Vertigo and dizziness in adolescents: Risk factors and their population attributable risk

被引:23
作者
Filippopulos, Filipp M. [1 ,2 ]
Albers, Lucia [3 ]
Straube, Andreas [1 ,2 ]
Gerstl, Lucia [4 ]
Blum, Bernhard [1 ]
Langhagen, Thyra [2 ,4 ]
Jahn, Klaus [2 ,5 ]
Heinen, Florian [4 ]
von Kries, Rudiger [3 ]
Landgraf, Mirjam N. [4 ]
机构
[1] LMU, Univ Hosp, Dept Neurol, Munich, Germany
[2] LMU, German Ctr Vertigo & Balance Disorders, Munich, Germany
[3] LMU, Div Epidemiol, Inst Social Paediat & Adolescents Med, Munich, Germany
[4] LMU, Hauner Childrens Hosp, Dept Paediat Neurol & Dev Med, Munich, Germany
[5] Schon Klin Bad Aibling, Dept Neurol, Bad Aibling, Germany
来源
PLOS ONE | 2017年 / 12卷 / 11期
关键词
TENSION-TYPE HEADACHE; GENDER-DIFFERENCES; ORTHOSTATIC HYPOTENSION; SUBJECTIVE HEALTH; PHYSICAL-ACTIVITY; GRAMMAR SCHOOLS; WHIPLASH INJURY; MENSTRUAL-CYCLE; UNITED-STATES; MIGRAINE;
D O I
10.1371/journal.pone.0187819
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objectives To assess potential risk factors for vertigo and dizziness in adolescents and to evaluate their variability by different vertigo types. The role of possible risk factors for vertigo and dizziness in adolescents and their population relevance needs to be addressed in order to design preventive strategies. Study design The study population consisted of 1482 school-children between the age of 12 and 19 years, who were instructed to fill out a questionnaire on different vertigo types and related potential risk factors. The questionnaire specifically asked for any vertigo, spinning vertigo, swaying vertigo, orthostatic dizziness, and unspecified dizziness. Further a wide range of potential risk factors were addressed including gender, stress, muscular pain in the neck and shoulder region, sleep duration, migraine, coffee and alcohol consumption, physical activity and smoking. Results Gender, stress, muscular pain in the neck and shoulder region, sleep duration and migraine were identified as independent risk factors following mutual adjustment: The relative risk was 1.17 [1.10 - 1.25] for female sex, 1.07 [1.02 - 1.13] for stress, 1.24 [1.17 - 1.32] for muscular pain, and 1.09 [1.03 - 1.14] for migraine. The population attributable risk explained by these risk factors was 26%, with muscular pain, stress, and migraine accounting for 11%, 4%, and 3% respectively. Conclusion Several established risk factors in adults were also identified in adolescents. Risk factors amenable to prevention accounted for 17% of the total population risk. Therefore, interventions targeting these risk factors may be warranted.
引用
收藏
页数:15
相关论文
共 90 条
[11]   Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine [J].
Boyd-Clark, LC ;
Briggs, CA ;
Galea, MP .
SPINE, 2002, 27 (07) :694-701
[12]  
Brandt T, 1996, Audiol Neurootol, V1, P187
[13]   Cervical vertigo [J].
Brandt, T ;
Bronstein, AM .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2001, 71 (01) :8-12
[14]   Various causes and clinical characteristics in vertigo in children with normal eardrums [J].
Choung, YH ;
Park, K ;
Moon, SK ;
Kim, CH ;
Ryu, SJ .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2003, 67 (08) :889-894
[15]   Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents [J].
Chung, Ka-Fai ;
Cheung, Miao-Miao .
SLEEP, 2008, 31 (02) :185-194
[16]   Signal processing in the vestibular system during active versus passive head movements [J].
Cullen, KE ;
Roy, JE .
JOURNAL OF NEUROPHYSIOLOGY, 2004, 91 (05) :1919-1933
[17]  
De Jong J, 1986, CERVICAL DIZZINESS A, P185
[18]   Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents [J].
Diepenmaat, ACM ;
van der Wal, MF ;
de Vet, HCW ;
Hirasing, RA .
PEDIATRICS, 2006, 117 (02) :412-416
[19]   Episodic vertigo related to migraine (90 cases): vestibular migraine? [J].
Dieterich, M ;
Brandt, T .
JOURNAL OF NEUROLOGY, 1999, 246 (10) :883-892
[20]   SEQUENTIAL AND AVERAGE ATTRIBUTABLE FRACTIONS AS AIDS IN THE SELECTION OF PREVENTIVE STRATEGIES [J].
EIDE, GE ;
GEFELLER, O .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1995, 48 (05) :645-655