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Body mass index and episodic headaches: a population-based study.

Abstract

BACKGROUND

We investigated the influence of the body mass index (BMI [calculated as weight in kilograms divided by height in meters squared]) on the frequency, severity, and patterns of treatment of migraine, probable migraine (PM), and severe episodic tension-type headache (S-ETTH).

METHODS

A validated questionnaire was mailed to 120 000 households selected to be representative of the US population. The participants were divided into 5 categories based on BMI: underweight (<18.5), normal weight (18.5-24.9), overweight (25.0-29.9), obese (30.0-34.9), and morbidly obese (>35.0). Analyses were adjusted by covariates that included demographic variables (age, sex, race, and income), duration of illness, comorbidities, use of preventive medication, and use of opioids.

RESULTS

The response rate was 65%. We identified 18 968 individuals with migraine, 7564 with PM, and 2051 with S-ETTH. The distribution of very frequent headaches (10-14 d/mo) was assessed by BMI. Among individuals with migraine, very frequent headaches (10-14 d/mo) occurred in 7.4% of the overweight (P = .10), 8.2% of the obese (P < .001), and 10.4% of the morbidly obese (P < .0001) subjects, compared with 6.5% of those with normal weight, in adjusted analyses. Among individuals with PM and S-ETTH, the differences were not significant (P = .20). The disability of migraineurs, but not of those with PM or S-ETTH, also varied as a function of BMI. Among migraineurs, 32.0% of those with normal weight had some disability compared with 37.2% of the overweight (P < .01), 38.4% of the obese (P < .001), and 40.9% of the morbidly obese (P < .001) subjects.

CONCLUSION

These findings support the concept that obesity is an exacerbating factor for migraine but not for other types of episodic headaches.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Neurology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. mbigal@aecom.yu.edu

    , , , ,

    Source

    Archives of internal medicine 167:18 2007 Oct 08 pg 1964-70

    MeSH

    Adolescent
    Adult
    Aged
    Body Mass Index
    Child
    Female
    Humans
    Male
    Middle Aged
    Migraine Disorders
    Obesity
    Surveys and Questionnaires
    Tension-Type Headache

    Pub Type(s)

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

    Language

    eng

    PubMed ID

    17923596

    Citation

    Bigal, Marcelo E., et al. "Body Mass Index and Episodic Headaches: a Population-based Study." Archives of Internal Medicine, vol. 167, no. 18, 2007, pp. 1964-70.
    Bigal ME, Tsang A, Loder E, et al. Body mass index and episodic headaches: a population-based study. Arch Intern Med. 2007;167(18):1964-70.
    Bigal, M. E., Tsang, A., Loder, E., Serrano, D., Reed, M. L., & Lipton, R. B. (2007). Body mass index and episodic headaches: a population-based study. Archives of Internal Medicine, 167(18), pp. 1964-70.
    Bigal ME, et al. Body Mass Index and Episodic Headaches: a Population-based Study. Arch Intern Med. 2007 Oct 8;167(18):1964-70. PubMed PMID: 17923596.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Body mass index and episodic headaches: a population-based study. AU - Bigal,Marcelo E, AU - Tsang,Amy, AU - Loder,Elizabeth, AU - Serrano,Daniel, AU - Reed,Michael L, AU - Lipton,Richard B, PY - 2007/10/10/pubmed PY - 2007/11/6/medline PY - 2007/10/10/entrez SP - 1964 EP - 70 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 167 IS - 18 N2 - BACKGROUND: We investigated the influence of the body mass index (BMI [calculated as weight in kilograms divided by height in meters squared]) on the frequency, severity, and patterns of treatment of migraine, probable migraine (PM), and severe episodic tension-type headache (S-ETTH). METHODS: A validated questionnaire was mailed to 120 000 households selected to be representative of the US population. The participants were divided into 5 categories based on BMI: underweight (<18.5), normal weight (18.5-24.9), overweight (25.0-29.9), obese (30.0-34.9), and morbidly obese (>35.0). Analyses were adjusted by covariates that included demographic variables (age, sex, race, and income), duration of illness, comorbidities, use of preventive medication, and use of opioids. RESULTS: The response rate was 65%. We identified 18 968 individuals with migraine, 7564 with PM, and 2051 with S-ETTH. The distribution of very frequent headaches (10-14 d/mo) was assessed by BMI. Among individuals with migraine, very frequent headaches (10-14 d/mo) occurred in 7.4% of the overweight (P = .10), 8.2% of the obese (P < .001), and 10.4% of the morbidly obese (P < .0001) subjects, compared with 6.5% of those with normal weight, in adjusted analyses. Among individuals with PM and S-ETTH, the differences were not significant (P = .20). The disability of migraineurs, but not of those with PM or S-ETTH, also varied as a function of BMI. Among migraineurs, 32.0% of those with normal weight had some disability compared with 37.2% of the overweight (P < .01), 38.4% of the obese (P < .001), and 40.9% of the morbidly obese (P < .001) subjects. CONCLUSION: These findings support the concept that obesity is an exacerbating factor for migraine but not for other types of episodic headaches. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/17923596/full_citation L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/10.1001/archinte.167.18.1964 DB - PRIME DP - Unbound Medicine ER -