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Impact of a weight loss program on migraine in obese adolescents.

Abstract

BACKGROUND AND PURPOSE

Increased headache frequency and severity have been observed in obese populations, but the real impact of a weight loss treatment on headache has not been studied. We investigated this issue in a sample of obese adolescents.

METHODS

In all, 135 migraineurs, aged 14-18 years, with body mass index (BMI) ≥ 97 th percentile, participating in a 12-month-long program, were studied before and after treatment. The program included dietary education, specific physical training, and behavioral treatment.

RESULTS

Decreases in weight (P < 0.01), BMI (P < 0.01), waist circumference (P < 0.01), headache frequency (P < 0.01) and intensity (P < 0.01), use of acute medications (P < 0.05), and disability (P < 0.05) were observed at the end of the first 6-month period and were maintained through the second 6 months. Both lower baseline BMI and excess change in BMI were significantly associated with better migraine outcomes 12 months after the intervention program.

CONCLUSIONS

Significant improvements in both adiposity and headache data were observed in obese adolescents with migraine who participated in a 12-month-long interdisciplinary intervention program for weight loss. Initial body weight and amount of weight loss may be useful for clinicians to predict migraine outcomes.

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  • Authors+Show Affiliations

    ,

    Department of Pediatrics, University of Chieti, Chieti, Italy.

    , , , , , , , , ,

    Source

    European journal of neurology 20:2 2013 Feb pg 394-7

    MeSH

    Adolescent
    Behavior Therapy
    Body Mass Index
    Body Weight
    Exercise
    Female
    Humans
    Male
    Migraine Disorders
    Obesity
    Patient Education as Topic
    Treatment Outcome
    Waist Circumference
    Weight Reduction Programs

    Pub Type(s)

    Clinical Trial
    Journal Article

    Language

    eng

    PubMed ID

    22642299

    Citation

    Verrotti, A, et al. "Impact of a Weight Loss Program On Migraine in Obese Adolescents." European Journal of Neurology, vol. 20, no. 2, 2013, pp. 394-7.
    Verrotti A, Agostinelli S, D'Egidio C, et al. Impact of a weight loss program on migraine in obese adolescents. Eur J Neurol. 2013;20(2):394-7.
    Verrotti, A., Agostinelli, S., D'Egidio, C., Di Fonzo, A., Carotenuto, M., Parisi, P., ... Battistella, P. A. (2013). Impact of a weight loss program on migraine in obese adolescents. European Journal of Neurology, 20(2), pp. 394-7. doi:10.1111/j.1468-1331.2012.03771.x.
    Verrotti A, et al. Impact of a Weight Loss Program On Migraine in Obese Adolescents. Eur J Neurol. 2013;20(2):394-7. PubMed PMID: 22642299.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Impact of a weight loss program on migraine in obese adolescents. AU - Verrotti,A, AU - Agostinelli,S, AU - D'Egidio,C, AU - Di Fonzo,A, AU - Carotenuto,M, AU - Parisi,P, AU - Esposito,M, AU - Tozzi,E, AU - Belcastro,V, AU - Mohn,A, AU - Battistella,P A, Y1 - 2012/05/29/ PY - 2012/01/14/received PY - 2012/04/24/accepted PY - 2012/5/31/entrez PY - 2012/5/31/pubmed PY - 2013/7/19/medline SP - 394 EP - 7 JF - European journal of neurology JO - Eur. J. Neurol. VL - 20 IS - 2 N2 - BACKGROUND AND PURPOSE: Increased headache frequency and severity have been observed in obese populations, but the real impact of a weight loss treatment on headache has not been studied. We investigated this issue in a sample of obese adolescents. METHODS: In all, 135 migraineurs, aged 14-18 years, with body mass index (BMI) ≥ 97 th percentile, participating in a 12-month-long program, were studied before and after treatment. The program included dietary education, specific physical training, and behavioral treatment. RESULTS: Decreases in weight (P < 0.01), BMI (P < 0.01), waist circumference (P < 0.01), headache frequency (P < 0.01) and intensity (P < 0.01), use of acute medications (P < 0.05), and disability (P < 0.05) were observed at the end of the first 6-month period and were maintained through the second 6 months. Both lower baseline BMI and excess change in BMI were significantly associated with better migraine outcomes 12 months after the intervention program. CONCLUSIONS: Significant improvements in both adiposity and headache data were observed in obese adolescents with migraine who participated in a 12-month-long interdisciplinary intervention program for weight loss. Initial body weight and amount of weight loss may be useful for clinicians to predict migraine outcomes. SN - 1468-1331 UR - https://www.unboundmedicine.com/medline/citation/22642299/full_citation L2 - https://doi.org/10.1111/j.1468-1331.2012.03771.x DB - PRIME DP - Unbound Medicine ER -