Predictors of dizziness in older persons: a 10-year prospective cohort study in the community

摘要: The current diagnosis-oriented approach of dizziness does not suit older patients. Often, it is difficult to identify a single underlying cause, and when diagnosis made, therapeutic options may be limited. Identification predictors provide new leads for the management in aim present study was investigate long-term regular persons. Population-based cohort 1,379 community-dwelling participants, aged ≥60 years, from Longitudinal Aging Study Amsterdam (LASA). Regular ascertained during face-to-face medical interviews 7- 10-year follow-up. We investigated 26 at baseline six domains: socio-demographic, history, medication, psychological, sensory, balance/gait. performed multivariate logistic regression analyses with presence follow-up as dependent variables. assessed performance models by calculating calibration discrimination. Predictors 7-year were living alone, history dizziness, osteo/rheumatoid arthritis, use nitrates, anxiety or depression, impaired vision, function lower extremities. Both showed good (Hosmer-Lemeshow P value 0.36 0.31, respectively) acceptable discrimination (adjusted AUC after bootstrapping 0.77 0.71). Dizziness age predicted multiple factors. A multifactorial approach, targeting potentially modifiable (e.g., physical exercise extremities), add approach.