{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:28Z","timestamp":1786977928590,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002462","name":"Chungnam National University","doi-asserted-by":"publisher","award":["2025\u20101148\u201001"],"award-info":[{"award-number":["2025\u20101148\u201001"]}],"id":[{"id":"10.13039\/501100002462","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to identify associations of sarcopenia, obesity and low bone mineral density (BMD) with morning positional vertigo (PV) and to examine whether these associations differ according to vestibular function status in a nationally representative sample of Korean adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed data from 8512 adults aged \u2265\u200940\u2009years (50.03% women, mean\u2009\u00b1\u2009standard error [SE]\u2009=\u200954.06\u2009\u00b1\u20090.19) who participated in the Korean National Health and Nutrition Examination Survey 2008\u20132010. Morning PV was defined as severe vertigo when turning in bed or rising in the morning within the past year. Vestibular impairment was assessed using the modified Romberg test (eyes closed, standing on a compliant foam surface). Participants were classified into three groups: controls (no dizziness), morning PV with normal Romberg test results and morning PV with abnormal Romberg test results (suggesting vestibular dysfunction). Body composition\u2014including appendicular skeletal muscle mass, fat mass and BMD\u2014was measured. Sarcopenia was defined according to the Asian Working Group for Sarcopenia 2019 criteria, and abnormal BMD was defined as T\u2010score\u2009&lt;\u20091.0. Weighted multinomial logistic regression analyses were adjusted for age, sex, income, comorbidities, lifestyle and psychosocial variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The weighted 1\u2010year prevalence of morning PV was 12.58% (95% confidence interval [CI], 11.38\u201313.89). Abnormal Romberg performance, indicating vestibular dysfunction, was present in 0.96% of all survey respondents and in 7.66% of those with morning PV. Participants with vestibular\u2010impaired morning PV were older (mean age\u2009\u00b1\u2009SE\u2009=\u200966.47\u2009\u00b1\u20091.49), predominantly women, and had higher rates of sarcopenia (38.33%) and low BMD (86.39%) than controls. In adjusted models, sarcopenia independently predicted vestibular\u2010impaired morning PV (odds ratio [OR], 1.94; 95% CI, 1.14\u20133.29;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014). Sensitivity analysis restricted to current morning PV confirmed the association between sarcopenia and vestibular impairment (OR, 2.97; 95% CI, 1.08\u20138.12;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035) and demonstrated that lower BMD (minimum T\u2010score) was inversely associated with vestibular dysfunction (OR, 0.49; 95% CI, 0.25\u20130.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Morning PV is common among middle\u2010aged and older adults and is associated with systemic frailty markers, particularly sarcopenia and bone loss, in the presence of vestibular dysfunction. These associations were more pronounced in older adults, suggesting a vestibulo\u2010musculoskeletal interaction that may contribute to balance impairment and functional decline with aging. Screening for sarcopenia and bone health, along with vestibular and lifestyle interventions, may help reduce recurrent vertigo and improve functional aging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcsm.70219","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T05:02:30Z","timestamp":1770181350000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of Sarcopenia and Lower Bone Density With Positional Vertigo in the Morning: Insights From a Nationwide Survey"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4256-8698","authenticated-orcid":false,"given":"Eun\u00a0Ji","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurology Chungnam National University Hospital  Daejeon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9057-9009","authenticated-orcid":false,"given":"Eunjin","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Neurology Chungnam National University Hospital  Daejeon Republic of Korea"},{"name":"Department of Neurology Chungnam National University School of Medicine  Daejeon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9200-2158","authenticated-orcid":false,"given":"Sukyoung","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Healthcare Policy Research Korea Institute for Health and Social Affairs  Sejong Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1508-2024","authenticated-orcid":false,"given":"Ji\u2010Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology Seoul National University College of Medicine  Seoul Republic of Korea"},{"name":"Department of Neurology Dizziness Center and Clinical Neuroscience Center Seoul National University Bundang Hospital  Seongnam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5055-9986","authenticated-orcid":false,"given":"Seong\u2010Hae","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Neurology Chungnam National University Hospital  Daejeon Republic of Korea"},{"name":"Department of Neurology Chungnam National University School of Medicine  Daejeon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00063110-199512000-00006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1254080"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl077"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afy169"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-012-0018-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2024.09.006"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.66"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008224"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31995"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000345016.33983.e0"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-023-12014-4"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06561-z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2025.40.e303"},{"key":"e_1_2_8_15_1","volume-title":"Guidelines for Using Raw Data From the 4th Korea National Health and Nutrition Examination Survey Analysis (2007\u20132009)","year":"2019"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000175987.59991.3d"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/66.10.1548"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14942"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.12.012"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes25039"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01622200"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000209135"},{"key":"e_1_2_8_23_1","first-page":"532","article-title":"Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form","volume":"28","author":"Oh J. 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