Migraine is more frequent in individuals with optimal and normal blood pressure: a population-based study

Wiehe, Mário; Fuchs, Sandra Costa; Moreira, Leila Beltrami; Moraes, Renan Stoll; Fuchs, Flávio Danni

doi:10.1097/00004872-200207000-00016

Cited by 83 publications

(103 citation statements)

References 22 publications

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“…6,37 It is commonly accepted that some symptoms, such as headache, are caused by high BP, which could be another reason for feeling ill after being aware of the diagnosis of hypertension. In population-based surveys and in the clinical setting, we and others have shown that there is no association between high BP and headache, 38,39 even for severe hypertension. 40 In addition, higher BP has been associated with lower perception of pain.…”

Section: Discussionmentioning

confidence: 65%

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

et al. 2011

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Patients with hypertension usually report lower healthrelated quality of life (HRQoL), but it is unclear whether this is secondary to high blood pressure (BP) per se, drug treatment or awareness of disease. In a crosssectional study using a multistage population-based sample, participants were interviewed and examined at home. Hypertension was defined by BP X140/90 mm Hg or use of BP-lowering drugs. HRQoL was assessed through the Short-Form Health Survey (SF-12) and presented as the physical component summary (PCS), mental component summary (MCS) and the SF-12 eightdomain scale. In total, 1858 individuals were evaluated, being 60.1% women, aged 52.5 ± 4.1 years old, and 39.9% men, aged 47.2±9.1 years old. Prevalence of hypertension was 34.2% (95% CI 31.5-36.9). The PCS scores for hypertensive and normotensive participants were 49.4 (CI 48.6-50.2) and 51.06 (CI 50.4-51.7) (P ¼ 0.01), respectively, and the MCS scores were 49.1 (CI 47.9-50.3) and 50.5 (CI 49.6-51.2) (P ¼ 0.06), respectively. Participants with hypertension and not using BP drugs had higher HRQoL scores (PCS 49.6; MCS 51.9) than those using BP drugs either with uncontrolled (PCS 45.3; MCS 49.4) or controlled BP (PCS 46.2; MCS 47.7; Po0.05). We concluded that individuals with hypertension have worse quality of life, particularly when their BP is controlled by drugs. This perception may lead to lower rates of adherence to treatment.

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Section: Discussionmentioning

confidence: 65%

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

et al. 2011

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“…Most of the studies that show an association between hypertension and migraine were done before the introduction of the International Headache Society (IHS) criteria in 1988. Recently Wiehe et al [15] and Lee et al [16] reported an association between low blood pressure and migraine. Again further and more detailed studies into this association will be very interesting.…”

Section: Discussionmentioning

confidence: 98%

Comorbidity in Finnish migraine families

Artto

Wessman

Nissilä³

et al. 2006

J Headache Pain

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The objective of the study was to investigate comorbidity of migraine in Finnish migraine families. One thousand consecutive participants in the Finnish Migraine Gene Project reported their medical illnesses in addition to migraine and headache. Migraine patients (n=678) reported significantly more hypotension (OR 1.43, CI 95% 1.02-2.01), allergy (OR 1.83, CI 95% 1.34-2.51) and psychiatric disorders (OR 4.09, CI 95% 2.11-7.92) compared to their family members without migraine (n=322). Subgroup analyses demonstrated that especially women and the group fulfilling the criteria for both migraine with and without aura were likely to have additional disorders besides their migraine. Interestingly, male migraineurs with aura reported a significant association with stroke and epilepsy. Familial migraine is comorbid with hypotension, allergy and psychiatric disorders. The association between migraine with aura and stroke and epilepsy among men of the studied families warrants further study. Clinical, pathophysiological and genetic implications of these results are discussed.

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“…Details of design and other results of this survey have been published. 4,[20][21][22][23] Participants were interviewed at home, using a pre-tested and structured questionnaire, which included evaluation of demographic characteristics and questions pertaining to education (years at school), alcoholic beverage consumption, physical activity at leisure time and other variables. Alcohol consumption was assessed by the pattern of consumption of alcoholic beverages (frequency-amount questions), classifying the participants as nondrinkers, social drinkers (1-29 g/day) or abusers (X30 g/day).…”

Section: Methodsmentioning

confidence: 99%

Absence of association between depression and hypertension: results of a prospectively designed population-based study

et al. 2006

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The objective of this study was to examine the relation between hypertension and depression. In a crosssectional study of the urban region of a State capital with more than 1.5 million inhabitants, 1174 men and women aged 18-80 years, selected at random from the population, were studied. Blood pressure, hypertension (blood pressure readings X140/90 mm Hg or use of blood pressure-lowering agents), risk factors for hypertension and depression according to the Diagnostic and Statistical Manual of Mental Disorders (fourth edition) were investigated in home interviews. The prevalence of major depression and hypertension were 12.4% (95% confidence interval (CI): 10.5-14.3) and 34.7% (95% CI: 32.2-37.4), respectively. Systolic and diastolic blood pressures of individuals with and without a lifetime episode of depression were not different after adjustment for age and gender. Lifetime episodic major depression was not associated with hypertension in bivariate analysis (risk ratios (RR): 0.96, 95% CI: 0.76-1.23) and after adjustment for confounding (RR: 1.15; 95% CI:0.75-1.76). Hypertension and depression were not associated in this free-living population of adults, suggesting that their concomitant occurrence in clinical practice may be ascribed to chance.

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Migraine is more frequent in individuals with optimal and normal blood pressure: a population-based study

Abstract: Our findings confirm that high blood pressure is not associated with the complaint of headache in the population. Individuals with migraine-like episodes of headache may have lower blood pressure than individuals without headache.

Cited by 83 publications

References 22 publications

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study

Comorbidity in Finnish migraine families

Absence of association between depression and hypertension: results of a prospectively designed population-based study

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