The prevalence of vertigo among high school students and an evaluation of quality of life

Authors

  • Ramazan Saglan Department of Public Health, Eskisehir Provincial Health Directorate, Turkey
  • Saniye Goktas Department of Public Health, Eskisehir Osmangazi University Faculty of Medicine, Turkey
  • Gulsum Ozturk Emiral Department of Public Health, Ankara Provincial Health Directorate, Turkey
  • Egemen Unal Department of Public Health, Ankara Yildirim Beyazit University Faculty of Medicine, Turkey
  • Didem Arslantas Department of Public Health, Eskisehir Osmangazi University Faculty of Medicine, Turkey
  • Alaettin Unsal Department of Public Health, Eskisehir Osmangazi University Faculty of Medicine, Turkey

DOI:

https://doi.org/10.18203/2320-6012.ijrms20203463

Keywords:

Semi rural area, Students, Vertigo

Abstract

Background: The purpose of the study is to determine the prevalence of vertigo among secondary and high school students, to examine the variables thought to be related and to evaluate the quality of life.

Methods: This study was carried out between 1st November-30th December 2016 on secondary and high school students in Beylikova and Sivrihisar counties which is located at the research area of the Department of Public Health Eskisehir Osmangazi University. Those who had dizziness within the last three months have been assumed as having vertigo. Visual Analog Scale has been used in order to evaluate the severity of vertigo. The life quality of children has been evaluated through Quality of Life Scale (QoL) for Children.

Results: The study group has been composed of 911 males (46.5%) and 1.047 females (53.5%). The prevalence of vertigo has been determined as 30.8%. The most common concomitant symptoms of students are headache (22.6%), staggering while walking (15.8%), and tinnitus (10.3%).It has been found that the QoL of students having complaints of vertigo is lower than that of those not having complaints of vertigo. The most common type of vertigo within the study group has been Orthostatic Dizziness (70.0%). There has been no correlation between types of vertigo and QoL; however, when the severity of vertigo is considered, it has been found within our study group that the QoL of the students having mild vertigo is higher than that of those having moderate or higher severity of vertigo(p<0.05.

Conclusions: Vertigo is one of the most common symptoms among children and adolescents and may result from many factors. It may be useful to carry out screening with the purpose of early diagnosis and treatment parentheses, direct diagnosed cases to specialist physicians and organize events to create awareness. More comprehensive studies are needed to reveal the relationship between vertigo and QoL.

References

Erdoğan E, Nur BG, Dündar NO. Vertigo in Childhood: Evaluation of Clinical and Laboratory Findings. Turkiye Klinikleri J Medical Sci. 2012;32(6):1601-6.

Ettlin DA. The international classification of headache disorders, (beta version). Cephalalgia. 2013;33(9):629-808.

Langhagen T, Albers L, Heinen F, Straube A, Filippopulos F, Landgraf MN, et al. Period prevalence of dizziness and vertigo in adolescents. PloS one. 2015;10(9):e0136512.

Wiener-Vacher SR. Vestibular disorders in children. Intern J Audiol. 2008;47(9):578-83.

Szirmai A. Vestibular disorders in childhood and adolescents. Eur Archi Oto-Rhino-Laryngol. 2010;267(11):1801-4.

Choung Y-H, Park K, Moon S-K, Kim C-H, Ryu SJ. Various causes and clinical characteristics in vertigo in children with normal eardrums. Intern J Pedi Otorhinolaryngol. 2003;67(8):889-94.

Tusa RJ, Saada Jr AA, Niparko JK. Topical Review: Dizziness in Childhood. J Child Neurol. 1994;9(3):261-74.

Li Z, Xu Z, Chen Y, Wang Z, He Y, Chun XY, et al. An epidemiologic study of vertigo among middle school students in the city of Xiran. Lin chuang er bi yan hou tou jing wai ke za zhi=. J Clin Otorhinolaryngol, Head, and Neck Surgery. 2010 Aug;24(16):730-2.

Li CM, Hoffman HJ, Ward BK, Cohen HS, Rine RM. Epidemiology of dizziness and balance problems in children in the United States: a population-based study. J Pediatr. 2016;171:240-7.

Russell G, Abu-Arafeh I. Paroxysmal vertigo in children-an epidemiological study. Intern J Pediatr Otorhinolaryngol. 1999;49:S105-7.

Kadriye A, Kayıhan P. Evaluation of the Quality of Life of Research Assistants and Specialists Working in Uludag University School of Medicine. J Uludağ University Medical Faculty. 2004;30(2):81-5.

Ravid S, Bienkowski R, Eviatar L. A simplified diagnostic approach to dizziness in children. Pediatric Neurol. 2003;29(4):317-20.

Perez N, Garmendia I, Martin E, Boleas M, Garcia-Tapia R. Health measurement instruments in patients with vertigo. Acta otorrinolaringologica espanola. 2000;51(8):677-85.

Turkey Statistical Institute Data, 2015. Available at: https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr. Accessed 15 March 2016.

Beylikova Ekonomik Durum, 2016. Available at: http://www.beylikova.gov.tr/default_B0.aspx?content=621. Accessed 10 August 2016.

Sivrihisar Ekonomik Durum. 2016. Available at: http://www.sivrihisar.gov.tr/default_b0.aspx?content=1009. Accessed 10 August 2016.

Jahn K, Langhagen T, Heinen F. Vertigo and dizziness in children. Current opinion in Neurol. 2015;28(1):78-82.

Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nursing Health. 1990;13(4):227-36.

Akbay A. Visual analog scale (VAS) evaluation. Turkish Neurosurgery Association-Spinal and Peripheral Nerve Surgery. Available at: www.spinetr.com/Uploads/files/skor/VizuelAnalogSkala.pdf. Accessed 28 November 2013.

Memik NÇ, Ağaoğlu B, Coşkun A, Üneri O, Karakaya I. The Validity and Reliability of the Turkish Pediatric Quality of Life Inventory for Children 13-18 Years Old. Turkish J Psychiatry. 2007;18(4):353-63.

Varni JW, Seid M, Kurtin PS. PedsQL™ 4.0: Reliability and validity of the Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales in healthy and patient populations. Medical care. 2001;39(8):800-12.

Tolonen H, Wolf H, Jakovljevic D, Kuulasmaa K. Review of surveys for risk factors of major chronic diseases and comparability of the results. European Health Risk Monitoring (EHRM) Project. Oslo. 2002.

Durna U. Stress, Type A And Type B Personal ty Charaster st cs And A Research On The Relat onsh p Between Stress And The Two Types. Celal Bayar University Journal of Management and Economics. 2004;11(1):191-206.

Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T. Burden of dizziness and vertigo in the community. Archives Internal Med. 2008;168(19):2118-24.

Wu JS, Yang YC, Lu FH, Wu CH, Chang CJ. Population-based study on the prevalence and correlates of orthostatic hypotension/hypertension and orthostatic dizziness. Hypertension Res. 2008;31(5):897.

Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Re M. Prevalence and diagnosis of vestibular disorders in children: a review. Int J Pediatr Otorhinolaryngol. 2014;78(5):718-24.

Erbek SH, Erbek SS, Yilmaz I, Topal O, Ozgirgin N, Ozluoglu LN, et al. Vertigo in childhood: a clinical experience. Int J Pediatr Otorhinolaryngol. 2006;70(9):1547-54.

Haybach P. Hormones and Vestibular Disorders. Hormones. 2006;3:6.

Wippold F, Turski P. Vertigo and hearing loss. American J Neuroradiol. 2009;30(8):1623-5.

Cushing SL, Papsin BC, Rutka JA, James AL, Gordon KA. Evidence of vestibular and balance dysfunction in children with profound sensorineural hearing loss using cochlear implants. The Laryngoscope. 2008;118(10):1814-23.

O'Reilly RC, Morlet T, Nicholas BD, Josephson G, Horlbeck D, Lundy L, et al. Prevalence of vestibular and balance disorders in children. Otology Neuro. 2010;31(9):1441-4.

Anoh-Tanon M-J, Bremond-Gignac D, Wiener-Vacher SR. Vertigo is an underestimated symptom of ocular disorders: dizzy children do not always need MRI. Pediatr Neurol. 2000;23(1):49-53.

Strupp M, Walther L, Eckhardt-Henn A, Franko PZ. Diagnosis of vertigo: keep an eye on central eye movement disorders. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft. 2013;110(1):31-8.

Wiener-Vacher SR, Mazda K. Asymmetric otolith vestibulo-ocular responses in children with idiopathic scoliosis. J Pediatr. 1998;132(6):1028-32.

Gruber M, Cohen-Kerem R, Kaminer M, Shupak A. Vertigo in children and adolescents: characteristics and outcome. Scientific World J. 2012;2012.

Balatsouras DG, Kaberos A, Assimakopoulos D, Katotomichelakis M, Economou NC, Korres SG. Etiology of vertigo in children. International J Pediatric Otorhinolaryngol. 2007;71(3):487-94.

Humphriss RL, Hall AJ. Dizziness in 10 year old children: an epidemiological study. Int J Pediatr Otorhinolaryngol. 2011;75(3):395-400.

Marcelli V, Furia T, Marciano E. Vestibular Pathways Involvement in Children With Migraine: A Neuro‐Otological Study. Headache: The J Head and Face Pain. 2010;50(1):71-6.

Pérez DP, Beltrán LM, Sancipriano J, Calvo EB, Benito JG. Benign paroxysmal vertigo in childhood. Acta Otorrinolaringologica Espanola. 1998;49(2):151-5.

Cutrer FM, Baloh RW. Migraine‐associated dizziness. Headache: J Head Face Pain. 1992;32(6):300-4.

Hoffer ME, Gottshall K, Kopke RD, Weisskopf P, Moore R, Allen KA, et al. Vestibular testing abnormalities in individuals with motion sickness. Otology & Neurotology. 2003;24(4):633-6.

Uneri A, Turkdogan D. Evaluation of vestibular functions in children with vertigo attacks. Archives of disease in childhood. 2003;88(6):510-1.

Batu ED, Anlar B, Topçu M, Turanlı G, Aysun S. Vertigo in childhood: A retrospective series of 100 children. Eur J Paediatr Neurol. 2014;30(1):e7.

Henriques IF, De Oliveira DWD, Oliveira-Ferreira F, Andrade PM. Motion sickness prevalence in school children. Eur J Pediatr. 2014;173(11):1473-82.

Niemensivu R, Pyykkö I, Wiener-Vacher SR, Kentala E. Vertigo and balance problems in children an epidemiologic study in Finland. Int J Pediatr Otorhinolaryngol. 2006;70(2):259-5.

McCaslin DL, Jacobson GP. Jill M. Gruenwald, AuD. Vertigo and dizziness across the lifespan. An Issue of Otolaryngologic Clinics-E-Book. 2011;44(2):291.

Hersh AL, Jackson MA, Hicks LA, Diseases CoI. Principles of judicious antibiotic prescribing for upper respiratory tract infections in pediatrics. Pediatrics. 2013;132(6):1146-54.

Strupp M, Brandt T. Vestibular neuritis. Paper presented at: Seminars in Neurology. 2009.

Riina N, Ilmari P, Kentala E. Vertigo and imbalance in children: a retrospective study in a Helsinki University otorhinolaryngology clinic. Archives of Otolaryngol Head Neck Surg. 2005;131(11):996-1000.

Humphreys BK. Cervical outcome measures: testing for postural stability and balance. J Manipulative Physiological Therapeutics. 2008;31(7):540-6.

Gottesman RF, Sharma P, Robinson KA, Arnan M, Tsui M, Ladha K, et al. Clinical characteristics of symptomatic vertebral artery dissection. A systematic review. The neurologist. 2012;18(5):245.

Reid SA, Rivett DA. Manual therapy treatment of cervicogenic dizziness: a systematic review. Manual therapy. 2005;10(1):4-13.

Bracher ES, Almeida CI, Almeida RR, Duprat AC, Bracher CB. A combined approach for the treatment of cervical vertigo. J Manipulative Physiological Therapeutics. 2000;23(2):96-100.

Berliner JM. Cervicogenic Dizziness. American physical therapy association (section of neurology). 2013;25.

Yahia A, Ghroubi S, Jribi S, Malla J, Baklouti S, Ghorbel A, et al. Chronic neck pain and vertigo: is a true balance disorder present? Annals Physical Rehabilitation Med. 2009;52(7-8):556-67.

Şahin NH, Güler M, Basım HN. The Relationship between Cognitive ve Intelligence, Emotional Intelligence, Coping and Stress Symptoms in the context of Type A Personality Pattern. Turkish J Psychiatr. 2009;20(3):243-54.

Hamid MA, Trune DR, Dutia MB. Advances in auditory and vestibular medicine. Audiological Med. 2009;7(4):180-8.

Saman Y, Bamiou D, Gleeson M, Dutia MB. Interactions between stress and vestibular compensation–a review. Frontiers in Neurol. 2012;3:116.

Monzani D, Genovese E, Rovatti V, Ludovica Malagoli M, Rigatelli M, Guidetti G. Life events and benign paroxysmal positional vertigo: a case-controlled study. Acta Oto-Laryngologica. 2006;126(9):987-92.

Tsukamoto HF, Costa VD, da Silva Junior RA, Pelosi GG, de Moraes Marchiori LL, Vaz CR, et al. Effectiveness of a vestibular rehabilitation protocol to improve the health-related quality of life and postural balance in patients with vertigo. Inter Otorhinolaryngology. 2015;19(03):238-47.

Weidt S, Bruehl AB, Straumann D, Hegemann SC, Krautstrunk G, Rufer M. Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship. BMC health services research. 2014;14(1):317.

Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M, Sanchez-Canet I. Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo. Otology Neurotol. 2003;24(4):637-41.

Downloads

Published

2020-07-24

How to Cite

Saglan, R., Goktas, S., Emiral, G. O., Unal, E., Arslantas, D., & Unsal, A. (2020). The prevalence of vertigo among high school students and an evaluation of quality of life. International Journal of Research in Medical Sciences, 8(8), 3050–3058. https://doi.org/10.18203/2320-6012.ijrms20203463

Issue

Section

Original Research Articles