Current Aging ScienceCurrent Aging ScienceCurrent Aging Science1874-60981874-6128Bentham Science64385110.2174/0118746098277513240207070946MedicineResearch ArticlePrevalence and Related Factors of Dizziness Among Older Adults: A Cross-Sectional Study in Ardakan City, IranMorowatisharifabadMohammadinfo@benthamscience.netSharifabadMahdiehinfo@benthamscience.netAboutorabi-zarchiMarziehinfo@benthamscience.netDepartment of Aging and Health, School of Public Health, Shahid Sadoughi University of Medical SciencesDepartment of Neurology, School of Medicine, Shahid Sadoughi University of Medical Sciences0103202417323724607012025Copyright ©; 2024, Bentham Science Publishers2024Bentham Science Publishershttps://journals.eco-vector.com/1874-6098/article/view/643851

Background:Dizziness and balance disorders are directly related to aging in humans- Dizziness is one of the most important factors causing the burden of disability after the age of 65. Bearing in mind the increase in the elderly population in Iran and the world and the prevalence of dizziness in old age, early diagnosis of dizziness and determination of the factors affecting its severity facilitate its treatment and are effective in preventing its adverse consequences.

Objective:To determine the prevalence of dizziness and its related factors among older adults in Ardakan city, Yazd province, Iran, in 2022.

Methods:This cross-sectional study was conducted in four comprehensive health centers of Ardakan city with the participation of 260 elderly people aged ≥60 years, who were randomly included in the study. Data were collected using a series of questionnaires which were completed by interviewing the participants. The variables of this study included demographic information, information related to the dizziness status, diseases, medications, use of mobility aids, physical activity level, fear of falling, quality of life and depression.

Results:The prevalence of dizziness among older adults of Ardakan city was 48.5%. In terms of the severity of dizziness, 38.8% had substantial dizziness, and 9.6% had mild dizziness. Dizziness was significantly related to physical activity (p(<0.05), fear of falling (p (<0.01), depression (p (<0.05), history of falling (p (<0.01), use of mobility aids (p (<0.01), age (p(<0.01), education level (p(<0.01), gender (p (<0.05) and diseases such as high blood pressure (p(<0.05), hypothyroidism (p (<0.01) and ear diseases(p (<0.01). Also, elderly people with dizziness used significantly more medications such as sedatives (p(<0.01), antihypertensive drugs (p (<0.05) and cytotoxic drugs (p (<0.01).

Conclusion:About half of the older adults experience dizziness, and this problem is associated with depression, fear of falling, history of falling, low physical activity, age, female gender, ear diseases, high blood pressure, and hypothyroidism. In addition, the use of medications such as anti- hypertensives, sedatives and cytotoxic drugs is related to dizziness. Families with elderly people, doctors and healthcare workers need to be educated and pay more attention to the above.

Agingdizzinessfallingrisk factorsprevalencecross-sectional studycytotoxic drugs.Hetal SJ. Internal Medicine. USA: Mosby 1998; p. 2307.Ganança FF, Castro ASO, Branco FC, Natour J. Impact of dizziness on the quality of life in patients with peripheral vestibular dysfunction. Rev Bras Otorrinolaringol 2004; 70(1): 94-101.Sloane PD, Coeytaux RR, Beck RS, Dallara J. Dizziness: State of the science. Ann Intern Med 2001; 134(9_Part_2): 823-32. doi: 10.7326/0003-4819-134-9_Part_2-200105011-00005 PMID: 11346317Üneri A, Polat S. Vertigo, dizziness and imbalance in the elderly. J Laryngol Otol 2008; 122(5): 466-9. doi: 10.1017/S0022215107000424 PMID: 17850686Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg 2010; 18(5): 386-91. doi: 10.1097/MOO.0b013e32833ce5a6 PMID: 20613528Lin E, Aligene K. Pharmacology of balance and dizziness. NeuroRehabilitation 2013; 32(3): 529-42. doi: 10.3233/NRE-130875 PMID: 23648607Gassmann KG, Rupprecht R. Dizziness in an older community dwelling population: A multifactorial syndrome. J Nutr Health Aging 2009; 13(3): 278-82. doi: 10.1007/s12603-009-0073-2 PMID: 19262968Ekvall Hansson E, Månsson NO, Håkansson A, Hakansson A. Benign paroxysmal positional vertigo among elderly patients in primary health care. Gerontology 2005; 51(6): 386-9. doi: 10.1159/000088702 PMID: 16299419Andrews G, Henderson S, Hall W. Prevalence, comorbidity, disability and service utilisation. Br J Psychiatry 2001; 178(2): 145-53. doi: 10.1192/bjp.178.2.145 PMID: 11157427Mueller M, Strobl R, Jahn K, Linkohr B, Peters A, Grill E. Burden of disability attributable to vertigo and dizziness in the aged: Results from the KORA-Age study. Eur J Public Health 2014; 24(5): 802-7. doi: 10.1093/eurpub/ckt171 PMID: 24213583Jönsson R, Sixt E, Landahl S, Rosenhall U. Prevalence of dizziness and vertigo in an urban elderly population. J Vestib Res 2004; 14(1): 47-52. doi: 10.3233/VES-2004-14105 PMID: 15156096Tinetti ME, Williams CS, Gill TM. Dizziness among older adults: A possible geriatric syndrome. Ann Intern Med 2000; 132(5): 337-44. doi: 10.7326/0003-4819-132-5-200003070-00002 PMID: 10691583Hassan SE, Guzman PV, Zeigelboim BS, Musbach VF, Frazza MM, Ganança MM. Exercícios optovestibulares na reabilitação vestibular. Acta Awho 2001; 20(2): 70-3.Kammerlind ASC, Bravell EM, Fransson EI. Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: A cross-sectional study. BMC Geriatr 2016; 16(1): 159. doi: 10.1186/s12877-016-0335-x PMID: 27590725Tilvis RS, Hakala SM, Valvanne J, Erkinjuntti T. Postural hypotension and dizziness in a general aged population: A four-year follow-up of the Helsinki Aging Study. J Am Geriatr Soc 1996; 44(7): 809-14. doi: 10.1111/j.1532-5415.1996.tb03738.x PMID: 8675929Ensrud KE, Nevitt MC, Yunis C, Hulley SB, Grimm RH, Cummings SR. Postural hypotension and postural dizziness in elderly women. The study of osteoporotic fractures. Arch Intern Med 1992; 152(5): 1058-64. doi: 10.1001/archinte.1992.00400170130024 PMID: 1580709Colledge NR, Wilson JA, Macintyre CCA, MacLennan WJ. The prevalence and characteristics of dizziness in an elderly community. Age Ageing 1994; 23(2): 117-20. doi: 10.1093/ageing/23.2.117 PMID: 8023718Sloane P, Blazer D, George LK. Dizziness in a community elderly population. J Am Geriatr Soc 1989; 37(2): 101-8. doi: 10.1111/j.1532-5415.1989.tb05867.x PMID: 2783432Sloane PD, Hartman M, Mitchell CM. Psychological factors associated with chronic dizziness in patients aged 60 and older. J Am Geriatr Soc 1994; 42(8): 847-52. doi: 10.1111/j.1532-5415.1994.tb06556.x PMID: 8046194Yardley L, Dibb B, Osborne G. Factors associated with quality of life in Meniere’s disease. Clin Otolaryngol Allied Sci 2003; 28(5): 436-41. doi: 10.1046/j.1365-2273.2003.00740.x PMID: 12969347Ahearn DJ, Umapathy D. Vestibular impairment in older people frequently contributes to dizziness as part of a geriatric syndrome. Clin Med 2015; 15(1): 25-30. doi: 10.7861/clinmedicine.15-1-25 PMID: 25650194Honrubia V, Bell TS, Harris MR, Baloh RW, Fisher LM. Quantitative evaluation of dizziness characteristics and impact on quality of life. Am J Otol 1996; 17(4): 595-602. PMID: 8841705Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the falls efficacy scale-international (FES-I). Age Ageing 2005; 34(6): 614-9. doi: 10.1093/ageing/afi196 PMID: 16267188Najafi GT, Arlapour S, Jafari OR. Epidemiology and relationship of fall and fear of falling in the elderly residing at kamrani nursing home, Tehran, Iran. Salmand Iran J Ageing 2016; 10: 152-61.Wendel-Vos G, Schuit AJ, Saris WH, Kromhout D. Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 2003; 56(12): 1163-9. doi: 10.1016/S0895-4356(03)00220-8 PMID: 14680666Seyed Emami R, Eftekhar AH, Golestan B. Effect of a health education intervention on physical activity knowledge, attitude and behavior in health volunteers. J Hayat 2011; 16: 48-55.Power M, Quinn K, Schmidt S. Development of the WHOQOL-old module. Qual Life Res 2005; 14(10): 2197-214. doi: 10.1007/s11136-005-7380-9 PMID: 16328900Rezaeipandari H, Morowatisharifabad MA, Mohammadpoorasl A, Shaghaghi A. Cross-cultural adaptation and psychometric validation of the World Health Organization quality of life-old module (WHOQOL-OLD) for Persian-speaking populations. Health Qual Life Outcomes 2020; 18(1): 67. doi: 10.1186/s12955-020-01316-0 PMID: 32160912Lai DW. Prevalence of depression among the elderly chinese in Canada. Can J Public Health 2000; 91(1): 64-6.Malakouti K, Elahi FP, Ardakani MA, Salavati M. Elderly Depression Scale (GDS) standardization; Form 15 questions in Iran. Res Med 2007; 30(4): 361-8.Bakhit M, Akbari M, Delphi M. Geriatric vertigo. J Rehabil Sci Res 2014; 10(3): 467-79.Maarsingh OR, Dros J, Schellevis FG, van Weert HC, Bindels PJ, Horst HE. Dizziness reported by elderly patients in family practice: Prevalence, incidence, and clinical characteristics. BMC Fam Pract 2010; 11(1): 2. doi: 10.1186/1471-2296-11-2 PMID: 20064231Kollén L, Frändin K, Möller M, Olsén MF, Möller C. Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds. Aging Clin Exp Res 2012; 24(4): 317-23. doi: 10.1007/BF03325263 PMID: 23238307Olsson Möller U, Midlöv P, Kristensson J, Ekdahl C, Berglund J, Jakobsson U. Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—A longitudinal cohort study. Arch Gerontol Geriatr 2013; 56(1): 160-8. doi: 10.1016/j.archger.2012.08.013 PMID: 22999306Mojabi MA. Dizziness in elderly. Qazvin Univ of Med Sci 2007; 2(43): 71-7.Ekwall A, Lindberg Å, Magnusson M. Dizzy - why not take a walk? Low level physical activity improves quality of life among elderly with dizziness. Gerontology 2009; 55(6): 652-9. doi: 10.1159/000235812 PMID: 19707007de Moraes SA, Soares WJS, Ferriolli E, Perracini MR. Prevalence and correlates of dizziness in community-dwelling older people: A cross sectional population based study. BMC Geriatr 2013; 13(1): 4. doi: 10.1186/1471-2318-13-4 PMID: 23290128Soleimani R, Jalali MM, Eghbali BB. Evaluation of psychological symptoms in dizziness. Guilan Univ of Med Sci 2020; 1(113): 1-10.Menant JC, Wong A, Sturnieks DL, et al. Pain and anxiety mediate the relationship between dizziness and falls in older people. J Am Geriatr Soc 2013; 61(3): 423-8. doi: 10.1111/jgs.12131 PMID: 23351026Lindell E, Kollén L, Johansson M, et al. Dizziness and health-related quality of life among older adults in an urban population: A cross-sectional study. Health Qual Life Outcomes 2021; 19(1): 231. doi: 10.1186/s12955-021-01864-z PMID: 34600557Takano NA, Cavalli SS, Ganança MM, et al. Quality of life in elderly with dizziness. Rev Bras Otorrinolaringol 2010; 76(6): 769-75. doi: 10.1590/S1808-86942010000600016 PMID: 21180946Hale W, Stewart RB, Marks RG. Central nervous system symptoms of elderly subjects using antihypertensive drugs. J Am Geriatr Soc 1984; 32(1): 5-10. doi: 10.1111/j.1532-5415.1984.tb05142.x PMID: 6690577Chimirri S, Aiello R, Mazzitello C, et al. Vertigo/dizziness as a Drugs’ adverse reaction. J Pharmacol Pharmacother 2013; 4(S1): S104-9. doi: 10.4103/0976-500X.120969 PMID: 24347974