Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo

Objective: To investigate the roles of serum uric acid (UA), bilirubin (BIL), albumin (ALB), and creatinine (CRE) as major intravascular antioxidants, in benign paroxysmal positional vertigo (BPPV).Methods: The serum levels of UA, BIL, ALB, and CRE were retrospectively analyzed in 70 patients with n...

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Main Authors: Ke-Hang Xie, Ling-Ling Liu, Chu-Yin Su, Xiao-Feng Huang, Bao-Xing Wu, Run-Ni Liu, Hua Li, Qing-Qing Chen, Jia-Sheng He, Yong-Kun Ruan
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2020.601695/full
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author Ke-Hang Xie
Ling-Ling Liu
Chu-Yin Su
Xiao-Feng Huang
Bao-Xing Wu
Run-Ni Liu
Hua Li
Qing-Qing Chen
Jia-Sheng He
Yong-Kun Ruan
author_facet Ke-Hang Xie
Ling-Ling Liu
Chu-Yin Su
Xiao-Feng Huang
Bao-Xing Wu
Run-Ni Liu
Hua Li
Qing-Qing Chen
Jia-Sheng He
Yong-Kun Ruan
author_sort Ke-Hang Xie
collection DOAJ
description Objective: To investigate the roles of serum uric acid (UA), bilirubin (BIL), albumin (ALB), and creatinine (CRE) as major intravascular antioxidants, in benign paroxysmal positional vertigo (BPPV).Methods: The serum levels of UA, BIL, ALB, and CRE were retrospectively analyzed in 70 patients with new-onset idiopathic BPPV and 140 age- and sex-matched healthy controls (HCs).Results: Serum UA, BIL, ALB, and CRE levels were significantly lower in the BPPV group than the HC group. Furthermore, serum levels of BIL and ALB were significantly lower in the BPPV group when compared by sex. Multiple stepwise logistic regression revealed that a reduction in serum ALB was independently related to BPPV (odds ratio = 0.688; 95% confidence interval = 0.607– 0.780). Receiver operating characteristic analyses revealed a cut-off value of 45.15 g/L for ALB with a sensitivity of 74.29% (62.97– 83.07%) and specificity of 73.57% (65.71– 80.18%).Conclusions: Serum levels of UA, BIL, ALB, and CRE were lower in BPPV patients, indicating a lower antioxidant status. Furthermore, a reduction in serum ALB was independently associated with BPPV. These results provide insights into the possible roles of oxidative stress in the pathogenesis of BPPV.
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spelling doaj.art-b9b1783f1d9d4d798f5fce65069456ed2022-12-21T22:53:30ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-11-011110.3389/fneur.2020.601695601695Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional VertigoKe-Hang Xie0Ling-Ling Liu1Chu-Yin Su2Xiao-Feng Huang3Bao-Xing Wu4Run-Ni Liu5Hua Li6Qing-Qing Chen7Jia-Sheng He8Yong-Kun Ruan9Department of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Nephrology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Neurology, Zhuhai City Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaObjective: To investigate the roles of serum uric acid (UA), bilirubin (BIL), albumin (ALB), and creatinine (CRE) as major intravascular antioxidants, in benign paroxysmal positional vertigo (BPPV).Methods: The serum levels of UA, BIL, ALB, and CRE were retrospectively analyzed in 70 patients with new-onset idiopathic BPPV and 140 age- and sex-matched healthy controls (HCs).Results: Serum UA, BIL, ALB, and CRE levels were significantly lower in the BPPV group than the HC group. Furthermore, serum levels of BIL and ALB were significantly lower in the BPPV group when compared by sex. Multiple stepwise logistic regression revealed that a reduction in serum ALB was independently related to BPPV (odds ratio = 0.688; 95% confidence interval = 0.607– 0.780). Receiver operating characteristic analyses revealed a cut-off value of 45.15 g/L for ALB with a sensitivity of 74.29% (62.97– 83.07%) and specificity of 73.57% (65.71– 80.18%).Conclusions: Serum levels of UA, BIL, ALB, and CRE were lower in BPPV patients, indicating a lower antioxidant status. Furthermore, a reduction in serum ALB was independently associated with BPPV. These results provide insights into the possible roles of oxidative stress in the pathogenesis of BPPV.https://www.frontiersin.org/articles/10.3389/fneur.2020.601695/fullbenign paroxysmal positional vertigoantioxidant statusuric acidbilirubinalbumincreatinine
spellingShingle Ke-Hang Xie
Ling-Ling Liu
Chu-Yin Su
Xiao-Feng Huang
Bao-Xing Wu
Run-Ni Liu
Hua Li
Qing-Qing Chen
Jia-Sheng He
Yong-Kun Ruan
Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo
Frontiers in Neurology
benign paroxysmal positional vertigo
antioxidant status
uric acid
bilirubin
albumin
creatinine
title Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo
title_full Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo
title_fullStr Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo
title_full_unstemmed Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo
title_short Low Antioxidant Status of Serum Uric Acid, Bilirubin, Albumin, and Creatinine in Patients With Benign Paroxysmal Positional Vertigo
title_sort low antioxidant status of serum uric acid bilirubin albumin and creatinine in patients with benign paroxysmal positional vertigo
topic benign paroxysmal positional vertigo
antioxidant status
uric acid
bilirubin
albumin
creatinine
url https://www.frontiersin.org/articles/10.3389/fneur.2020.601695/full
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