Is aerobic exercise helpful in patients with migraine? A systematic review and meta‐analysis

Pérez, Juan José Fernández; Acosta, Alejandro Proy; Campodónico, Lisandro González; García, Sergio García; Juárez, Daniel Adraos; García, Beatriz Serrano; Angulo‐Díaz‐Parreño, Santiago; Cuenca‐Martínez, Ferrán; Suso‐Martí, Luis; Paris‐Alemany, Alba

doi:10.1111/sms.13625

Cited by 58 publications

(56 citation statements)

References 73 publications

(294 reference statements)

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“…In the current study, we found that physical activity was associated with reduced odds of primary headaches. In agreement with our findings, a review article revealed that aerobic exercise can alleviate the duration of migraine headaches and also somewhat decrease the incidence of these headaches [33]. In another similar study, a beneficial effect of exercise on primary headaches including migraine and tension-type headaches and also a decrease in the use of headache-related medications were reported [34].…”

Section: Discussionsupporting

confidence: 91%

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Mansouri¹,

Sharifi²,

Varmaghani³

et al. 2020

Preprint

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Background: Primary headaches have a high prevalence among university students. Lifestyle has an important role in the prevention and management of these headaches. Among lifestyle factors, data on the association between physical activity and primary headaches are scarce and conflicting.Aim: To examine the association between physical activity and primary headaches among a large population of university students.Methods: Totally, 83,463 university students from 28 provinces of Iran were included in the current cross-sectional study. Data on physical activity, dietary intakes, and demographic characteristics were collected using pre-tested questionnaires. Primary headaches were determined according to the International Classification of Headache Disorders-3 (ICHD-3) criteria.Results: Mean age of university students was 21.50 ± 4.01, and 54.7% were female. Primary headaches were prevalent among 9% of students. A significant inverse association was seen between physical activity and primary headaches in the whole population (OR: 0.66, 95% CI: 0.62-0.71). Such an inverse association was also observed after taking potential confounders into account; such that students who were physically active had 21% lower odds of primary headaches compared with those who were physically inactive (OR: 0.79, 95% CI: 0.72-0.87). Also, physical activity was associated with reduced odds of primary headaches in male and female students (Males; OR: 0.70, 95% CI: 0.60-0.82, females; OR: 0.84, 95% CI: 0.75-0.94) as well as those students with normal-weight (OR: 0.79, 95% CI: 0.71-0.87), overweight, or obesity (OR: 0.80, 95% CI: 0.66-0.96).Conclusion: Our findings support the protective association between physical activity and primary headaches.

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Section: Discussionsupporting

confidence: 91%

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Mansouri¹,

Sharifi²,

Varmaghani³

et al. 2020

Preprint

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“…For instance, multiple small intervention studies have shown that regular aerobic exercise produces effects similar to pharmacologic and behavioral therapies 6‐9 and when combined with pharmacotherapy may improve outcomes exceeding those from medication alone 10 . More recently, a meta‐analytic review supported the conclusion that aerobic exercise improves migraine symptoms and quality of life 11 . Similarly, prospective population studies have shown that physical inactivity predicts onset of headache, 12,13 and cross‐sectional population studies indicate that migraine prevalence and frequency are inversely associated with PA 13‐15 …”

Section: Introductionmentioning

confidence: 99%

Objectively Measured Physical Activity in Migraine as a Function of Headache Activity

et al. 2020

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Objective.-This study sought to compare ambulatory physical activity (PA) between young adults with migraine, tensiontype headache (TTH), and non-headache controls and determine if differences in PA were attributable to headache activity or other relevant covariates. Background.-PA has been implicated in the development, manifestation, and treatment of various headache disorders. However, objective quantification of PA across headache types is lacking, and no study has quantified both prospective PA and the influence of headache occurrence on PA. Methods.-A prospective cohort study followed university participants with migraine, with TTH, or without headache for 7 days using an Omron HJ-112 pedometer and daily headache diaries. Daily free-living PA was compared between groups, and differences in PA as a function of headache day vs non-headache day were compared among those with migraine and TTH. Results.-The final sample consisted of 516 observations from 100 young adults (81/100 female, mean age = 19.0 ± 1.7) comprised of 28 individuals with migraine, 37 individuals with TTH, and 35 non-headache controls. On average, individuals with migraine engaged in less total PA than non-headache controls (6847 vs 8573 steps/day; mean difference = −1726 [95% CI: −3135 to −318], P = .017) across the 7-day monitoring period. After adjusting for relevant covariates (psychological symptoms, body mass index, weekend vs weekday), this difference was evident on both non-headache days (adjusted mean = 5987 vs 8610, P = .002) and headache days (adjusted mean = 6986 vs 9958, P = .017). In contrast, PA of individuals with TTH (mean = 7691 steps/day) did not significantly differ from those with migraine. PA within groups as a function of headache day (vs non-headache day) did not significantly differ for individuals with migraine (mean = 7357 vs 6191, P = .061) or individuals with TTH (mean = 7814 vs 7641, P = .736). Conclusions.-Consistent with other studies, individuals with migraine reported lower levels of PA compared to non-headache controls. Notably, relative reductions in PA occurred even on days in which headache was not experienced and were not attributable to the examined covariates, instead supporting a more global pattern of reduced PA. Further research is needed to isolate the mechanisms underlying interictal reductions in PA among those with migraine.

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“…En este sentido, el ejercicio aeróbico ha mostrado ser una intervención segura y con moderada evidencia para mejorar su calidad de vida de estas personas (La Touche et al, 2020). Además, el ejercicio aeróbico ha mostrado tener efectos profilácticos similares a los de la medicación preventiva de la migraña como es el Topiramato, por lo que podría ser una opción clínica profiláctica a tener en cuenta durante la fase no sintomática del ciclo menstrual en esta población.…”

Section: Discussionunclassified

Cefalea y dismenorrea primaria en población universitaria en centro superior de estudios universitarios la salle: un estudio piloto

Díaz-Martín¹,

Reyes-Bartrina

Villaverde-Cano

et al. 2020

MOVE

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Objetivo: Describir las características de las mujeres que cursan con cefalea y/o dismenorrea y además, como objetivo secundario, se evaluó la asociación de las variables de dismenorrea y/o impacto de la cefalea con variables psicosociales. Diseño: Estudio descriptivo observacional comparativo. Marco: Centro Superior de Estudios Universitarios La Salle (CSEULS). Participantes: Se reclutó una muestra total de 130 participantes, todas ellas cumpliendo los siguientes criterios de inclusión: ser mujeres en edad fértil comprendida entre los 18 y los 30 años, ser nulíparas, comprender el castellano y haberse sometido a una revisión ginecológica en el último año. Intervenciones: La recogida de datos consistió en una medición, cada participante rellenó una sola vez los cuestionarios. Los datos recogidos fueron datos demográficos (edad, peso, altura y fecha de la menarquia), la intensidad de la dismenorrea con la escala numérica, el impacto de la cefalea, el grado de ansiedad y depresión, la calidad de vida y el grado de disfunción sexual. Variables: La intensidad del dolor de la dismenorrea, el impacto de la cefalea, la ansiedad y la depresión, la función sexual y la calidad de vida. Resultados: Partiendo de una muestra de 130 participantes, 108 presentaron dismenorrea primaria (83,1%), el 38% además cursaban con cefalea. Un 31,5% presentaba tanto dismenorrea como cefalea. Se dividió la muestra en 4 grupos. El grupo 1 estuvo formado por las participantes que no presentaron dismenorrea ni cefalea (13,8%). El grupo 2 lo conformaron los sujetos que solo presentaron dismenorrea (51,5%). El grupo 3 fue compuesto por las que solo cursaron con cefalea (3%) y, por último, el grupo 4 lo formaron aquellas participantes que padecían tanto dismenorrea como cefalea (31,5%). Conclusión: La dismenorrea tiene una alta prevalencia en el CSEULS. Las mujeres que presentan tanto cefalea como dismenorrea presentan mayores índices de impacto de la cefalea en actividades de la vida diaria, ansiedad y depresión y las participantes que tienen una calidad de vida mayor estadísticamente significativa son las que no tienen ni cefalea ni dismenorrea.

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Is aerobic exercise helpful in patients with migraine? A systematic review and meta‐analysis

Cited by 58 publications

References 73 publications

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Objectively Measured Physical Activity in Migraine as a Function of Headache Activity

Cefalea y dismenorrea primaria en población universitaria en centro superior de estudios universitarios la salle: un estudio piloto

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