Body Mass Index and Primary Headache: A Hospital-Based Study in China

Huang, Qinwen; Yu, Huiqing; Guo, Bing; Feng, Chang-Yan; Wang, Shiqiang; Liang, Xiping

doi:10.1155/2019/4630490

Cited by 7 publications

(18 citation statements)

References 29 publications

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“…Some epidemiological studies have shown that several risk factors, including sex [7], body mass index (BMI) [8], smoking [9], family history [10], and climate [11] might be associated with primary headache disorders. Despite the lower prevalence in China, the risk factors are similar to those reported for other countries [12][13][14]. In a previous study in North China, we found that the prevalence of primary headache disorders in nurses was significantly higher than that in the general population (45.3% vs. 23.8%) [15].…”

Section: Introductionsupporting

confidence: 83%

Prevalence and risk factors associated with headache amongst medical staff in South China

Xie

et al. 2020

J Headache Pain

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Background: A previous study by our team reported the prevalence of primary headache disorders and factors associated with headache among nurses in three hospitals in North China. The aim of this cross-sectional survey was to learn more about how medical nurses in South China were affected by headache. Additionally, we determined the prevalence of headache and measured the impact of headache among doctors in mainland China for the first time. Methods: Stratified random cluster sampling was used to select 280 physicians and 365 nurses from various departments in four hospitals in Sanya, which is one of southernmost cities in China. Information was collected on demographic data, occupational factors and headache characteristics by using a structured questionnaire. Results: Among 645 medical staff, 548 (85%) responded (doctors = 240, nurses = 308). Among the medical staff, the 1year prevalence of primary headache disorders was 50%, with 25.9% experiencing migraine and 24.1% experiencing tension-type headache (TTH). The prevalence of migraine in female doctors was higher than that in female nurses, although this difference was not significant (32.4% vs. 29.8%, P = 0.628). Multivariate analysis showed that being female and working in other specialties (Emergency Department & Radiology Department) remained independent risk factors for migraine in doctors (OR 2.314 and 3.223). In nurses, being married was a risk factor for migraine (OR 3.728), and job titles remained an independent risk factor for migraine and TTH (OR 2.294 and 4.695). Working more than 6 night-shifts per month was associated with an increased prevalence of migraine and TTH in doctors; the same was true in nurses for migraine, but not for TTH. Conclusion: The prevalence of primary headache disorders in both nurses and doctors is higher than that in the general population in South China. Our study shows that occupation, geography and sex may play an important role. Further, female doctors are more susceptible than female nurses to migraine. The risk factors relevant to headache that were found in this study should provide an important reference for promoting occupational health in medical staff, especially female doctors in China.

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Section: Introductionsupporting

confidence: 83%

Prevalence and risk factors associated with headache amongst medical staff in South China

Xie

et al. 2020

J Headache Pain

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“…Huang and teammates (2019) also reported in their study that mean age of the patients in EM group was 40.71+20.34 years while in CM group was 46.9+16.89 years (P=0.001). [12] In our study educational level was found better among EM group patients but Huang and coworkers (2018) asserted in their study that patients in CM group had better educational level than EM group. [11] High blood pressure could be a major cause of migraine.…”

Section: Resultscontrasting

confidence: 55%

“…A study done by Huang and teammates (2019) also showed comparable results who confirmed that in EM group 18.9% patients and in CM group 29.8% patients were hypertensive (P=0.005). [12] Study further disclosed that patients in both groups had severe pain. The mean pain intensity in EM group was 4.6+2.41 and in CM group was 4.3+2.51 (P=0.713.…”

Section: Resultsmentioning

confidence: 95%

“…[11] Another study carried out by Huang and teammates (2019) also showed similar scenario that most of the patients in both groups were females (77.5% in EM group and 82.7% in CM group) indicating insignificant results (P=0.176). [12] Age is a leading factor because with increasing age people suffer from different diseases. It was found during study that mean age of the patients in EM group was 41.72+21.35 years while in CM group was 45.80+15.79 years (P=0.002).…”

Section: Resultsmentioning

confidence: 99%

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Body Mass Index and Migraine: A Hospital-Based Study in Lahore

Mukhtar¹,

Haider²,

Luqman³

et al. 2021

PJMHS

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Background: Obesity and migraine are the most common disorders among general population that are linked with disability and impaired life quality. Though, several studies have investigated the relationship between obesity and migraine but yet there is no complete knowledge regarding association between BMI and migraine, particularly chronic migraine. Objective: The objective of the study was to find the association between body mass index and migraine. Material and Methods: It was a prospective study carried out at Neurology Outpatient Department of Lahore General Hospital, Lahore. Total of 545 patients with major complaint of headache were included after fulfilling “episodic migraine” (n=370) and “chronic migraine” (n=175) criteria according to International Headache Society (IHS) criteria. Results: Among 370 patients with episodic migraine (EM), 78.4% were females while among 175 patients with chronic migraine (CM), 81.1% were females. In EM group, the mean age of the patients was 41.72+21.35 years and in CM group, it was 45.80+15.79 years. In EM group, mean pain intensity was 4.6+2.41 and in CM group, mean pain intensity was 4.3+2.51. Among EM group patients, mean duration of headache was 4.85+5.17 days and among CM group patients, mean duration was 20.88+8.86 days. Mean BMI (Body Mass Index) of patients in EM groups was 22.91+3.89 while in CM groups was 24.43+3.43 (P=0.002). In EM group, 9.7% patients and in CM group, 6.3% patients were underweight (P=0.189). In EM group, 11.4% patients and in CM group, 30.3% patients were overweight (P=0.002). However, in EM group, only 1.3% patients and in CM group, 3.4% patients were obese (P=0.087). Multiple logistic regression analysis of chronic migraine group showed significant results (P <0.05) regarding headache days/month, BMI, overweight and obese. Conclusion: Study concluded that overweight and obesity were associated factors for migraine. Chronic migraine patients were more likely to have elevated BMI than the episodic migraine patients. Keywords: Body mass index, migraine, obesity, chronic, headache

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“…Individuals who were overweight showed a higher prevalence of headache compared to the obese individuals. Similarly, a Chinese study found that chronic migraine and a tension-type headache were more common in higher BMI patients [ 23 ]. Likewise, individuals being obese and having episodic headaches were five times more likely to develop chronic daily headaches than normal weight individuals [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Headache and Associated Factors in Al-Kharj, Saudi Arabia: A Cross-Sectional Study

Almalki

Shubair

Al-Khateeb

et al. 2021

Pain Research and Management

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Background. Only few studies have investigated the prevalence and risk factors of headaches among the Saudi population. The study aimed to estimate the prevalence of headache and to explore its associated risk factors Al-Kharj, Saudi Arabia. Methods. The multistage sampling technique was used to enroll 1200 population-based participants who were asked to complete a self-administered questionnaire about headaches, demographics, and several other parameters such as smoking status and different chronic and psychological illnesses. The chi-square test and multivariate logistic regression analysis were used to test the association. Results. The overall prevalence of headaches in this study was 3%. The multiple logistic regression analysis showed that females were more likely to have headaches than males (odds ratio (OR) 0.735, 95% confidence interval (CI) = 0.612–1.341; P = 0.024 ). Being a current smoker was also significantly associated with higher “odds” of having headache (OR = 1.319, 95% CI = 0.932–2.462; P = 0.037 ). Participants who were overweight had a significantly higher risk of headache (OR = 1.631, 95% CI = 1.48–1.854; P = 0.037 ). Nonmarried people were significantly more likely to have headache pain, compared to married individuals (OR = 0.875, 95% CI = 0.646–2.317; P = 0.047 ). Conclusion. The prevalence of headaches was 3%, and four significant associated factors were identified: females, nonmarried, smoking, and overweight. The temporality of the relationship between these factors and headache cannot be confirmed in this cross-sectional study; so future longitudinal studies are needed to confirm these potential causal relationships.

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Body Mass Index and Primary Headache: A Hospital-Based Study in China

Cited by 7 publications

References 29 publications

Prevalence and risk factors associated with headache amongst medical staff in South China

Prevalence and risk factors associated with headache amongst medical staff in South China

Body Mass Index and Migraine: A Hospital-Based Study in Lahore

The Prevalence of Headache and Associated Factors in Al-Kharj, Saudi Arabia: A Cross-Sectional Study

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