Obesity and chronic daily headache

Bigal, Marcelo E.; Lipton, Richard B.

doi:10.1007/s11916-008-0011-8

Cited by 39 publications

(33 citation statements)

References 40 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…64 The incidence of obesity in two pediatric headache clinic based studies, one on those with CDH, was not different from that in the general population; subjects were not stratified by gender. 20,65 Overweight females had a near four fold excess risk of headache when compared to normal-weight girls; there was no relationship between weight and headache in males.…”

Section: Obesitymentioning

confidence: 87%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

View full text Add to dashboard Cite

In 1982, Mathew et al first used the term "chronic daily headache" (CDH) to describe headaches that occurred almost daily in adults. 1 Twelve years later, Holden et al published the first report on children with CDH. 2 Since then, there have been at least 21 reports globally. Cumulative knowledge suggests that CDH is not only a common chronic pain syndrome in children (the term will be used to include adolescents), but also a multi-faceted, and often complex one. The appreciation of the many aspects of CDH is pivotal to clinical research and management, and is the thrust of our review. DEFINITIONS AND CLASSIFICATION: THE CONTINUING CONTROVERSY BackgroundIn the almost 30 years since the original description, CDH continues to evoke passionate debate. Globally accepted criteria ABSTRACT: Chronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research.RÉSUMÉ: La céphalée quotidienne chronique chez les enfants et les adolescents, un syndrome à multiples facettes. La céphalée quotidienne chronique (CQC) est un syndrome douloureux à multiples facettes qui est souvent complexe chez les enfants et les adolescents. La céphalée quotidienne chronique peut être primaire ou secondaire. La migraine chronique et la céphalée de tension chronique sont les sous-types les plus fréquents. La CQC est une comorbidité des incidents fâcheux de la vie, de l'anxiété et des troubles dépressifs, possiblement liée à d'autres troubles psychiatriques, syndromes douloureux et troubles du sommeil. Ces états contribuent à amorcer et à maintenir la CQC. Le traitement précoce de la céphalée épisodique et le traitement des comorbidités est donc crucial pour la prévention. Certaines données démontrent un bénéfice des psychothérapies, principalement de la relaxation et de la thérapie cognitivo-comportementale, et l'acuponcture pour le traitement de la CQC semble prometteuse. Les données sur le traitement médicamenteux sont basées principalement sur des études ouvertes. Nous discutons des controverses entourant la CQC et des mo...

show abstract

Section: Obesitymentioning

confidence: 87%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

View full text Add to dashboard Cite

show abstract

“…It has been shown that overweight and obese migraneurs have an increased risk of having more frequent migraine attacks and chronic migraine 15 . If obesity is an exacerbating factor for migraine and if the practice of physical practices reduces the risk of obesity 16 it could be argued that physical practice reduces the impact of migraine by reducing weight.…”

Section: Discussionmentioning

confidence: 99%

“…Migraine individuals with obesity or overweight have increased risk of greater frequency of migraine attacks 15 . Weight management has been suggested to be part of migraine treatment and aerobic physical practices are one of the main strategies for weight loss and weight control 16,17 .…”

mentioning

confidence: 99%

Physical practice is associated with less functional disability in medical students with migraine

Domingues

Teixeira

Domingues

2011

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

The aim of this study was to investigate possible association between migraine and physical practice among 480 medical students who were submitted to a questionnaire about headaches and physical practices. Migraine diagnosis was assessed by ID-Migraine and functional disability was evaluated with MIDAS. The type (aerobic or strength training), the weekly frequency and the intensity of physical practice and body mass index (BMI) were assessed. There was a reduction in functional disability of migraine in students reporting physical practice (no physical practice -MIDAS=8.81±1.40, physical practice -MIDAS=15.49±1.78; P=0.03). Frequency, intensity, and type of physical practices were not associated with functional impact of migraine. BMI did not correlate with migraine impact (normal weight -MIDAS=12.34±1.33, overweight or obese -MIDAS=17.45±3.86; P=0.33). These results were confirmed by multivariate analysis. Our data suggest that physical practice is inversely related with functional disability of migraine in university students regardless of BMI. Key words: aerobic physical practices, migraine, strength training, university students.A prática de exercícios físicos está associada a menor comprometimento funcional da migrânea entre estudantes de medicina RESUMO O objetivo deste estudo foi avaliar a possível associação entre migrânea e a prática de exercícios físicos em uma população de 480 estudantes de medicina. O rastreio de migrânea foi realizado com o inventário ID-migrânea e o comprometimento funcional da migrânea foi estimado com o inventário MIDAS. O tipo (aeróbica ou musculação), frequência e intensidade da atividade física e o índice de massa corpórea (IMC) foram determinados. Houve menor comprometimento funcional da migrânea nos estudantes que referiram praticar exercícios (não praticantes de exercícios -MIDAS=8,81±1,40, praticantes de exercícios -MIDAS=15,49±1,78; P=0,03). A frequência, o tipo e a intensidade dos exercícios não se correlacionaram com o grau de comprometimento funcional da migrânea. Não houve associação entre o IMC e a severidade da migrânea (peso normal -MIDAS=12,34±1,33; sobrepeso ou obesidade -MIDAS=17,45±3,86; P=0,33). Estes resultados foram confirmados por análise multivariada. Portanto, os dados sugerem uma relação inversa entre prática de exercícios físicos e grau de comprometimento funcional da migrânea em estudantes universitários, independentemente do IMC. Palavras-chave: exercícios aeróbicos, migrânea, musculação, estudantes. CorrespondenceRenan Barros Domingues Rua Prof.

show abstract

“…Obesity is a leading risk factor for death globally [9,25] and it is projected that around 50% of adults will be obese by 2030 [26]. Worldwide, an estimated 4 billion adults are overweight or obese [25].…”

Section: Chronic Musculoskeletal Pain and Obesitymentioning

confidence: 99%

“…Evidence suggests that improvement in pain outcomes associated with weight reduction is mediated by a decrease in load on weight bearing joints [6] improvement in joint alignment [7] and improvement in posture (see [5] for review). However, individuals with headaches and chronic widespread pain experience pain in both weight bearing and non-weight bearing parts of the body and therefore it cannot be attributed to mechanical overloading [2,[8][9][10].…”

Section: Introductionmentioning

confidence: 99%