{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:17:30Z","timestamp":1783055850271,"version":"3.54.6"},"reference-count":47,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>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 \u00b1 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\u201372 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: \u03c1 = 0.57; HADS-A: \u03c1 = 0.50; HADS-D: \u03c1 = 0.53; all p &lt; 0.001) and OD severity (\u03c1 = 0.50, p &lt; 0.001) but not with age, DHI, or individual migraine indices. Migraine screener-positive patients had significantly higher DRQOL scores (p &lt; 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.<\/jats:p>","DOI":"10.3390\/nu18132044","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T17:11:49Z","timestamp":1782234709000},"page":"2044","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diet-Related Quality of Life Reflects Psychological and Autonomic Burden in Patients with Dizziness and Balance Disorders: A Cross-Sectional Study"],"prefix":"10.3390","volume":"18","author":[{"given":"Shinnosuke","family":"Asakura","sequence":"first","affiliation":[{"name":"Department of Clinical Examination, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8410-930X","authenticated-orcid":false,"given":"Teru","family":"Kamogashira","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"},{"name":"Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tokyo, Tokyo 113-8655, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Funayama","sequence":"additional","affiliation":[{"name":"Department of Clinical Examination, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hibiki","family":"Yabe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshitaka","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shizuka","family":"Shoji","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3133-5845","authenticated-orcid":false,"given":"Megumi","family":"Koizumi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wakako","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Ishimoto","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, JR Tokyo General Hospital, Tokyo 151-8528, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Katzenberger, B., Fuchs, S., Schwettmann, L., Strobl, R., Hauser, A., Koller, D., and Grill, E. 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