中青年良性阵发性位置性眩晕发病危险因素分析OA

Objective To investigate the association between modern lifestyle factors,including chronic overwork,frequent late nights,and physical inactivity,and the risk of benign paroxysmal positional vertigo(BPPV)in young and middle-aged adults.Methods A case-control study was conducted.The case group comprised 168 BPPV patients aged 18-55 years diagnosed at The Fifth Hospital of Wuhan between March 2024 and February 2025.The control group in-cluded 168 age-and sex-matched healthy individuals who underwent physical examinations during the same period.Demo-graphic data and lifestyle information from the previous year were collected via a self-designed questionnaire.Univariable and multivariable logistic regression analyses were performed to identify independent risk factors for BPPV.Results The proportions of chronic overwork(58.93%vs 15.48%),frequent late nights(≥3 times/week,52.98%vs 16.07%),and physical inactivity(<150 min/week of moderate-intensity exercise,69.64%vs 22.02%)were significantly higher in the case group than in the control group(all P<0.001).Multivariable logistic regression confirmed that chronic overwork(OR=5.82,95%CI 3.25-10.42),frequent late nights(OR=4.75,95%CI 2.68-8.41),and physical inactivity(OR=5.15,95%CI 2.96-8.96)were independent risk factors for BPPV(all P<0.001).Conclusion Chronic overwork,frequent late nights,and lack of regular exercise are independent risk factors for BPPV in young and middle-aged adults.Promoting work-life balance,maintaining regular daily routines,and encouraging moderate physical exercise may play a key role in the primary prevention of BPPV in this population.