Prevalence of migraine in Han Chinese of Fujian province

Lin, Qi-Fang; Xia, Qiao-qing; Zeng, Yanli; Wu, Xiaoyang; Ye, Linfeng; Yao, Long-teng; Xin, Yong-tong; Huang, Gen-bin

doi:10.1097/md.0000000000013500

Cited by 11 publications

(9 citation statements)

References 39 publications

(48 reference statements)

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“…Approximately 8% of migraine patients had aura in this study. This figure was lower than that reported in a previous study involving a Han Chinese population 33 . These objective and multiple inclusion criteria enhanced the fidelity of the present study.…”

Section: Discussioncontrasting

confidence: 78%

“…According to age and sex, all subgroups demonstrated a reciprocal association between asthma and migraines in the present study. Although the prevalence of migraines is higher in women than in men, the impact of asthma on migraines and the impact of migraines on asthma might be consistent regardless of sex 33 . In addition, both migraines with aura and migraines without aura were associated with the increased risk of asthma and vice versa in this study.…”

Section: Discussionmentioning

confidence: 95%

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Bidirectional association between asthma and migraines in adults: Two longitudinal follow-up studies

Kim

Min

et al. 2019

Sci Rep

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the objective of this study was to evaluate the bidirectional association between asthma and migraines using control subjects matched by demographic factors. the Korean Health insurance Review and Assessment Service-National Sample Cohort from 2002 to 2013 was used. In study I, 113,059 asthma participants were matched with 113,059 control I participants. In study II, 36,044 migraine participants were matched with 114,176 control II participants. The hazard ratios (HRs) of migraines in the asthma patients (study I) and asthma in the migraine patients (study II) were analyzed using stratified Cox proportional hazard models after adjusting for depression and the Charlson comorbidity index. In study I, 5.3% (6,017/ 113,059) of the asthma group and 3.4% (3,806/ 113,059) of the control I group had migraines (P < 0.001). The asthma group demonstrated an adjusted HR of 1.47 for migraine (95% confidence interval (CI) = 1.41-1.53, P < 0.001). In study II, 15.4% (5,548/36,044) of the migraine group and 10.6% (15,271/144,176) of the control group had asthma (P < 0.001). The migraine group showed an adjusted HR of 1.37 for asthma (95% CI = 1.33-1.41, P value < 0.001). Asthma and migraines are reciprocally associated. Asthma is a chronic airway disease associated with clusters of respiratory symptoms, including wheezing and dyspnea. Asthma is a common disease with different prevalences according to ethnicity that range from approximately 7% to 18.0% 1. The incidence of asthma in the adult population (>20 years old) was estimated to be approximately 3.63-6.07 per 1,000 people in Korea 2. Because the diagnosis of asthma is based on the functional deterioration of the lower airway, the underlying pathophysiologic causes of asthma have been reported to vary among asthmatic patients 3. According to the pathophysiologic mechanisms, asthma is classified as two major endotypes of T-helper type 2 cell (TH2)-high and TH2-low diseases 4. Thus, in addition to TH2-high related diseases, such as allergic rhinitis, other immune-related diseases could complicate asthma. In addition, both genetic factors and environmental triggering factors have been suggested to be related to asthma 5,6. Migraine disorder is another chronic disease characterized by multiple symptoms of headache and/or aura. As many as approximately 1.04 billion people suffer from migraines worldwide (95% uncertainty interval = 1.00-1.09) 7. In Korea, approximately 6.0% of the adult population (19-69 years) suffers from migraines 8. Migraines are characterized by recurrent episodic symptom sequences of a premonitory phase, an aura phase, a headache phase, and a postdrome phase 9. The environmental triggering factors can hyper-activate the hypothalamic-pituitary-adrenocortical axis and autonomic nervous system in migraine susceptible subjects 10. These hormonal and nervous changes induce vasodilation, the release of vascular factors, including growth factors, cytokines, nitric oxide, norepinephrine and calcitonin gene-related peptide, and interaction with endothelial cells, res...

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 95%

Bidirectional association between asthma and migraines in adults: Two longitudinal follow-up studies

Kim

Min

et al. 2019

Sci Rep

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“…2Publications reporting peak prevalence (A) by age groups and (B) by country. Data in (A) were derived as follows: children [31, 36, 40], adults [20, 23, 27, 29, 43, 56], and elderly adults [30, 45]. Note, because of the age groups enrolled in each study, there was overlap in populations among the children, adult, and elderly adult categories.…”

Section: Resultsmentioning

confidence: 99%

Prevalence, burden, and clinical management of migraine in China, Japan, and South Korea: a comprehensive review of the literature

et al. 2019

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BackgroundThe objective of this review was to determine the unmet needs for migraine in East Asian adults and children.MethodsWe searched MEDLINE and EMBASE (January 1, 1988 to January 14, 2019). Studies reporting the prevalence, humanistic and economic burden, and clinical management of migraine in China (including Hong Kong and Taiwan), Japan, and South Korea were included. Studies conducted before 1988 (before the International Headache Society [IHS] first edition of the International Classification of Headache Disorders) were not included.ResultsWe retrieved 1337 publications and 41 met the inclusion criteria (28 from China, 7 from Japan, and 6 from South Korea). The 1-year prevalence of migraine (IHS criteria) among adults ranged from 6.0% to 14.3%. Peak prevalence ranged from 11% to 20% for women and 3% to 8% for men (30- to 49-year-olds). For children, prevalence of migraine increased with age. Information on the economic burden and clinical management of migraine was limited, particularly for children. When reported, migraine was significantly associated with high levels of disability and negative effects on quality of life. Studies suggested low levels of disease awareness/diagnosis within each country. Of individuals with migraine from China, 52.9% to 68.6% had consulted a physician previously, 37.2% to 52.7% diagnosed with headache had not been diagnosed with migraine previously, and 13.5% to 18% had been diagnosed with migraine previously. Of individuals with migraine from Japan, 59.4% to 71.8% had never consulted a physician previously, 1.3% to 7.3% regularly consulted physicians for their headache, and only 11.6% of individuals with migraine were aware that they had migraine. In addition, studies suggested that over-the-counter medication use was high and prescription medication use was low in each country.ConclusionsThis review suggests that there are unmet needs for migraine in terms of sufficient and appropriate diagnosis, and better management and therapies for treatment of migraine in East Asia. The findings are limited by a lack of recent information and significant gaps in the literature. More recent, population-based studies assessing disease burden and clinical management of migraine are needed to confirm unmet needs for migraine across East Asia.

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“…Seven thousand eight hundred sixty subjects aged 15 years and older were investigated in Fujian Province, Southeast China. Notably, 9.1% of them were diagnosed with migraine, of which 12.6% were women and 5.3% were men [17]. However, data on emergency headache in China are lacking.…”

Section: Discussionmentioning

confidence: 99%

Headache in the emergency department in Chongqing Province, China: A multicentre study

Tao

et al. 2020

Preprint

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Background: To investigate the present situation of emergency headache in many general hospitals in Chongqing Province, China.Methods: From January 1 to December 31, 2017, we studied patients who complained of headaches as the main symptom in the emergency department of 17 general hospitals in Chongqing Province. Each patient with a headache was interviewed and the medical history was collected by administering a questionnaire. The diagnosis of headache is based on the third edition of the International Classification of Headache Disorders (ICHD-3 beta). Results: In 2017, 16434 patients complained of headache in 17 general hospitals in Chongqing, accounting for 2.3% of all emergency patients. Eight thousand one male patients (48.7%) and 8433 female patients (51.3%) experienced a headache. The average age was (41.8 ± 13.2) years, and the course of disease was 3 hours to 15.2 years. Regarding the initial diagnosis, 7299 patients (44.4%) were diagnosed secondary headache, 5076 (30.9%) were diagnosed with primary headache and 4059 (24.865%) could not be diagnosed. The hospitalization rates for these patients were 60.3%, 12.2%, and 41.5%, respectively. Migraine is still the most common type of primary headache. Conclusions: This study shows that the misdiagnosis rate and missed diagnosis rate of patients with an emergency headache are high, and the emergency department still performs overtesting and hospitalizations.

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Prevalence of migraine in Han Chinese of Fujian province

Cited by 11 publications

References 39 publications

Bidirectional association between asthma and migraines in adults: Two longitudinal follow-up studies

Bidirectional association between asthma and migraines in adults: Two longitudinal follow-up studies

Prevalence, burden, and clinical management of migraine in China, Japan, and South Korea: a comprehensive review of the literature

Headache in the emergency department in Chongqing Province, China: A multicentre study

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