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Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: a case series.

Abstract

BACKGROUND

The association between migraine and obesity gives the clinician with an exciting possibility to alleviate migraine suffering through weight-reduction gastric-restrictive operations. We hypothesized that bariatric weight-reduction intervention (gastric banding) will be associated with reduction of migraine burden in this population.

METHODS

A total of 105 women between 18 and 50 years of age, admitted for bariatric surgery between April 2006 and February 2007, were screened for migraine. Twenty-nine with diagnosis of migraine were enrolled into the prospective phase. We followed the migraine pattern of these patients for 6 months post bariatric surgery.

RESULTS

Baseline median migraine frequency was six headache days a month. Post bariatric surgery, the migraine-suffering women reported of a lower frequency of migraine attacks (p < 0.001), shorter duration of the attacks (p = 0.02), lower medication use during the attack (p = 0.005), less non-migraine pain (44.8 vs. 33%, p = 0.05), and post-bariatric surgery reduction in headache-related disability assessed by the MIDAS and HIT-6 scores. There was a reduction in migraine frequency among both episodic (from four to one episodes a month) and chronic (from 16.8 to 8.5 episodes per month) migraine patient cohorts separately and combined.

CONCLUSIONS

Among migraine-suffering premenopausal obese women, we found a reduced frequency of migraine attacks and improvement of headache-related disability post bariatric surgery. Our findings should be interpreted cautiously. The absence of a control group and the non-blinded nature of our small study make it difficult to draw firm conclusions about the causal nature of the headache changes observed in this population. Further study is needed to evaluate the possible specific effects of surgical weight loss on migraine in obese women.

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  • Authors+Show Affiliations

    ,

    Soroka University Medical Center, Israel.

    , , , , , ,

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    MeSH

    Adolescent
    Adult
    Bariatric Surgery
    Female
    Follow-Up Studies
    Humans
    Interviews as Topic
    Middle Aged
    Migraine Disorders
    Obesity, Morbid
    Premenopause
    Prospective Studies
    Quality of Life
    Recurrence
    Severity of Illness Index
    Surveys and Questionnaires
    Treatment Outcome
    Weight Loss
    Young Adult

    Pub Type(s)

    Clinical Trial
    Journal Article

    Language

    eng

    PubMed ID

    21700645

    Citation

    Novack, V, et al. "Changes in Headache Frequency in Premenopausal Obese Women With Migraine After Bariatric Surgery: a Case Series." Cephalalgia : an International Journal of Headache, vol. 31, no. 13, 2011, pp. 1336-42.
    Novack V, Fuchs L, Lantsberg L, et al. Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: a case series. Cephalalgia. 2011;31(13):1336-42.
    Novack, V., Fuchs, L., Lantsberg, L., Kama, S., Lahoud, U., Horev, A., ... Ifergane, G. (2011). Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: a case series. Cephalalgia : an International Journal of Headache, 31(13), pp. 1336-42. doi:10.1177/0333102411413162.
    Novack V, et al. Changes in Headache Frequency in Premenopausal Obese Women With Migraine After Bariatric Surgery: a Case Series. Cephalalgia. 2011;31(13):1336-42. PubMed PMID: 21700645.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: a case series. AU - Novack,V, AU - Fuchs,L, AU - Lantsberg,L, AU - Kama,S, AU - Lahoud,U, AU - Horev,A, AU - Loewenthal,N, AU - Ifergane,G, Y1 - 2011/06/23/ PY - 2011/6/25/entrez PY - 2011/6/28/pubmed PY - 2012/2/2/medline SP - 1336 EP - 42 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 31 IS - 13 N2 - BACKGROUND: The association between migraine and obesity gives the clinician with an exciting possibility to alleviate migraine suffering through weight-reduction gastric-restrictive operations. We hypothesized that bariatric weight-reduction intervention (gastric banding) will be associated with reduction of migraine burden in this population. METHODS: A total of 105 women between 18 and 50 years of age, admitted for bariatric surgery between April 2006 and February 2007, were screened for migraine. Twenty-nine with diagnosis of migraine were enrolled into the prospective phase. We followed the migraine pattern of these patients for 6 months post bariatric surgery. RESULTS: Baseline median migraine frequency was six headache days a month. Post bariatric surgery, the migraine-suffering women reported of a lower frequency of migraine attacks (p < 0.001), shorter duration of the attacks (p = 0.02), lower medication use during the attack (p = 0.005), less non-migraine pain (44.8 vs. 33%, p = 0.05), and post-bariatric surgery reduction in headache-related disability assessed by the MIDAS and HIT-6 scores. There was a reduction in migraine frequency among both episodic (from four to one episodes a month) and chronic (from 16.8 to 8.5 episodes per month) migraine patient cohorts separately and combined. CONCLUSIONS: Among migraine-suffering premenopausal obese women, we found a reduced frequency of migraine attacks and improvement of headache-related disability post bariatric surgery. Our findings should be interpreted cautiously. The absence of a control group and the non-blinded nature of our small study make it difficult to draw firm conclusions about the causal nature of the headache changes observed in this population. Further study is needed to evaluate the possible specific effects of surgical weight loss on migraine in obese women. SN - 1468-2982 UR - https://www.unboundmedicine.com/medline/citation/21700645/full_citation L2 - http://journals.sagepub.com/doi/full/10.1177/0333102411413162?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -