Vitamin D supplementation in preventing the recurrence of benign paroxysmal positional vertigo

© 2024 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society..

Objective: To evaluate the effect of vitamin D supplementation on the recurrence rate of benign paroxysmal positional vertigo (BPPV).

Methods: A single-center, prospective, double-blind, placebo-controlled, parallel-group randomized controlled trial was conducted between November 2018 and May 2020. After successful treatment with canalith repositioning maneuvers, patients diagnosed with BPPV were randomized to either the vitamin D (n = 20) or placebo (n = 18) group. Only patients with serum vitamin D levels <20 ng mL-1 were included. The vitamin D group received 7000 IU of vitamin D weekly for a year, while the placebo group received a matching placebo drug. The final endpoint was the BPPV recurrence rate and correlation with serum vitamin D levels after 6 and 12 months in both groups.

Results: Among 38 patients, 37 were followed up for 6 months and 30 for 12 months. Significantly higher serum vitamin D levels were observed in the vitamin D group compared to the placebo group at both the 6-month and 1-year follow-ups (p < .001 at each timepoint). The recurrence rate was lower in the vitamin D group than in the placebo group after 6 months (p = .008) and 1 year (p = .003).

Conclusion: Vitamin D supplementation, in the absence of calcium, may be beneficial for patients prone to recurrent BPPV episodes, particularly when serum vitamin D levels are suboptimal (PRE20181024-001, Clinical Research Information Service, South Korea).

Level of Evidence: 1b.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Laryngoscope investigative otolaryngology - 9(2024), 1 vom: 21. Feb., Seite e1225

Sprache:

Englisch

Beteiligte Personen:

Kong, Tae Hoon [VerfasserIn]
Jung, Su Young [VerfasserIn]
Seo, Young Joon [VerfasserIn]
Shim, Dae Bo [VerfasserIn]

Links:

Volltext

Themen:

Benign paroxysmal positional vertigo
Journal Article
Monotherapy
Placebo
Recurrence
Vitamin D

Anmerkungen:

Date Revised 24.02.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/lio2.1225

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368743713