Restriction of salt, caffeine and alcohol intake for the treatment of Ménière's disease or syndrome
Hussain K, Murdin L, Schilder AG
The Cochrane database of systematic reviews · 26 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
- Consumo medido con
- No se indica
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2018-12-31 · Cochrane Database Syst Rev · vol. 2018 · número 12 · pág. CD012173
- Editorial
- Elsevier BV
- Citado
- 43 citas · más que el 88% de estudios similares · 2.2× el promedio de su campo
- Referencias
- 44 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Vestibular and auditory disorders · Hearing, Cochlea, Tinnitus, Genetics · Olfactory and Sensory Function Studies
- Palabras clave
- Medicine, Tinnitus, Adverse effect, Placebo, Hearing loss, Vertigo, Randomized controlled trial, Internal medicine, Surgery, Psychiatry, Audiology, Alternative medicine, Pathology
- MeSH
- humans, syndrome, sodium chloride, dietary, caffeine, central nervous system stimulants, diet, sodium-restricted, meniere disease
3 autores
- Kiran Hussain🇬🇧University College London
- Louisa J. Murdin🇬🇧University College London
- Anne GM Schilder🇬🇧University College London
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Ménière's disease or syndrome is a chronic inner ear disorder that results in sporadic attacks of vertigo, sensorineural hearing loss, aural fullness and tinnitus.There is no definitive treatment for Ménière's disease and treatment options range from dietary modification through medication to surgery.Modification of diet, including restriction of salt, caffeine and alcohol intake, is a management option that is widely recommended to patients with Ménière's as a first-line treatment. There has not previously been a systematic review of this intervention.
Objectives
To assess the effects of dietary restriction of salt, caffeine and alcohol intake in patients with Ménière's disease or syndrome.
Search methods
The Cochrane ENT Information Specialist searched the Cochrane ENT Trials Register; Central Register of Controlled Trials (CENTRAL); PubMed; Ovid Embase; CINAHL; Web of Science; ClinicalTrials.gov; ICTRP and additional sources for published and unpublished trials. The date of the search was 28 March 2018.
Selection criteria
Randomised controlled trials of dietary modification, specifically salt, caffeine and alcohol restriction or substitution (or both), compared to no modification of these agents or a placebo intervention, in adult patients with Ménière's disease or syndrome.
Data collection and analysis
We used the standard methodological procedures expected by Cochrane. Our primary outcomes were control of vertigo or decrease in vertigo attacks, and adverse effects. Secondary outcomes included hearing (change in hearing loss or its progression), tinnitus (severity), perception of aural fullness, well-being and quality of life (overall changes), and other adverse effects. We planned to use GRADE to assess the quality of the evidence for each outcome.
Main results
We did not identify any studies that met the inclusion criteria for the review.
Authors' conclusions
There is no evidence from randomised controlled trials to support or refute the restriction of salt, caffeine or alcohol intake in patients with Ménière's disease or syndrome.High-quality research in this field is warranted. The best evidence may come from a randomised controlled trial comparing dietary interventions (e.g. low salt versus general healthy diet advice), using rigorous methodology for patient selection, randomisation and blinding, and strictly adhering to the Bárány Society diagnostic criteria. However, this research question might be more pragmatically addressed by using information from carefully constructed patient registries that include information on dietary intake of substances of interest such as salt, caffeine and alcohol. It will be important to address the question of any possible harms or unwanted effects of dietary modification.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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