Headache in Children and Adolescents: The Association between Screen Time and Headache within a Clinical Headache Population

Lund, Josefine; Berring-Uldum, Amalie; Colak, Merve; Debes, Nanette Mol

doi:10.1055/s-0041-1740550

Cited by 10 publications

(14 citation statements)

References 32 publications

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“…Table 2 provides an overview of the first author, study design, sample, and major findings of the 48 included studies 8–55 . Of these, 46 (96%) were cross‐sectional surveys, one was prospective, and one a qualitative survey.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies evaluated screen use in relation to the non‐specific complaint of headache and not by headache type or The International Classification of Headache Disorders , 3rd edition diagnosis (Table 2). Lund et al 37 . evaluated 139 children ranging in age from 5 to 18 years in an outpatient headache clinic in Denmark to further determine the correlation between headache and screen time in children and whether the association varied by headache diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…There was no statistically significant difference in screen time across the five headache diagnostic groups; however, those with migraine with aura and at least weekly headache were found to have significantly higher total screen time compared to those with headache less than once a week (p = 0.04). 37 Similarly, in their 2010 analysis of screen use and headache prevalence in German adolescents, Milde-Busch et al 41 did not find any definitive association between the use of electronic media and different headache types (migraine, TTH, unclassified type). in India.…”

Section: Screen Use and Pediatric Headache Typementioning

confidence: 94%

“…Lund et al 37 evaluated 139 children ranging in age from 5 to 18 years in an outpatient headache clinic in Denmark to further determine the correlation between headache and screen time in children and whether the association varied by headache diagnosis. In this sample, 25% were diagnosed with migraine without aura, 23% with migraine with aura, 28% with TTH, 16% with mixed headache, and 8%…”

Section: Screen Use and Pediatric Headache Typementioning

confidence: 99%

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Screen time and pediatric headache: A scoping review of the literature

Langdon,

DiSabella,

Strelzik

2024

Headache

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ObjectiveThe aim of this study was to summarize the evidence regarding screen use as a contributing factor in pediatric headache and migraine.BackgroundScreen exposure is often reported as a headache trigger, though there is no current consensus in terms of how screen type, duration, or frequency influences pediatric headache and the associated burden of disease.MethodsA systematic search in PubMed, Scopus, Cochrane Library, ProQuest Health and Medical Database, and Google Scholar was performed through November 2022 in accordance with Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. All English‐language articles of pediatric patients aged ≤18 years evaluating screen use in relation to headache were included.ResultsA total of 48 studies were included. Nearly all studies were cross‐sectional and represented international samples. The strongest association between screen use and headache found was for duration of use, and computer use emerged as the most common device type related to headache. While there were mixed findings related to screen use and specific headache diagnosis, migraine appeared to confer a higher risk. Across studies, there were insufficient data to assess the impact of screen use on headache frequency or headache‐related disability. Several studies demonstrated changes in screen use and headache patterns related to the COVID‐19 pandemic and computer vision syndrome was commonly reported.ConclusionsWhile there is preliminary evidence supporting possible associations between screen use and pediatric headache, there are several limitations in the present review including a lack of prospective and randomized controlled trials to better demonstrate causal relationships as well as methodological limitations with significant variability in how both headache and screen use are defined and measured. Future studies including real‐time screen use and device monitoring are needed to better understand the influence of screen use behaviors on pediatric headache and to help further define best‐use guidelines around these technologies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Screen Use and Pediatric Headache Typementioning

confidence: 94%

Section: Screen Use and Pediatric Headache Typementioning

confidence: 99%

See 2 more Smart Citations

Screen time and pediatric headache: A scoping review of the literature

Langdon,

DiSabella,

Strelzik

2024

Headache

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“…According to previous studies, no markers have yet been identified that can predict the recurrence of headache in children. A recent study by Lund et al [19] showed that more screen time was associated with more frequent headaches in children, but the causality of this association was not established. However, in this study, we observed that screen time could be used as a surrogate marker for predicting the recurrence of headache, more so in children with migraine than in those with TTH and other types of headaches.…”

Section: Screen Time and Its Effects On Headachementioning

confidence: 97%

Clinical Profile of Children with Primary Headache at a Tertiary Care Center in North India: A Retrospective Study

et al. 2023

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The present study investigated the clinical profile of children with primary headache at a tertiary care center in North India. Methods: A retrospective observational study was conducted between January 2021 and October 2022. In total, 100 children 5 to 18 years of age who attended the pediatric outpatient department or the emergency department with primary headache were included. Children with secondary causes of headache were excluded. Results: This study included 100 children (40 boys, 60 girls), and the female-to-male ratio was 1.5:1. The patients ranged in age from 5 to 18 years (mean±standard deviation, 10.1±2.8). Migraine headaches were most commonly reported (60%) followed by tension-type headache (28%) and others (12%). The throbbing type of pain was most common (43%), followed by the tightening type in 32%. The pain location was bilateral frontal in 47% of patients, followed by bitemporal in 20% and occipital in 17%. Most of the children (87%) had a headache duration of 2 to 4 hours. The common precipitating factors were skipped meals (25%), bright light (18%), lack of sleep (16%), and schoolwork (15%). A family history was present in around 62%. Around 70% of children required prophylactic medications (flunarizine and propranolol). Long screen time (2 to 4 hours/day) and a family history of headache were significantly associated with primary headache (P<0.05). Conclusion: The present study highlights that migraine is most common cause of primary headache in children, and every effort should be made for the early detection and management of headaches among children.

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