu, Wenli" uniqKey="Hu W" first="Wenli" last="Hu">Wenli Hu</name>
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<title xml:lang="en">[Relationship between serum level of uric acid and benign paroxysmal positional vertigo].</title>
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<name sortKey="Yuan, Junliang" sort="Yuan, Junliang" uniqKey="Yuan J" first="Junliang" last="Yuan">Junliang Yuan</name>
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<author>
<name sortKey="Chen, Yili" sort="Chen, Yili" uniqKey="Chen Y" first="Yili" last="Chen">Yili Chen</name>
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<name sortKey="Chen, Yudan" sort="Chen, Yudan" uniqKey="Chen Y" first="Yudan" last="Chen">Yudan Chen</name>
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<name sortKey="Niu, Shiqin" sort="Niu, Shiqin" uniqKey="Niu S" first="Shiqin" last="Niu">Shiqin Niu</name>
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<name sortKey="Li, Shujuan" sort="Li, Shujuan" uniqKey="Li S" first="Shujuan" last="Li">Shujuan Li</name>
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<name sortKey="Dong, Qian" sort="Dong, Qian" uniqKey="Dong Q" first="Qian" last="Dong">Qian Dong</name>
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<name sortKey="Hu, Wenli" sort="Hu, Wenli" uniqKey="Hu W" first="Wenli" last="Hu">Wenli Hu</name>
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<idno type="ISSN">0376-2491</idno>
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<term>Benign Paroxysmal Positional Vertigo (MeSH)</term>
<term>Blood Pressure (MeSH)</term>
<term>Blood Urea Nitrogen (MeSH)</term>
<term>Coronary Artery Disease (MeSH)</term>
<term>Creatinine (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Physical Examination (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Semicircular Canals (MeSH)</term>
<term>Uric Acid (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acide urique (MeSH)</term>
<term>Azote uréique sanguin (MeSH)</term>
<term>Canaux semicirculaires osseux (MeSH)</term>
<term>Créatinine (MeSH)</term>
<term>Examen physique (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladie des artères coronaires (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pression sanguine (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Creatinine</term>
<term>Uric Acid</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Benign Paroxysmal Positional Vertigo</term>
<term>Blood Pressure</term>
<term>Blood Urea Nitrogen</term>
<term>Coronary Artery Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Physical Examination</term>
<term>Risk Factors</term>
<term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Acide urique</term>
<term>Azote uréique sanguin</term>
<term>Canaux semicirculaires osseux</term>
<term>Créatinine</term>
<term>Examen physique</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie des artères coronaires</term>
<term>Mâle</term>
<term>Pression sanguine</term>
<term>Vertige positionnel paroxystique bénin</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To confirm the possible relationships between serum level of uric acid (UA) and benign paroxysmal positional vertigo (BPPV).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A total of 87 patients with BPPV and 36 age- and gender-matched control subjects were recruited from our hospital between July 1, 2013 and July 1, 2014. All patients underwent a complete audio-vestibular test battery, such as Dix-Hallpike maneuver for posterior semicircular canal and supine roll test for horizontal semicircular canal. All risk factors such as the histories of heart and cerebral vascular diseases, and routine hematological and biochemical analyses were analyzed between two groups.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>No significant inter-group differences existed in age, gender, histories of hypertension, diabetes mellitus, hyperlipidemia, coronary heart disease, smoking or drinking (P > 0.05). No significant differences existed between systolic blood pressure, diastolic blood pressure, ejection fraction, whole blood count, lipid profile, homocysteine, prealbumin and blood urea nitrogen in patients with BPPV compared with controls (P >0. 05). However, the values of UA (267 ± 86 vs 325 ± 75) µmol/L, hemoglobin ale (5.6 ± 1. 4 vs 6.5 ± 1. 0)%, albumin (36 ± 4 vs 40 ± 4) g/L and creatinine (72 ± 20 vs 81 ± 22) µmol/L were much lower in patients with BPPV versus controls (P < 0. 05). According to multiple Logistic regression model, the lower levels of hemoglobin ale and albumin were independently associated with BPPV (P <0. 05) with the odds ratio of 1. 473 (95% CI 1. 066 - 2. 037) and 1. 162 (95% CI 1. 025 - 1. 318), respectively. However, the level of UA was not independently correlated with the occurrence of BPPV [OR = 1. 005 (95% CI 1. 000 - 1. 011), P =0. 063].</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>The lower levels of hemoglobin alc and albumin are independently associated with BPPV. Although the value of UA is lower in patients with BPPV versus controls, it is not an independent risk factor for BPPV. Due to limited patient data, further studies are needed to clarify the association in a larger sample size of different ethnic groups or longer follow ups.</p>
</div>
</front>
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<Year>2016</Year>
<Month>02</Month>
<Day>19</Day>
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<DateRevised>
<Year>2018</Year>
<Month>12</Month>
<Day>02</Day>
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<Volume>95</Volume>
<Issue>5</Issue>
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<Year>2015</Year>
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<Title>Zhonghua yi xue za zhi</Title>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To confirm the possible relationships between serum level of uric acid (UA) and benign paroxysmal positional vertigo (BPPV).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 87 patients with BPPV and 36 age- and gender-matched control subjects were recruited from our hospital between July 1, 2013 and July 1, 2014. All patients underwent a complete audio-vestibular test battery, such as Dix-Hallpike maneuver for posterior semicircular canal and supine roll test for horizontal semicircular canal. All risk factors such as the histories of heart and cerebral vascular diseases, and routine hematological and biochemical analyses were analyzed between two groups.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No significant inter-group differences existed in age, gender, histories of hypertension, diabetes mellitus, hyperlipidemia, coronary heart disease, smoking or drinking (P > 0.05). No significant differences existed between systolic blood pressure, diastolic blood pressure, ejection fraction, whole blood count, lipid profile, homocysteine, prealbumin and blood urea nitrogen in patients with BPPV compared with controls (P >0. 05). However, the values of UA (267 ± 86 vs 325 ± 75) µmol/L, hemoglobin ale (5.6 ± 1. 4 vs 6.5 ± 1. 0)%, albumin (36 ± 4 vs 40 ± 4) g/L and creatinine (72 ± 20 vs 81 ± 22) µmol/L were much lower in patients with BPPV versus controls (P < 0. 05). According to multiple Logistic regression model, the lower levels of hemoglobin ale and albumin were independently associated with BPPV (P <0. 05) with the odds ratio of 1. 473 (95% CI 1. 066 - 2. 037) and 1. 162 (95% CI 1. 025 - 1. 318), respectively. However, the level of UA was not independently correlated with the occurrence of BPPV [OR = 1. 005 (95% CI 1. 000 - 1. 011), P =0. 063].</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The lower levels of hemoglobin alc and albumin are independently associated with BPPV. Although the value of UA is lower in patients with BPPV versus controls, it is not an independent risk factor for BPPV. Due to limited patient data, further studies are needed to clarify the association in a larger sample size of different ethnic groups or longer follow ups.</AbstractText>
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<name sortKey="Chen, Yudan" sort="Chen, Yudan" uniqKey="Chen Y" first="Yudan" last="Chen">Yudan Chen</name>
<name sortKey="Dong, Qian" sort="Dong, Qian" uniqKey="Dong Q" first="Qian" last="Dong">Qian Dong</name>
<name sortKey="Hu, Wenli" sort="Hu, Wenli" uniqKey="Hu W" first="Wenli" last="Hu">Wenli Hu</name>
<name sortKey="Li, Shujuan" sort="Li, Shujuan" uniqKey="Li S" first="Shujuan" last="Li">Shujuan Li</name>
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