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Association Between Serum Vitamin D Level and Ménière's Disease
Mehdi Bakhshaee1, Susan Moradi2, Masoud Mohebi3
1Sinus and Surgical Endoscopic Research Center, Department of Otorhinolaryngology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Objectives:
Ménière's disease (MD) is a well-known inner ear disease; however, the etiopathogenesis is unknown. Several factors may be involved. Meanwhile, vitamin D is reported to have an important role in inner ear physiology. The aim of this study is to evaluate the relation between vitamin D deficiency and MD.
Study Design:
This matched case-control study compared serum vitamin D levels between patients with definite MD and those without it.
Setting:
The study was done between August 2018 and December 2019 at Ghaem University Hospital in Mashhad, Iran.
Methods:
Twenty-eight patients with definite MD were matched with a group of 84 healthy individuals, regarding age, sex, body mass index, and occupation (indoor vs outdoor). The serum level of vitamin D (25-hydroxyvitamin D3) was measured in both groups.
Results:
The mean ± SD vitamin D level was 18.9 ± 9.7 ng/mL in the case group and 25.2 ± 13.7 ng/mL in the control group (P = .027). There was a significant difference between the case and control groups according to the results of the conditional logistic regression model (P = .03; adjusted odds ratio, 0.96). In the MD group, 17 (60.7%) patients were vitamin D deficient, 6 (21.4%) insufficient, and only 5 (17.9%) sufficient.
Conclusions:
The results of this study show that serum vitamin D level in MD is significantly lower than that of the control group. However, the role of vitamin D supplementation in the management of MD needs further study.
Level Of Evidence:
4.
Insights
Ménière
Area of Science:
- Otolaryngology
- Endocrinology
- Nutritional Science
Background:
- Ménière's disease (MD) is an inner ear disorder with unknown causes.
- Vitamin D plays a role in inner ear physiology.
- The relationship between vitamin D and MD requires further investigation.
Purpose of the Study:
- To evaluate the association between vitamin D deficiency and Ménière's disease.
- To compare serum vitamin D levels in MD patients versus healthy controls.
Main Methods:
- A matched case-control study was conducted with 28 MD patients and 84 controls.
- Serum 25-hydroxyvitamin D3 levels were measured.
- Matching criteria included age, sex, BMI, and occupation.
Main Results:
- MD patients had significantly lower mean serum vitamin D levels (18.9 ng/mL) compared to controls (25.2 ng/mL).
- A significant difference was found between groups (P = .027).
- Vitamin D deficiency was prevalent in 60.7% of MD patients.
Conclusions:
- Serum vitamin D levels are significantly lower in patients with Ménière's disease.
- Further research is needed to explore vitamin D supplementation for MD management.
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