Tags

Type your tag names separated by a space and hit enter

Incidence and risk factors of chronic daily headache in young adolescents: a school cohort study.
Pediatrics 2013; 132(1):e9-e16Ped

Abstract

OBJECTIVES

This study investigated the incidence and risk factors of chronic daily headache (CDH) and its major subtypes in young adolescents.

METHODS

A field cohort of 3342 adolescents aged 13 to 14 was established in 3 middle schools in Taitung, Taiwan, from 2005 to 2007. Participants without CDH at baseline were annually followed up for 1 to 2 years using the same questionnaires, including the Adolescent Depression Inventory and Pediatric Migraine Disability Assessment. The neurologists made the headache diagnoses based on clinical interviews and headache diaries. The person-time incidence rates and risk factors of incident CDH and its subtypes (ie, chronic migraine [CM] and chronic tension-type headache [CTTH]) were calculated by using Cox proportional hazards models.

RESULTS

The cohort completed 5586 person-years (PYs) of follow-up. Sixty-three subjects (21 boys/42 girls) developed incident CDH with an incidence rate of 1.13 per 100 PYs, including 37 with CM (0.66 per 100 PYs) and 22 with CTTH (0.39 per 100 PYs). Thirty-three subjects (52%) had a baseline diagnosis of migraine. The independent risk factors for incident CDH included female gender, acute family financial distress, obesity, higher headache frequency, and a baseline diagnosis of migraine. A higher headache frequency was the only identical risk factor for CDH, CM, and CTTH. A baseline diagnosis of migraine and obesity were significant predictors for both CM and CDH. Female gender was a significant predictor for both CTTH and CDH.

CONCLUSIONS

Incident CDH was common in young adolescents. Some risk factors for incident CM and CTTH were different.

Authors+Show Affiliations

Department of Neurology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23776112

Citation

Lu, Shiang-Ru, et al. "Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: a School Cohort Study." Pediatrics, vol. 132, no. 1, 2013, pp. e9-e16.
Lu SR, Fuh JL, Wang SJ, et al. Incidence and risk factors of chronic daily headache in young adolescents: a school cohort study. Pediatrics. 2013;132(1):e9-e16.
Lu, S. R., Fuh, J. L., Wang, S. J., Juang, K. D., Chen, S. P., Liao, Y. C., & Wang, Y. F. (2013). Incidence and risk factors of chronic daily headache in young adolescents: a school cohort study. Pediatrics, 132(1), pp. e9-e16. doi:10.1542/peds.2012-1909.
Lu SR, et al. Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: a School Cohort Study. Pediatrics. 2013;132(1):e9-e16. PubMed PMID: 23776112.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence and risk factors of chronic daily headache in young adolescents: a school cohort study. AU - Lu,Shiang-Ru, AU - Fuh,Jong-Ling, AU - Wang,Shuu-Jiun, AU - Juang,Kai-Dih, AU - Chen,Shih-Pin, AU - Liao,Yi-Chu, AU - Wang,Yen-Feng, Y1 - 2013/06/17/ PY - 2013/6/19/entrez PY - 2013/6/19/pubmed PY - 2013/9/4/medline KW - adolescence KW - incidence KW - migraine headache KW - risk factors KW - tension-type headache SP - e9 EP - e16 JF - Pediatrics JO - Pediatrics VL - 132 IS - 1 N2 - OBJECTIVES: This study investigated the incidence and risk factors of chronic daily headache (CDH) and its major subtypes in young adolescents. METHODS: A field cohort of 3342 adolescents aged 13 to 14 was established in 3 middle schools in Taitung, Taiwan, from 2005 to 2007. Participants without CDH at baseline were annually followed up for 1 to 2 years using the same questionnaires, including the Adolescent Depression Inventory and Pediatric Migraine Disability Assessment. The neurologists made the headache diagnoses based on clinical interviews and headache diaries. The person-time incidence rates and risk factors of incident CDH and its subtypes (ie, chronic migraine [CM] and chronic tension-type headache [CTTH]) were calculated by using Cox proportional hazards models. RESULTS: The cohort completed 5586 person-years (PYs) of follow-up. Sixty-three subjects (21 boys/42 girls) developed incident CDH with an incidence rate of 1.13 per 100 PYs, including 37 with CM (0.66 per 100 PYs) and 22 with CTTH (0.39 per 100 PYs). Thirty-three subjects (52%) had a baseline diagnosis of migraine. The independent risk factors for incident CDH included female gender, acute family financial distress, obesity, higher headache frequency, and a baseline diagnosis of migraine. A higher headache frequency was the only identical risk factor for CDH, CM, and CTTH. A baseline diagnosis of migraine and obesity were significant predictors for both CM and CDH. Female gender was a significant predictor for both CTTH and CDH. CONCLUSIONS: Incident CDH was common in young adolescents. Some risk factors for incident CM and CTTH were different. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/23776112/Incidence_and_risk_factors_of_chronic_daily_headache_in_young_adolescents:_a_school_cohort_study_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=23776112 DB - PRIME DP - Unbound Medicine ER -