Next Article in Journal
Climate–Water–Food–Nutrition Interaction Across Varying Environmental Contexts: A Population-Representative Analysis of India Data
Previous Article in Journal
Nano-Encapsulated Black Bean-Cultivated Cordyceps militaris Attenuates PM- and LPS-Induced Airway Inflammation
Previous Article in Special Issue
Dietary Macronutrient Intake and Vascular Health in Patients with Long COVID: The BioICOPER Study
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Nutrients
Volume 18
Issue 13
10.3390/nu18132044
nutrients-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Diet-Related Quality of Life Reflects Psychological and Autonomic Burden in Patients with Dizziness and Balance Disorders: A Cross-Sectional Study

by
Shinnosuke Asakura
1,
Teru Kamogashira
2,3,*,
Hideaki Funayama
1,
Hibiki Yabe
2,
Toshitaka Kataoka
2,
Shizuka Shoji
2,
Megumi Koizumi
2,
Wakako Nakanishi
2 and
Shinichi Ishimoto
2
1
Department of Clinical Examination, JR Tokyo General Hospital, Tokyo 151-8528, Japan
2
Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan
3
Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tokyo, Tokyo 113-8655, Japan
*
Author to whom correspondence should be addressed.
Nutrients 2026, 18(13), 2044; https://doi.org/10.3390/nu18132044 (registering DOI)
Submission received: 16 May 2026 / Revised: 14 June 2026 / Accepted: 19 June 2026 / Published: 23 June 2026
(This article belongs to the Special Issue Association Between Nutrition, Diet Quality, Dietary Patterns, and Human Health and Diseases—3rd Edition)
Review Reports Versions Notes

Abstract

Background/Objectives: This study aimed to examine the associations between diet-related quality of life (DRQOL) and psychological distress, autonomic dysfunction, and migraine in patients with dizziness and balance disorders. Methods: In this retrospective cross-sectional study, 122 patients (56 men, 66 women; mean age 40.4 ± 12.8 years, minimum 14, maximum 65) from the vertigo outpatient clinic at JR Tokyo General Hospital completed self-reported questionnaires. These included the DRQOL scale, Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS), Self-rating Depression Scale (SDS), Orthostatic Dysregulation (OD) checklist, and migraine assessments (POUNDing [Pulsating, duration of 4–72 h, Unilateral, Nausea, Disabling], MIDAS, migraine screener). Correlational analyses, group comparisons, and receiver operating characteristic (ROC) analyses were conducted. Results: Higher DRQOL scores indicate poorer DRQOL. DRQOL scores showed positive correlations with psychological distress (SDS: ρ = 0.57; HADS-A: ρ = 0.50; HADS-D: ρ = 0.53; all p < 0.001) and OD severity (ρ = 0.50, p < 0.001) but not with age, DHI, or individual migraine indices. Migraine screener-positive patients had significantly higher DRQOL scores (p < 0.01). DRQOL alone showed modest ability to discriminate migraine screener-positive from migraine screener-negative patients (AUC = 0.65); discrimination improved to an AUC of 0.77 in a multivariable model that also included age and sex. Conclusions: DRQOL appears to capture psychological and autonomic symptom burden rather than vestibular or headache severity, suggesting that it may serve as a complementary, patient-centered metric that adds a multidimensional perspective to conventional vestibular and headache assessments.
Keywords: diet-related quality of life; dizziness and balance disorders; psychological distress; autonomic dysfunction; migraine; quality of life diet-related quality of life; dizziness and balance disorders; psychological distress; autonomic dysfunction; migraine; quality of life

Share and Cite

MDPI and ACS Style

Asakura, S.; Kamogashira, T.; Funayama, H.; Yabe, H.; Kataoka, T.; Shoji, S.; Koizumi, M.; Nakanishi, W.; Ishimoto, S. Diet-Related Quality of Life Reflects Psychological and Autonomic Burden in Patients with Dizziness and Balance Disorders: A Cross-Sectional Study. Nutrients 2026, 18, 2044. https://doi.org/10.3390/nu18132044

AMA Style

Asakura S, Kamogashira T, Funayama H, Yabe H, Kataoka T, Shoji S, Koizumi M, Nakanishi W, Ishimoto S. Diet-Related Quality of Life Reflects Psychological and Autonomic Burden in Patients with Dizziness and Balance Disorders: A Cross-Sectional Study. Nutrients. 2026; 18(13):2044. https://doi.org/10.3390/nu18132044

Chicago/Turabian Style

Asakura, Shinnosuke, Teru Kamogashira, Hideaki Funayama, Hibiki Yabe, Toshitaka Kataoka, Shizuka Shoji, Megumi Koizumi, Wakako Nakanishi, and Shinichi Ishimoto. 2026. "Diet-Related Quality of Life Reflects Psychological and Autonomic Burden in Patients with Dizziness and Balance Disorders: A Cross-Sectional Study" Nutrients 18, no. 13: 2044. https://doi.org/10.3390/nu18132044

APA Style

Asakura, S., Kamogashira, T., Funayama, H., Yabe, H., Kataoka, T., Shoji, S., Koizumi, M., Nakanishi, W., & Ishimoto, S. (2026). Diet-Related Quality of Life Reflects Psychological and Autonomic Burden in Patients with Dizziness and Balance Disorders: A Cross-Sectional Study. Nutrients, 18(13), 2044. https://doi.org/10.3390/nu18132044

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop