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. Author manuscript; available in PMC: 2017 Mar 13.
Published in final edited form as: Otol Neurotol. 2017 Feb;38(2):225–233. doi: 10.1097/MAO.0000000000001270

Table 2.

Associations between lower atmospheric pressure and the symptoms of MD

Sea Level Air High Versus Low Station Air
Pressure (hPa)a p Value Sea Level Pressure p Value Pressure (hPa)a p Value
Dizziness—regression coefficient (95% CI) representing change in dizziness severity per unit change in atmospheric pressure
  Crude 0.05 (0.01, 0.10) 0.01 0.12 (0.04, 0.20) 0.004 0.06 (0.01, 0.12) 0.02
  Adjusted 0.05 (0.01, 0.09) 0.02 0.12 (0.03, 0.20) 0.005 0.06 (0.01, 0.12) 0.03
  Adjusted 2 0.05 (0.01, 0.10) 0.03 0.12 (0.04, 0.21) 0.005 0.06 (0.00, 0.12) 0.04
  No migraine 0.07 (0.02, 0.11) 0.003 0.11 (0.03, 0.20) 0.007 0.08 (0.03, 0.14) 0.004
  No unusual events 0.06 (0.02, 0.13) 0.008 0.13 (0.04, 0.21) 0.003 0.07 (0.01, 0.13) 0.02
  More than a month 0.08 (0.02, 0.14) 0.007 0.15 (0.05, 0.24) 0.002 0.11 (0.04, 0.18) 0.005
Tinnitus—regression coefficient (95%CI) representing change in tinnitus severity per unit change in atmospheric pressure
  Crude 0.06 (0.03, 0.10) 0.001 0.09 (0.02, 0.16) 0.02 0.07 (0.02, 0.12) 0.005
  Adjusted 0.06 (0.02, 0.10) 0.001 0.09 (0.02, 0.16) 0.02 0.07 (0.02, 0.12) 0.004
  Adjusted 2 0.05 (0.01, 0.09) 0.02 0.02 (−0.13, 0.09) 0.74 0.05 (0.00, 0.10) 0.06
  No migraine 0.07 (0.03, 0.11) 0.001 0.08 (0.01, 0.15) 0.02 0.08 (0.03, 0.13) 0.002
  No unusual events 0.07 (0.03, 0.10) 0.001 0.09 (0.01, 0.14) 0.02 0.07 (0.02, 0.12) 0.004
  More than a month 0.04 (0.00, 0.08) 0.05 0.03 (−0.04, 0.11) 0.33 0.06 (0.01, 0.12) 0.023
Aural fullness—regression coefficient (95% CI) representing change in aural fullness severity per unit change in atmospheric pressure
  Crude 0.06 (0.02, 0.10) 0.005 0.12 (0.04, 0.19) 0.002 0.08 (0.02, 0.13) 0.005
  Adjusted 0.06 (0.02, 0.10) 0.006 0.12 (0.04, 0.19) 0.003 0.08 (0.02, 0.13) 0.005
  Adjusted 2 0.05 (0.01, 0.10) 0.019 0.08 (−0.04, 0.20) 0.20 0.07 (0.01, 0.13) 0.021
  No migraine 0.06 (0.02, 0.11) 0.003 0.12 (0.04, 0.20) 0.002 0.08 (0.03, 0.14) 0.003
  No unusual events 0.07 (0.03, 0.11) 0.001 0.13 (0.05, 0.21) 0.001 0.09 (0.03, 0.14) 0.002
  More than a month 0.05 (−0.01, 0.10) 0.08 0.08 (0.00, 0.17) 0.06 0.07 (0.00, 0.14) 0.05
Hearing loss—regression coefficient (95% CI) representing change in hearing loss per unit change in atmospheric pressure
  Crude 0.03 (0.00, 0.07) 0.09 0.05 (−0.01, 0.12) 0.11 0.03 (−0.01, 0.08) 0.14
  Adjusted 0.03 (0.00, 0.07) 0.08 0.05 (−0.01, 0.12) 0.10 0.04 (−0.01, 0.08) 0.11
  Adjusted 2 0.02 (−0.02, 0.05) 0.39 0.02 (−0.08, 0.12) 0.72 0.02 (−0.03, 0.070) 0.40
  No migraine 0.05 (0.02, 0.09) 0.003 0.07 (0.00, 0.12) 0.04 0.07 (0.02, 0.11) 0.005
  No unusual events 0.04 (0.00, 0.07) 0.04 0.07 (0.00, 0.13) 0.05 0.05 (0.00, 0.09) 0.05
  More than a month 0.07 (0.02, 0.12) 0.003 0.08 (0.00, 0.16) 0.04 0.09 (0.03, 0.15) 0.003
Odds ratio (95% CI) representing the odds of an attack per unit change in atmospheric pressure
  Crude 1.11 (1.03, 1.20) 0.010 1.23 (1.05, 1.45) 0.010 1.14 (1.03, 1.27) 0.014
  Adjusted 1.10 (1.03, 1.20) 0.012 1.23 (1.05, 1.45) 0.011 1.15 (1.03, 1.27) 0.010
  Adjusted 2 1.10 (1.01, 1.19) 0.042 1.20 (1.01, 1.43) 0.037 0.89 (1.01, 1.27) 0.040
  No migraine 1.11 (1.01, 1.22) 0.027 1.27 (1.06, 1.52) 0.008 1.15 (1.03, 1.30) 0.014
  No unusual events 1.12 (1.03, 1.22) 0.006 1.30 (1.10, 1.54) 0.002 1.15 (1.03, 1.28) 0.010
  More than a month 1.27 (1.10, 1.45) 0.001 1.45 (1.14, 1.82) 0.002 1.43 (1.19, 1.69) <0.001

All models (except crude) adjusted for age, sex, disease duration, unusual and ear affected; “adjusted 2” includes additional adjustment for other weather variables, e.g., if atmospheric pressure investigated then adjusted for temperature, humidity, wind, etc.; “no migraine” excludes participants with migraine from analyses; “no unusual events” excludes unusual events as known to associate with symptoms; “more than a month” includes only users who used app for at least 30 consecutive days.

Bold font indicates p < 0.05.

a

The data presented represent a one SD reduction in sea level and station air pressure corresponding to a 12.0 and 16.2 hPa reduction.

MD indicates Ménière’s disease.