The Prevalence and Impact of Migraine and Severe Headache in the United States: Figures and Trends From Government Health Studies

Burch, Rebecca; Rizzoli, Paul; Loder, Elizabeth

doi:10.1111/head.13281

Cited by 402 publications

(380 citation statements)

References 5 publications

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“…Migraine generally begins during early childhood with a peak around puberty, (~12 years in boys and 15 years in girls [6] but may first appear at any age [7] with a small number first self-reporting in their sixth, seventh and eighth decades of life [8]. Indeed the literature [9,10] suggests that migraine is most active between the third and fourth decades of life with the majority of elderly chronic migraine patients indicating an onset of migraine prior to 50 years [11][12][13][14]. Importantly, given the worldwide increase in life expectancy, older age migraine is likely to become a far greater personal and public health issue over the next 40 years as management is likely to be confounded by other health problems and consequent association with polypharmacy.…”

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confidence: 99%

Prevalence of Migraine in the Elderly: A Narrated Review

2019

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Migraine is one of the most prevalent neurological disorders among all age groups including the elderly, but the incidence and prevalence of migraine tend to decrease with age. The clinical phenotype of migraine also appears to be different in the elderly patient group in comparison to the younger patient group, with elderly migraine appearing to be more often bilateral and associated with what has become known as “late-life migraine accompaniments. Furthermore, difficulty in the differentiation of migraine from vascular insults such as transient ischemic attacks and amyloid angiopathy and other multiple comorbidities, polypharmacy and age-related changes in pharmacodynamics and pharmacokinetics makes treatments for this cohort challenging but necessary, especially given the worldwide increase in life expectancy, and likelihood of migraine continuing to be a major personal and public health problem.

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confidence: 99%

Prevalence of Migraine in the Elderly: A Narrated Review

2019

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“…Most headache disorders present between the ages of 18 and 44, and the incidence of headache in general decreases steadily with age . The prevalence of headache remains high in elderly adults, and many secondary causes of headache also increase with age .…”

Section: Headache Diagnosesmentioning

confidence: 99%

Diagnosis and Treatment of Primary Headache Disorders in Older Adults

Berk

Ashina

Martin

et al. 2018

J American Geriatrics Society

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Objectives To provide a unique perspective on geriatric headache and a number of novel treatment options that are not well known outside of the headache literature. Design Review of the most current and relevant headache literature for practitioners specializing in geriatric care. Results Evaluation and management of headache disorders in older adults requires an understanding of the underlying pathophysiology and how it relates to age‐related physiological changes. To treat headache disorders in general, the appropriate diagnosis must first be established, and treatment of headaches in elderly adults poses unique challenges, including potential polypharmacy, medical comorbidities, and physiological changes associated with aging. Conclusion The purpose of this review is to provide a guide to and perspective on the challenges inherent in treating headaches in older adults. J Am Geriatr Soc 66:2408–2416, 2018.

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“…7 Some have identified low socioeconomic status (SES) as a risk factor for migraine headache. 13 Recently, Burch et al 14 highlighted that migraine continues to be an important public health issue that disproportionately affects historically disadvantaged groups of persons (eg, unemployed, low household income, and individuals ≥65 years receiving Medicare and Medicaid). 13 Recently, Burch et al 14 highlighted that migraine continues to be an important public health issue that disproportionately affects historically disadvantaged groups of persons (eg, unemployed, low household income, and individuals ≥65 years receiving Medicare and Medicaid).…”

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confidence: 99%

“…[8][9][10] Other forms of social inequality and socio-demographic factors have demonstrated relationships with migraine, including ethnicity, 11 food insecurity, 12 and adverse childhood experiences. 14 While the evidence around the social determinants of migraine is growing, researchers have noted that there remain knowledge gaps related to the social and structural determinants of health and equity as they relate to migraine. The extent of the inequality may be made worse in the absence of accessible health care.…”

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confidence: 99%

Health Behaviors and Social Determinants of Migraine in a Canadian Population‐Based Sample of Adults Aged 45‐85 Years: Findings From the CLSA

Hammond

Stinchcombe

2019

Headache

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Background Social determinants of health are well linked to adverse health outcomes, but less is known about how they relate to migraine. While much attention has been given to the role of modifiable lifestyle factors which may mitigate risk of migraine, the role of physical activity in headache management is not yet understood. Objectives The purpose of this study was to explore the relationship between social determinants of health, health behaviors, and migraine prevalence in a sample of the Canadian population aged 45‐85 years. Methods In this cross‐sectional analysis of baseline data from the Canadian Longitudinal Study on Aging, respondents were between 45 and 85 years of age and migraine was self‐report of physician diagnosis. Analyses were stratified by sex/gender (nwomen = 22,176, nmen = 21,549). Results The weighted prevalence of migraine for men and women was 7.5% and 19.6%, respectively. There were relationships between social determinants of health and migraine for both men and women. Notably, higher perceived social status was associated with a 3% reduced odds of migraine among women (OR = 0.97, 95% CI: 0.95, 0.98, P < .001). Gay and bisexual men had 50% higher odds of migraine compared to heterosexual men (OR = 1.50, 95% CI: 1.13, 1.99, P = .005). Some forms of physical activity were associated with reduced odds of migraine for women: walking for 30 minutes but less than 1 hour (OR = 0.87, 95% CI: 0.78, 0.96, P = .005), light sports for less than 30 minutes (OR = 0.86, 95% CI: 0.73, 1.00, P = .048), and 1 hour but less than 2 hours (OR = 0.85, 95% CI: 0.74, 0.97, P = .018), strenuous sports for 30 minutes but less than 1 hour (OR = 0.79, 95% CI: 0.71, 0.89, P < .001), and 1 hour but less than 2 hours (OR = 0.82, 95% CI: 0.73, 0.92, P = .001). Men who engaged in daily walking as a form of leisure time physical activity had higher odds of migraine: walking less than 30 minutes (OR = 1.21, 95% CI: 1.01, 1.45, P = .042), 2 hours but less than 4 hours (OR = 1.42, 95% CI: 1.11, 1.80, P = .005), and 4 hours or more (OR = 1.65, 95% CI: 1.18, 2.31, P = .004). Conclusions Social determinants of health are associated with migraine prevalence for both men and women. Physical activity is a modifiable lifestyle factor which merits further exploration as an intervention option for migraine headaches in aging samples, especially among older women. Greater odds of migraine among older men who walked for exercise may be explained by reverse causality.

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The Prevalence and Impact of Migraine and Severe Headache in the United States: Figures and Trends From Government Health Studies

Cited by 402 publications

References 5 publications

Prevalence of Migraine in the Elderly: A Narrated Review

Prevalence of Migraine in the Elderly: A Narrated Review

Diagnosis and Treatment of Primary Headache Disorders in Older Adults

Health Behaviors and Social Determinants of Migraine in a Canadian Population‐Based Sample of Adults Aged 45‐85 Years: Findings From the CLSA

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