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Postural Control, Sleep Quality, and Body Composition in Patients With Ménière's Disease: A Cross-sectional Study
Aitor Yusta-Ceacero1, Sergio Serrada-Tejeda1, Paula Obeso-Benítez1
1Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain.
Summary
Ménière
Area of Science:
- Neurology and Rehabilitation Science
- Vestibular Disorders Research
- Sleep Medicine and Body Composition Analysis
Background:
- Ménière's disease (MD) is a chronic inner ear disorder impacting balance and quality of life.
- Postural control deficits are common in MD, but their relationship with sleep and body composition is not fully understood.
Purpose of the Study:
- To investigate the associations between postural control, sleep quality, and body composition in patients with Ménière's disease (MD).
- To identify key predictors of balance impairment in individuals with MD.
Main Methods:
- A cross-sectional case-control study involving 42 adults (21 with MD, 21 controls).
- Assessment of postural control using Sensory Organization Test, Limits of Stability, and Rhythmic Weight Shift.
- Evaluation of sleep quality via Pittsburgh Sleep Quality Index and Insomnia Severity Index.
- Measurement of body composition including BMI, fat mass, and fat percentage using bioimpedance analysis.
Main Results:
- MD patients exhibited significantly poorer sleep quality and impaired postural control compared to controls.
- Higher fat mass and fat percentage were associated with worse balance.
- Regression analysis identified age, disease duration, tinnitus, insomnia, and specific balance measures as significant predictors of imbalance.
Conclusions:
- Postural control in Ménière's disease is multifactorial, influenced by vestibular, sleep, and anthropometric factors.
- Poor sleep and increased adiposity are independently linked to balance deficits in MD.
- Multidimensional assessment and rehabilitation strategies targeting sleep and weight management are recommended for MD patients.
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