Long-term Trends in the Incidence of Headache in Finnish Schoolchildren

Anttila, Pirjo; Metsähonkala, Liisa; Sillanpää, Matti

doi:10.1542/peds.2005-2274

Cited by 104 publications

(69 citation statements)

References 18 publications

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“…The prevalence of migraines in the adolescent population has been estimated worldwide to be around 4-10% (Fendrich et al, 2007). Study conducted by Anttila et al concluded the incidence rates of migraine and frequent headache in seven year old Finnish schoolchildren increased from 1974 to 2002 (Anttila et al, 2006). Sillanpaa also reported a 5.7% migraine prevalence rate in Finnish school children and suggested that overall rate may be increased substantially over the past two decades (Sillanpaa et al, 1991).…”

Section: Epidemiologymentioning

confidence: 99%

Migraine management: How do the adult and paediatric migraines differ?

Sekhar

Sasidharan

Joseph

et al. 2012

Saudi Pharmaceutical Journal

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Migraine is one of the common causes of severe and recurring headache. It may be difficult to manage in primary care settings, where it is under diagnosed and medically treated. Migraine can occur in children as well as in adults and it is three times more common in women than in men. Migraine in children is different from adults in various ways. Migraine management depends on the various factors like duration and severity of pain, associated symptoms, degree of disability, and initial response to treatment. The therapy of children and adolescents with migraines includes treatment modalities for acute attacks, prophylactic medications when the attacks are frequent, and biobehavioural modes of treatment to aid long-term management of the disorder. The long lasting outcome of childhood headaches and progression into adult headaches remains largely unknown. However, it has been suggested that adult migraine may represent a progressive disorder. In children, the progressive nature is uncertain and further investigations into longitudinal outcome and phenotypic changes in childhood headaches have yet to be recognized. Even though paediatric and adult migraines seem to be slightly different from one another, but not enough to categorize either as sole.

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Section: Epidemiologymentioning

confidence: 99%

Migraine management: How do the adult and paediatric migraines differ?

Sekhar

Sasidharan

Joseph

et al. 2012

Saudi Pharmaceutical Journal

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“…The incidence of childhood migraine and frequent headache has been substantially increasing over the last 30 years. The increase in the incidence is alarming and reflects untoward changes in the lifestyles of children (34). In a 40-year follow-up study, Bille reported that migraine prevalence was 1.4% at the age of 7 and 5.3% at the age of 15, with the peak prevalence at the age of 11, predominantly in females.…”

Section: Natural Historymentioning

confidence: 99%

Epidemiological-based childhood headache natural history study: After an interval of six years

et al. 2010

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Headache is a common problem among adolescents, and variations can be observed in headache types and characteristics. The present study aimed to reach 5562 Turkish children who were investigated six years previously in a school-based childhood headache project, and to evaluate their current headache status. Investigators interviewed the available students with structured questionnaires. New and old data were matched and analyzed. The present study included 1155 adolescents (mean age 15.2 +/- 1.1 years), with 582 boys (50.4%) and 573 girls (49.6%). The prevalence of headache was 78.7% (tension-type headache [TTH] 57.5%, migraine 18.6%, unspecified 2.6%). The prevalence of headache was 45.2% six years previously. In the intervening six years, headache prevalence increased and the headache types changed significantly (Kappa: 0.04, p < .01). The most important variation during this time was the significant increase in TTH. Analgesic use was determined in 70.2% of adolescents with headache, with this ratio being higher in migraineurs. In conclusion, there were an increase in headache prevalence and a significant change in headache types over the previous six years. It can also be suggested that new country-based management strategies are required.

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“…A study made at Turkey between the years 1993-1998 showed that 4.33 % of the patients admitted to clinics with headache complaint [7]. The incidence of the headache has peak value at ages of 12-14 years and headache is seen more frequently at girls [8]. In this study the average ages of the patients were 12.9±3.1 and female to male ratio was 1.47.…”

Section: Introduction Resultsmentioning

confidence: 43%

Evaluation of headache in children: a retrospective study

Ekici¹,

Yimenicioglu²,

Çarman³

et al. 2015

Eur Res J

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136Objectives. Headache is a very common symptom that can be seen in the children. It can be seen due to primary or secondary causes. Migraine and tension-type headache are the most commonly seen primary headache types in children. In this study, we retrospectively evaluate etiologic and clinical features of the 228 patients. Methods. In this study, clinical features and neuro-imaging characteristics of the patients, who admitted Eskisehir Osmangazi University pediatric neurology department between 2007 and 2011 were evaluated retrospectively. Headache classification was made according to "International Headache Society" criteria. Results. The ages of the patients ranged from 4 to 18 years (average 12.9±3.1). There were 136 (59.6 %) girls, and 92 (40.4%) boys. The most frequent causes of the headache were migraine (37.3%) and tension type headache (25%). There were other associating diseases at 54 (23.7%) patients. Allergic rhinitis and asthma bronchilitis were the most commonly associated diseases. Abnormalities were encountered in 3 (6.8%) of the 44 (19.3%) patients taken computerized brain tomography, 18 (20.2%) of the 89 (39%) patients taken magnetic resonance imaging and 8 (3.5%) of the 77 (33.8%) patients taken electroencepahlography. No serious problem is established in patients undergoing neuro-imaging. Conclusions. In this study, it was seen that migraine and tension-type headache are the most frequently seen causes of the headache in the children. It is concluded that unnecessary neuroimaging examination should be avoided by detailed anamnesis and neurologic examination of children that admitted hospital with headache complaint.

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Long-term Trends in the Incidence of Headache in Finnish Schoolchildren

Abstract: The incidence of childhood migraine and frequent headache has substantially increased over the last 30 years. The increased incidence is alarming and reflects untoward changes in children's lifestyles. Additional studies are needed on causal associations with life changes.

Cited by 104 publications

References 18 publications

Migraine management: How do the adult and paediatric migraines differ?

Migraine management: How do the adult and paediatric migraines differ?

Epidemiological-based childhood headache natural history study: After an interval of six years

Evaluation of headache in children: a retrospective study

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