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Updated: Sep 19, 2025

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Testing of all Six Semicircular Canals with Video Head Impulse Test Systems
Published on: April 18, 2019
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Which factors influence the deterioration in vestibular function? A nationwide, population-based study with
Jeon Mi Lee1, Sung Goo Yoo2, Hyun Jin Lee3
1Department of Otorhinolaryngology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea.
Summary
Vestibular function declines with age, with corrective saccades increasing significantly in older adults. Factors like sex, hypertriglyceridemia, and hearing loss impact this decline.
Area of Science:
- Gerontology
- Otolaryngology
- Neuroscience
Background:
- Vestibular function is crucial for balance and spatial orientation.
- Age-related changes in vestibular function are not fully understood in the general population.
Purpose of the Study:
- To investigate the prevalence and age-related changes in vestibular function.
- To identify factors influencing vestibular function in the Korean population.
Main Methods:
- Analysis of 1270 participants from the 2021 Korean National Health and Nutrition Examination Survey (KNHANES).
- Utilized video head impulse test (vHIT) and audiometric evaluations.
- Logistic regression analysis to identify influencing factors.
Main Results:
- Corrective saccades significantly increased with age (p < 0.001), with 70s individuals 3.98x more likely than 40s individuals.
- Overall prevalence of abnormal vestibular function (indicated by corrective saccades) was 17.08%.
- Age, sex, hypertriglyceridemia, and 4000 Hz hearing level were associated with corrective saccades.
Conclusions:
- Vestibular function declines with age, influenced by sex, hypertriglyceridemia, and hearing levels.
- Increased corrective saccades in older adults highlight the need for early detection and intervention.
- Understanding these changes aids in developing management strategies for age-related vestibular decline.
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