{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T15:12:59Z","timestamp":1786374779330,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n Sleep has been reported to be associated with dizziness. However, its relationship with chronotype, a behavioral manifestation of circadian rhythms reflecting individual variation in sleep\u2013activity timing, has not been widely investigated. This study aimed to examine the association between chronotype and dizziness and its related symptom profiles.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n From the eighth Korea National Health and Nutrition Examination Survey (2021), 3766 participants with information on demographics, underlying diseases, dizziness, and sleep pattern were included after excluding 19 individuals with outlier sleep debt\u2010corrected midpoint of sleep on work\u2010free days (MSFsc) values. Then the subjects were classified into early sleep (MSFsc \u2264\u200901:00), intermediate sleep (01:00\u2009<\u2009MSFsc <\u200904:30), and late sleep groups\u00a0(MSFsc \u2265\u200904:30).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In the multivariable analysis, the late sleep group had significantly higher prevalence of recurrent dizziness (aOR\u2009=\u20091.480, 95% CI\u2009=\u20091.139\u20131.922,\n p<\/jats:italic>\n \u2009=\u20090.003), postural instability (aOR\u2009=\u20092.354, 95% CI\u2009=\u20091.039\u20135.332,\n p<\/jats:italic>\n \u2009=\u20090.040), and chronic dizziness (aOR\u2009=\u20092.300, 95% CI\u2009=\u20091.449\u20133.651,\n p<\/jats:italic>\n \u2009<\u20090.001) than the intermediate sleep group. Furthermore, the late sleep group exhibited higher prevalence of recurrent dizziness (aOR\u2009=\u20091.464, 95% CI\u2009=\u20091.039\u20132.062,\n p<\/jats:italic>\n \u2009=\u20090.030) and chronic dizziness (aOR\u2009=\u20092.100, 95% CI\u2009=\u20091.173\u20133.758,\n p<\/jats:italic>\n \u2009=\u20090.012) compared with the early sleep group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Late sleep was significantly associated with dizziness, particularly recurrent dizziness, chronic dizziness, and postural instability, suggesting a potential link with persistent dizziness. Further studies are needed to clarify causality and therapeutic implications.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 3.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70789","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:16:44Z","timestamp":1786371404000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Late Chronotype Is Associated With Dizziness and Postural Instability"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4014-8531","authenticated-orcid":false,"given":"Sang\u2010Yoon","family":"Han","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7795-1498","authenticated-orcid":false,"given":"Hee Won","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2001-7689","authenticated-orcid":false,"given":"Seung Hwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6884-7927","authenticated-orcid":false,"given":"Jae Ho","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery College of Medicine Hanyang University Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/103949","article-title":"Is Sleep Essential for Neural Plasticity in Humans, and How Does It Affect Motor and Cognitive Recovery?","volume":"2013","author":"Gorgoni M.","year":"2013","journal-title":"Neural Plasticity"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1093\/brain\/awaf453","article-title":"Is Glymphatic Clearance the Secret to Restorative Sleep?","volume":"149","author":"Hauglund N. L.","year":"2025","journal-title":"Brain"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","DOI":"10.1177\/15598276251346752","article-title":"Effects of Sleep Deprivation on Physical and Mental Health Outcomes: An Umbrella Review","author":"Shah A. S.","year":"2025","journal-title":"American Journal of Lifestyle Medicine"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.31887\/DCNS.2008.10.3\/dnutt","article-title":"Sleep Disorders as Core Symptoms of Depression","volume":"10","author":"Nutt D.","year":"2008","journal-title":"Dialogues in Clinical Neuroscience"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0312727","article-title":"Quality of Life, Physical Symptoms, and Psychological Symptoms According to the Status of Chronic Vestibulopathy","volume":"19","author":"Han S. Y.","year":"2024","journal-title":"PLoS One"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2024.1443827","article-title":"The Relationship Between Dizziness and Sleep: A Review of the Literature","volume":"15","author":"Leeuwen R. B.","year":"2024","journal-title":"Frontiers in Neurology"},{"key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1097\/MAO.0000000000004552","article-title":"Relationship Between Chronicity and Severity of Tinnitus and Sleep\u2010Related Issues","volume":"46","author":"Han S. Y.","year":"2025","journal-title":"Otology & Neurotology"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1044\/2019_AJA-19-0026","article-title":"Evidence for an Association Between Hearing Impairment and Disrupted Sleep: Scoping Review","volume":"28","author":"Clarke N. A.","year":"2019","journal-title":"American Journal of Audiology"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1186\/s12889-023-16329-9","article-title":"The Burden of Untreated Insomnia Disorder in a Sample of 1 Million Adults: A Cohort Study","volume":"23","author":"Grandner M.","year":"2023","journal-title":"BMC Public Health"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","DOI":"10.3346\/jkms.2019.34.e226","article-title":"The Association Between Sleep Duration and Dizziness in Korean Women: The Korea National Health and Nutrition Examination Survey","volume":"34","author":"Hwang S. H.","year":"2019","journal-title":"Journal of Korean Medical Science"},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"5485","DOI":"10.1007\/s00405-022-07505-5","article-title":"Risk Factors for Meniere Disease: A Systematic Review and Meta\u2010Analysis","volume":"279","author":"Hu C.","year":"2022","journal-title":"European Archives of Oto\u2010Rhino\u2010Laryngology"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2020.595328","article-title":"Severity and Its Contributing Factors in Patients With Vestibular Migraine: A Cohort Study","volume":"11","author":"Liu W.","year":"2020","journal-title":"Frontiers in Neurology"},{"key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.7874\/jao.2024.00150","article-title":"Effects of Hearing Aids on Static and Subjective Balance in Patients With Hearing Loss: A Pilot Study","volume":"29","author":"Kim G.\u2010Y.","year":"2025","journal-title":"Journal of Audiology & Otology"},{"key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.7874\/jao.2024.00696","article-title":"Third Window Syndrome: An up\u2010To\u2010Date Systematic Review of Causes, Diagnosis, and Treatment","volume":"29","author":"Lazarou I.","year":"2025","journal-title":"J Audiol Otol"},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.7874\/jao.2024.00444","article-title":"Novel Approach to the Simulator Sickness Questionnaire","volume":"29","author":"U\u011fur E.","year":"2025","journal-title":"J Audiol Otol"},{"key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1080\/14992027.2016.1211763","article-title":"Analysis of the Characteristics of Persistent Postural\u2010Perceptual Dizziness: A Clinical\u2010Based Study in China","volume":"56","author":"Yan Z.","year":"2017","journal-title":"International Journal of Audiology"},{"key":"e_1_2_11_18_1","first-page":"173","article-title":"Diagnosis and Treatment of Vertigo and Dizziness","volume":"105","author":"Strupp M.","year":"2008","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_11_19_1","first-page":"514","article-title":"Dizziness: Evaluation and Management","volume":"107","author":"Rogers T. S.","year":"2023","journal-title":"American Family Physician"},{"key":"e_1_2_11_20_1","doi-asserted-by":"crossref","first-page":"4411","DOI":"10.1038\/s41467-020-18115-2","article-title":"Circadian Control of Brain Glymphatic and Lymphatic Fluid Flow","volume":"11","author":"Hablitz L. M.","year":"2020","journal-title":"Nature Communications"},{"key":"e_1_2_11_21_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1038\/s41583-018-0088-y","article-title":"Rhythms of Life: Circadian Disruption and Brain Disorders Across the Lifespan","volume":"20","author":"Logan R. W.","year":"2019","journal-title":"Nature Reviews Neuroscience"},{"key":"e_1_2_11_22_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.neubiorev.2023.105114","article-title":"Beyond Sleep: A Multidimensional Model of Chronotype","volume":"148","author":"Chauhan S.","year":"2023","journal-title":"Neuroscience and Biobehavioral Reviews"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","DOI":"10.3389\/fnins.2022.811771","article-title":"Chronotype, Circadian Rhythm, and Psychiatric Disorders: Recent Evidence and Potential Mechanisms","volume":"16","author":"Zou H.","year":"2022","journal-title":"Frontiers in Neuroscience"},{"key":"e_1_2_11_24_1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1038\/s41583-023-00764-z","article-title":"Sleep and Circadian Rhythmicity as Entangled Processes Serving Homeostasis","volume":"25","author":"Franken P.","year":"2024","journal-title":"Nature Reviews Neuroscience"},{"key":"e_1_2_11_25_1","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.mce.2011.09.003","article-title":"Circadian System, Sleep and Endocrinology","volume":"349","author":"Morris C. J.","year":"2012","journal-title":"Molecular and Cellular Endocrinology"},{"key":"e_1_2_11_26_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.copsyc.2019.09.002","article-title":"Chronotype, Circadian Rhythms and Mood","volume":"34","author":"Bauducco S.","year":"2020","journal-title":"Current Opinion in Psychology"},{"key":"e_1_2_11_27_1","doi-asserted-by":"crossref","first-page":"8203","DOI":"10.1038\/s41598-022-12267-5","article-title":"Eveningness Is Associated With Sedentary Behavior and Increased 10\u2010Year Risk of Cardiovascular Disease: The SCAPIS Pilot Cohort","volume":"12","author":"Kobayashi Frisk M.","year":"2022","journal-title":"Scientific Reports"},{"key":"e_1_2_11_28_1","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1080\/07420528.2024.2321942","article-title":"Associations Between Chronotype and Physical Activity and Well\u2010Being in Adults","volume":"41","author":"Pola\u0144ska S.","year":"2024","journal-title":"Chronobiology International"},{"key":"e_1_2_11_29_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.bcp.2021.114438","article-title":"Sleep Timing, Chronotype and Social Jetlag: Impact on Cognitive Abilities and Psychiatric Disorders","volume":"191","author":"Taillard J.","year":"2021","journal-title":"Biochemical Pharmacology"},{"key":"e_1_2_11_30_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0192705","article-title":"Relationship Between Sleep Quality and Dizziness","volume":"13","author":"Kim S. K.","year":"2018","journal-title":"PLoS One"},{"key":"e_1_2_11_31_1","doi-asserted-by":"crossref","first-page":"392","DOI":"10.3988\/jcn.2022.0268","article-title":"Longitudinal Trends in Sleep and Related Factors Among South Korean Adults From 2009 to 2018","volume":"19","author":"Yoon J.\u2010E.","year":"2023","journal-title":"Journal of Clinical Neurology"},{"key":"e_1_2_11_32_1","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1038\/s41598-020-58413-9","article-title":"Chronotype Assessment via a Large Scale Socio\u2010Demographic Survey Favours Yearlong Standard Time Over Daylight Saving Time in Central Europe","volume":"10","author":"Sl\u00e1dek M.","year":"2020","journal-title":"Scientific Reports"},{"key":"e_1_2_11_33_1","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.eurpsy.2014.01.004","article-title":"Composite Scale of Morningness: Psychometric Properties, Validity With Munich ChronoType Questionnaire and Age\/Sex Differences in Poland","volume":"30","author":"Jankowski K. S.","year":"2015","journal-title":"European Psychiatry"},{"key":"e_1_2_11_34_1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.21790\/rvs.2025.027","article-title":"Micronutrient and Hydration Deficiencies in Individuals With Dizziness: Clinical Implications Based on Symptoms and Head Impulse Test: A Cross\u2010Sectional Study","volume":"24","author":"Bahn J. S.","year":"2025","journal-title":"Res Vestib Sci"},{"key":"e_1_2_11_35_1","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1186\/s12967-024-05295-4","article-title":"The Associations of Adherence to the Mediterranean Diet With Chronic Dizziness and Imbalance in Community\u2010Dwelling Adults: KNHANES 2019\u20102021","volume":"22","author":"Jeong S. H.","year":"2024","journal-title":"Journal of Translational Medicine"},{"key":"e_1_2_11_36_1","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1081\/CBI-100101049","article-title":"Contribution of Circadian Physiology and Sleep Homeostasis to Age\u2010Related Changes in Human Sleep","volume":"17","author":"Dijk D. J.","year":"2000","journal-title":"Chronobiology International"},{"key":"e_1_2_11_37_1","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1016\/j.jad.2021.08.095","article-title":"Chronotype Changes With Age; Seven\u2010Year Follow\u2010Up From The Netherlands Study of Depression and Anxiety Cohort","volume":"295","author":"Druiven S. J. M.","year":"2021","journal-title":"Journal of Affective Disorders"},{"key":"e_1_2_11_38_1","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.jsmc.2015.08.002","article-title":"Aging and Circadian Rhythms","volume":"10","author":"Duffy J. F.","year":"2015","journal-title":"Sleep Medicine Clinics"},{"key":"e_1_2_11_39_1","doi-asserted-by":"crossref","DOI":"10.1093\/ageing\/afac205","article-title":"World Guidelines for Falls Prevention and Management for Older Adults: A Global Initiative","volume":"51","author":"Montero\u2010Odasso M.","year":"2022","journal-title":"Age and Ageing"},{"key":"e_1_2_11_40_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.14336\/AD.2014.0128","article-title":"Dizziness and Imbalance in the Elderly: Age\u2010Related Decline in the Vestibular System","volume":"6","author":"Iwasaki S.","year":"2015","journal-title":"Aging and Disease"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70789","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70789","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:16:48Z","timestamp":1786371408000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":39,"alternative-id":["10.1002\/lary.70789"],"URL":"https:\/\/doi.org\/10.1002\/lary.70789","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"assertion":[{"value":"2026-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"lary.70789"}}