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Obesity is a risk factor for transformed migraine but not chronic tension-type headache.

Abstract

OBJECTIVE

To assess the influence of the body mass index (BMI) on the prevalence and severity of chronic daily headache (CDH) and its most frequent subtypes, transformed migraine (TM) and chronic tension-type headache (CTTH).

METHODS

The authors gathered information on headache, medical features, height, and weight using a computer-assisted telephone interview. Participants were divided into five categories, based on BMI: underweight (<18.5), normal weight (18.5 to 24.9), overweight (25 to 29.9), obese (30 to 34.9), and morbidly obese (>35). The prevalence and severity of CDH, TM, and CTTH were assessed. Multivariate analyses modeling these diagnoses as a function of BMI were conducted.

RESULTS

Among 30,215 participants, the prevalence of CDH was 4.1%; 1.3% had TM and 2.8% CTTH. In contrast with the normal weight group (3.9%), the prevalence of CDH was higher in obese (5.0% [odds ratio (OR) = 1.3, 95% CI = 1.1-1.6]) and morbidly obese (6.8% [OR = 1.8, 95% CI = 1.4 to 2.2]). BMI had a strong influence on the prevalence of TM, which ranged from 0.9% of the normal weighted to 1.2% of the overweight (OR = 1.4 [1.1 to 1.8]), 1.6% of the obese (OR = 1.7 [1.2 to 2.43]), and 2.5% of the morbidly obese (OR = 2.2 [1.5 to 3.2]). The effects of the BMI on the prevalence of CTTH were just significant in the morbidly obese group. Adjusted analyses showed that obesity was associated with CDH and TM but not CTTH.

CONCLUSIONS

Chronic daily headache and obesity are associated. Obesity is a stronger risk factor for transformed migraine than for chronic tension-type headache.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA. mbigal@aecom.yu.edu

    Source

    Neurology 67:2 2006 Jul 25 pg 252-7

    MeSH

    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Chronic Disease
    Comorbidity
    Disability Evaluation
    Female
    Humans
    Male
    Middle Aged
    Migraine Disorders
    Obesity
    Prevalence
    Risk Assessment
    Risk Factors
    Severity of Illness Index
    Tension-Type Headache
    United States

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    16864817

    Citation

    Bigal, Marcelo E., and Richard B. Lipton. "Obesity Is a Risk Factor for Transformed Migraine but Not Chronic Tension-type Headache." Neurology, vol. 67, no. 2, 2006, pp. 252-7.
    Bigal ME, Lipton RB. Obesity is a risk factor for transformed migraine but not chronic tension-type headache. Neurology. 2006;67(2):252-7.
    Bigal, M. E., & Lipton, R. B. (2006). Obesity is a risk factor for transformed migraine but not chronic tension-type headache. Neurology, 67(2), pp. 252-7.
    Bigal ME, Lipton RB. Obesity Is a Risk Factor for Transformed Migraine but Not Chronic Tension-type Headache. Neurology. 2006 Jul 25;67(2):252-7. PubMed PMID: 16864817.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Obesity is a risk factor for transformed migraine but not chronic tension-type headache. AU - Bigal,Marcelo E, AU - Lipton,Richard B, PY - 2006/7/26/pubmed PY - 2006/8/15/medline PY - 2006/7/26/entrez SP - 252 EP - 7 JF - Neurology JO - Neurology VL - 67 IS - 2 N2 - OBJECTIVE: To assess the influence of the body mass index (BMI) on the prevalence and severity of chronic daily headache (CDH) and its most frequent subtypes, transformed migraine (TM) and chronic tension-type headache (CTTH). METHODS: The authors gathered information on headache, medical features, height, and weight using a computer-assisted telephone interview. Participants were divided into five categories, based on BMI: underweight (<18.5), normal weight (18.5 to 24.9), overweight (25 to 29.9), obese (30 to 34.9), and morbidly obese (>35). The prevalence and severity of CDH, TM, and CTTH were assessed. Multivariate analyses modeling these diagnoses as a function of BMI were conducted. RESULTS: Among 30,215 participants, the prevalence of CDH was 4.1%; 1.3% had TM and 2.8% CTTH. In contrast with the normal weight group (3.9%), the prevalence of CDH was higher in obese (5.0% [odds ratio (OR) = 1.3, 95% CI = 1.1-1.6]) and morbidly obese (6.8% [OR = 1.8, 95% CI = 1.4 to 2.2]). BMI had a strong influence on the prevalence of TM, which ranged from 0.9% of the normal weighted to 1.2% of the overweight (OR = 1.4 [1.1 to 1.8]), 1.6% of the obese (OR = 1.7 [1.2 to 2.43]), and 2.5% of the morbidly obese (OR = 2.2 [1.5 to 3.2]). The effects of the BMI on the prevalence of CTTH were just significant in the morbidly obese group. Adjusted analyses showed that obesity was associated with CDH and TM but not CTTH. CONCLUSIONS: Chronic daily headache and obesity are associated. Obesity is a stronger risk factor for transformed migraine than for chronic tension-type headache. SN - 1526-632X UR - https://www.unboundmedicine.com/medline/citation/16864817/Obesity_is_a_risk_factor_for_transformed_migraine_but_not_chronic_tension_type_headache_ L2 - http://www.neurology.org/cgi/pmidlookup?view=long&amp;pmid=16864817 DB - PRIME DP - Unbound Medicine ER -