{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:20:01Z","timestamp":1787750401762,"version":"build-2784847793"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic vestibular hypofunction (CVH), often resulting from illness or injury, is linked to sedentary behaviour, poor sleep, and comorbidities. This cross-sectional descriptive study characterized the physical, functional, physiological, and emotional profiles of adults with CVH and explored sex-related differences within this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200967, 58 yrs, 43 women) with CVH were assessed on their body composition, cardiorespiratory fitness (CRF), balance and fall risk (posturography and Modified Dynamic Gait Index, MDGI), health-related quality of life (Dizziness Handicap Inventory, DHI), emotional profile (Beck Depression Inventory [BDI-II] and Beck Anxiety Inventory [BAI]), level of physical activity (PA), sedentary behaviour, and sleep quality (accelerometry).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      As a group, participants showed a waist-to-hip ratio of 0.8 (0.7\u20130.9), mean MDGI score of 61.0 points, standard somatosensory and visual data from posturography, a median values of DHI, BDI-II, and BAI of 26.0 (16.0\u201334.0), 11.0 (4.0\u201317.5), and 12 (7.8\u201320.3), respectively; sleep efficiency &amp;gt;85%, greater sedentary behaviour (\u223c54%) relative to PA levels, reduced total sleep time (TST) and a higher frequency of nocturnal awakenings than recommended (35.7\u2009\u00b1\u200914.7\u2005min). Sex-related differences were observed (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05): women were older, showed higher fat mass (+18%), better sleep efficiency (+2.4%), more bedtime (+5.7%), and TST (+8.0%), but lower fat-free mass (\u22129.7%), visual dependence (\u221218%), and CRF (\u221220.7%) compared to men. No sex differences were observed in dizziness handicap, anxiety, depression, or PA levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adults with CVH exhibited a multidimensional clinical profile with sex-related differences in several physical, functional, and physiological outcomes. These findings support comprehensive clinical assessment and warrant longitudinal studies to determine the clinical relevance of these differences for personalized programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fresc.2026.1890080","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:32:50Z","timestamp":1787747570000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex-related differences in the physical, functional, physiological, and emotional profile of adults with chronic vestibular hypofunction: a cross-sectional EXERVEST study"],"prefix":"10.3389","volume":"7","author":[{"given":"Maitane","family":"Ruiz-Rios","sequence":"first","affiliation":[{"name":"GIzartea, Kirola eta Ariketa Fisikoa Ikerkuntza Taldea (GIKAFIT), Society, Sports, and Physical Exercise Research Group, Department of Physical Education and Sport, Faculty of Education and Sport-Physical Activity and Sport Sciences Section, University of the Basque Country (EHU)","place":["Vitoria-Gasteiz, Basque Country, Spain"]},{"name":"Physical Activity, Exercise, and Health Research Group, Bioaraba Health Research Institute","place":["Vitoria-Gasteiz, Basque Country, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asier","family":"Lekue-Madinabeitia","sequence":"additional","affiliation":[{"name":"Otorrinolaringology Services of OSI Araba-Osakidetza Basque Health Service, Araba University Hospital","place":["Vitoria-Gasteiz, Basque Country, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikel","family":"Tous-Espelosin","sequence":"additional","affiliation":[{"name":"GIzartea, Kirola eta Ariketa Fisikoa Ikerkuntza Taldea (GIKAFIT), Society, Sports, and Physical Exercise Research Group, Department of Physical Education and Sport, Faculty of Education and Sport-Physical Activity and Sport Sciences Section, University of the Basque Country (EHU)","place":["Vitoria-Gasteiz, Basque Country, Spain"]},{"name":"Physical Activity, Exercise, and Health Research Group, Bioaraba Health Research Institute","place":["Vitoria-Gasteiz, Basque Country, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Corres","sequence":"additional","affiliation":[{"name":"GIzartea, Kirola eta Ariketa Fisikoa Ikerkuntza Taldea (GIKAFIT), Society, Sports, and Physical Exercise Research Group, Department of Physical Education and Sport, Faculty of Education and Sport-Physical Activity and Sport Sciences Section, University of the Basque Country (EHU)","place":["Vitoria-Gasteiz, Basque Country, Spain"]},{"name":"Physical Activity, Exercise, and Health Research Group, Bioaraba Health Research Institute","place":["Vitoria-Gasteiz, Basque Country, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibai","family":"Garcia-Tabar","sequence":"additional","affiliation":[{"name":"GIzartea, Kirola eta Ariketa Fisikoa Ikerkuntza Taldea (GIKAFIT), Society, Sports, and Physical Exercise Research Group, Department of Physical Education and Sport, Faculty of Education and Sport-Physical Activity and Sport Sciences Section, University of the Basque Country (EHU)","place":["Vitoria-Gasteiz, Basque Country, Spain"]},{"name":"Physical Activity, Exercise, and Health Research Group, Bioaraba Health Research Institute","place":["Vitoria-Gasteiz, Basque Country, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Tojal-Sierra","sequence":"additional","affiliation":[{"name":"Epidemiology and Public Health Group, Bioaraba Health Research Institute","place":["Vitoria-Gasteoz, Basque Country, Spain"]},{"name":"Cardiology Services of OSI Araba-Osakidetza Basque Health Service, Araba University Hospital","place":["Vitoria-Gasteiz, Basque Country, Spain"]},{"name":"Medicine Department. 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