Chronic Daily Headache, Medication Overuse, and Obesity in Children and Adolescents

Pakalnis, Ann; Kring, Donna

doi:10.1177/0883073811420869

Cited by 41 publications

(51 citation statements)

References 18 publications

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“…[18][19][20] In young migraineurs, the role of obesity has only been evaluated in clinic-based studies. The prevalence of obesity was not increased in children or adolescents with CM compared with population norms, 21,22 but obesity or BMI were positively correlated with migraine frequency. 21,23 Our study provided the epidemiologic evidence in Asians that supports obesity as a risk factor for adolescent CM and CDH.…”

Section: Risk Factors For Incident Cdhmentioning

confidence: 64%

Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: A School Cohort Study

Fuh

Juang

et al. 2013

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Several studies have investigated the prevalence of chronic daily headache (CDH) and analyzed the risk factors for its persistence. However, the etiologic factors that lead to new-onset CDH remain unsettled in adolescents.WHAT THIS STUDY ADDS: This study was the first incidence study of CDH conducted in young adolescents. We reported the incidence rates and found that some risk factors for incident chronic migraine and chronic tension-type headache were different. abstractOBJECTIVES: This study investigated the incidence and risk factors of chronic daily headache (CDH) and its major subtypes in young adolescents. METHODS:A field cohort of 3342 adolescents aged 13 to 14 was established in 3 middle schools in Taitung, Taiwan, from 2005 to 2007. Participants without CDH at baseline were annually followed up for 1 to 2 years using the same questionnaires, including the Adolescent Depression Inventory and Pediatric Migraine Disability Assessment. The neurologists made the headache diagnoses based on clinical interviews and headache diaries. The person-time incidence rates and risk factors of incident CDH and its subtypes (ie, chronic migraine [CM] and chronic tension-type headache [CTTH]) were calculated by using Cox proportional hazards models. RESULTS:The cohort completed 5586 person-years (PYs) of follow-up. Sixty-three subjects (21 boys/42 girls) developed incident CDH with an incidence rate of 1.13 per 100 PYs, including 37 with CM (0.66 per 100 PYs) and 22 with CTTH (0.39 per 100 PYs). Thirty-three subjects (52%) had a baseline diagnosis of migraine. The independent risk factors for incident CDH included female gender, acute family financial distress, obesity, higher headache frequency, and a baseline diagnosis of migraine. A higher headache frequency was the only identical risk factor for CDH, CM, and CTTH. A baseline diagnosis of migraine and obesity were significant predictors for both CM and CDH. Female gender was a significant predictor for both CTTH and CDH.CONCLUSIONS: Incident CDH was common in young adolescents. Some risk factors for incident CM and CTTH were different. Pediatrics 2013;132:e9-e16

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Section: Risk Factors For Incident Cdhmentioning

confidence: 64%

Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: A School Cohort Study

Fuh

Juang

et al. 2013

Pediatrics

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“…Given that in the current ICHD-III (beta) criteria chronic migraine is diagnosed even in the presence of medication overuse, this suggests that over half of U.S. adolescents with chronic migraine also overuse acute headache medications. The proportion of pediatric patients with medication overuse varies from 21–60% of those with chronic primary headache disorders 9, 11, 14–17 . When we examined medication overuse data as published 16 , it appears to be more common among girls with chronic daily headache than boys (48% vs. 28%, p =0.002).…”

Section: How Common Is Medication Overuse In the Pediatric Population?mentioning

confidence: 99%

Medication Overuse in Children and Adolescents

Gelfand¹,

Goadsby

2014

Curr Pain Headache Rep

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Medication overuse is not uncommon among children and adolescents with primary headache disorders. In adults, medication overuse is associated with increased headache frequency and reduced effectiveness of acute and preventive medications. These issues may also exist in children. While withdrawal of overused medications is generally recommended, it may not result in improved headache frequency in all patients. This review summarizes what is known about predicting response to medication withdrawal. Strategies for managing children and adolescents with medication overuse are also offered.

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“…In addition to adults, recent data support an association between obesity and headache disorders in children [30, 31, 32•, 33••, 35–38]. Although methodological differences exist for most of the pediatric studies examining the pediatric headache and obesity association, the weight of the data lends credence to a positive association between headache and obesity among children and adolescents.…”

Section: Epidemiology Of Primary Headachementioning

confidence: 99%

Headache and Obesity in the Pediatric Population

Oakley

Scher

Recober

et al. 2014

Curr Pain Headache Rep

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Childhood obesity and headache are both significant health concerns that often have a marked impact both personally and socially, that if not addressed can carry over into adulthood. For many individuals, these effects may be magnified when obesity and headache are seen in conjunction. It is this overlap between obesity and headache in children, as well as similarities in the known mechanism of action for feeding and headache, which led to a suspected association between the two. Unfortunately, although recent studies have supported this association, only a limited number have been conducted to directly address this. Furthermore, despite rising rates of childhood obesity and headache, the associated medical comorbidities, and the significant financial cost for these conditions, there is a relative void in studies investigating treatment options that address both underlying conditions of obesity and headache in children.

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Chronic Daily Headache, Medication Overuse, and Obesity in Children and Adolescents

Cited by 41 publications

References 18 publications

Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: A School Cohort Study

Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: A School Cohort Study

Medication Overuse in Children and Adolescents

Headache and Obesity in the Pediatric Population

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