{"title":"Prevalence and Risk Factors of Frailty in Patients With Vestibular Hypofunction.","authors":"Tomohiko Kamo, Hirofumi Ogihara, Ryozo Tanaka, Takumi Kato, Masato Azami, Masao Noda, Reiko Tsunoda, Hiroaki Fushiki","doi":"10.1097/AUD.0000000000001697","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the prevalence of frailty and the factors associated with frailty in patients with vestibular hypofunction.</p><p><strong>Design: </strong>This observational study included 185 individuals with dizziness aged 40 and above who suffered from chronic vestibular hypofunction. We defined frailty using the diagnostic algorithm by the revised Japanese version of the Cardiovascular Health Study criteria. Frailty, prefrailty, and robust were defined as including 3 to 5, 1 to 2, and 0 points, respectively. For comparison, we also assessed the prevalence of frailty in community-dwelling adults over 40 years old (control group, n = 203).</p><p><strong>Results: </strong>The average ages for the groups with vestibular hypofunction and the control were 72.0 ± 10.1 and 69.8 ± 8.2 years, respectively. In the vestibular hypofunction group (185 patients), 32 were identified as frail (17.3%) and 103 as prefrail (55.7%). Of the patients with vestibular hypofunction aged 65 years or older (n = 151), 31 (20.5%) were frail and 80 (53.0%) were prefrail. In the control group, consisting of 203 community-dwelling adults, 15 were identified as frail (7.0%) and 108 as prefrail (54.0%). Among patients with vestibular hypofunction, 64 (34.6%) exhibited low gait speed, the most common of the frailty components. Age, female, Hospital Anxiety and Depression Scale-Depression subscale, and Dizziness Handicap Inventory were associated with frailty and prefrailty in patients with vestibular hypofunction, after adjustment for confounding factors.</p><p><strong>Conclusions: </strong>The present study demonstrates that the prevalence of frailty in patients with vestibular hypofunction is higher than that in community-dwelling adults. Therefore, evaluating frailty in patients with vestibular hypofunction is crucial for identifying those at higher risk and implementing early interventions such as dietary guidance and exercises to strengthen the lower body along with vestibular rehabilitation.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ear and Hearing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AUD.0000000000001697","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The aim of this study was to investigate the prevalence of frailty and the factors associated with frailty in patients with vestibular hypofunction.
Design: This observational study included 185 individuals with dizziness aged 40 and above who suffered from chronic vestibular hypofunction. We defined frailty using the diagnostic algorithm by the revised Japanese version of the Cardiovascular Health Study criteria. Frailty, prefrailty, and robust were defined as including 3 to 5, 1 to 2, and 0 points, respectively. For comparison, we also assessed the prevalence of frailty in community-dwelling adults over 40 years old (control group, n = 203).
Results: The average ages for the groups with vestibular hypofunction and the control were 72.0 ± 10.1 and 69.8 ± 8.2 years, respectively. In the vestibular hypofunction group (185 patients), 32 were identified as frail (17.3%) and 103 as prefrail (55.7%). Of the patients with vestibular hypofunction aged 65 years or older (n = 151), 31 (20.5%) were frail and 80 (53.0%) were prefrail. In the control group, consisting of 203 community-dwelling adults, 15 were identified as frail (7.0%) and 108 as prefrail (54.0%). Among patients with vestibular hypofunction, 64 (34.6%) exhibited low gait speed, the most common of the frailty components. Age, female, Hospital Anxiety and Depression Scale-Depression subscale, and Dizziness Handicap Inventory were associated with frailty and prefrailty in patients with vestibular hypofunction, after adjustment for confounding factors.
Conclusions: The present study demonstrates that the prevalence of frailty in patients with vestibular hypofunction is higher than that in community-dwelling adults. Therefore, evaluating frailty in patients with vestibular hypofunction is crucial for identifying those at higher risk and implementing early interventions such as dietary guidance and exercises to strengthen the lower body along with vestibular rehabilitation.
期刊介绍：
From the basic science of hearing and balance disorders to auditory electrophysiology to amplification and the psychological factors of hearing loss, Ear and Hearing covers all aspects of auditory and vestibular disorders. This multidisciplinary journal consolidates the various factors that contribute to identification, remediation, and audiologic and vestibular rehabilitation. It is the one journal that serves the diverse interest of all members of this professional community -- otologists, audiologists, educators, and to those involved in the design, manufacture, and distribution of amplification systems. The original articles published in the journal focus on assessment, diagnosis, and management of auditory and vestibular disorders.
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