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Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys.
J Headache Pain. 2020 Mar 11; 21(1):24.JH

Abstract

AIMS

The primary aim of this study was to investigate time trends of major headache diagnoses using cross-sectional data from two population-based health surveys. In addition, we aimed to perform a longitudinal assessment of baseline characteristics and subsequent risk for having headache at 22-years' follow-up among those participating in three health surveys.

METHODS

Data from the Nord-Trøndelag Health Study (HUNT) performed in 1995-1997 (HUNT2), 2006-2008 (HUNT3) and 2017-2019 (HUNT4) were used. The 1-year prevalence time trends of major headache diagnoses were estimated among 41,460 participants in HUNT4 and among 39,697 participants in HUNT3, two surveys with identical headache questions. 16,118 persons participated in all three surveys, and among these, a Poisson regression was used to evaluate health-related baseline information in HUNT2 and the risk ratios (RRs) with 95% confidence interval (CIs) of consistently reporting headache during follow-up.

RESULTS

Compared with the 1-year prevalence in HUNT3, a higher proportion of participants in HUNT4 had tension-type headache (20.7% vs. 15.9%, p < 0.001), whereas a lower 1-year prevalence was found for migraine (11.1% vs. 12.0%, p < 0.001) and medication overuse headache (MOH) (0.3% vs. 1.0%, p < 0.001). Participants in the age group 20-39 years at baseline nearly three times increased risk (RR = 2.8, 95% CI 2.5-3.1) of reporting headache in HUNT2, HUNT3 and HUNT4 than persons aged 50 years or more. Female sex, occurrence of chronic musculoskeletal complaints and high score of depression or anxiety at baseline doubled the risk of having headache in all three surveys.

CONCLUSIONS

The 1-year prevalence of migraine and MOH was lower in HUNT4 than in HUNT3. Young age, female sex, and occurrence of musculoskeletal complaints and high score of anxiety and/or depression were all associated with substantially increased risk of reporting headache in all three surveys.

Authors+Show Affiliations

Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway. knut.hagen@ntnu.no. Clinical Research Unit Central Norway, St. Olavs Hospital, Trondheim, Norway. knut.hagen@ntnu.no. Norwegian Advisory Unit on Headaches, St. Olavs University Hospital, 7489, Trondheim, Norway. knut.hagen@ntnu.no.Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway. Norwegian Advisory Unit on Headaches, St. Olavs University Hospital, 7489, Trondheim, Norway.Department of Research and Innovation, Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway. Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32160857

Citation

Hagen, Knut, et al. "Time Trends of Major Headache Diagnoses and Predictive Factors. Data From Three Nord-Trøndelag Health Surveys." The Journal of Headache and Pain, vol. 21, no. 1, 2020, p. 24.
Hagen K, Stovner LJ, Zwart JA. Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys. J Headache Pain. 2020;21(1):24.
Hagen, K., Stovner, L. J., & Zwart, J. A. (2020). Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys. The Journal of Headache and Pain, 21(1), 24. https://doi.org/10.1186/s10194-020-01095-5
Hagen K, Stovner LJ, Zwart JA. Time Trends of Major Headache Diagnoses and Predictive Factors. Data From Three Nord-Trøndelag Health Surveys. J Headache Pain. 2020 Mar 11;21(1):24. PubMed PMID: 32160857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys. AU - Hagen,Knut, AU - Stovner,Lars Jacob, AU - Zwart,John-Anker, Y1 - 2020/03/11/ PY - 2020/02/05/received PY - 2020/03/06/accepted PY - 2020/3/13/entrez PY - 2020/3/13/pubmed PY - 2020/8/5/medline KW - Epidemiology KW - Follow-up KW - General population KW - Migraine KW - Tension-type headache SP - 24 EP - 24 JF - The journal of headache and pain JO - J Headache Pain VL - 21 IS - 1 N2 - AIMS: The primary aim of this study was to investigate time trends of major headache diagnoses using cross-sectional data from two population-based health surveys. In addition, we aimed to perform a longitudinal assessment of baseline characteristics and subsequent risk for having headache at 22-years' follow-up among those participating in three health surveys. METHODS: Data from the Nord-Trøndelag Health Study (HUNT) performed in 1995-1997 (HUNT2), 2006-2008 (HUNT3) and 2017-2019 (HUNT4) were used. The 1-year prevalence time trends of major headache diagnoses were estimated among 41,460 participants in HUNT4 and among 39,697 participants in HUNT3, two surveys with identical headache questions. 16,118 persons participated in all three surveys, and among these, a Poisson regression was used to evaluate health-related baseline information in HUNT2 and the risk ratios (RRs) with 95% confidence interval (CIs) of consistently reporting headache during follow-up. RESULTS: Compared with the 1-year prevalence in HUNT3, a higher proportion of participants in HUNT4 had tension-type headache (20.7% vs. 15.9%, p < 0.001), whereas a lower 1-year prevalence was found for migraine (11.1% vs. 12.0%, p < 0.001) and medication overuse headache (MOH) (0.3% vs. 1.0%, p < 0.001). Participants in the age group 20-39 years at baseline nearly three times increased risk (RR = 2.8, 95% CI 2.5-3.1) of reporting headache in HUNT2, HUNT3 and HUNT4 than persons aged 50 years or more. Female sex, occurrence of chronic musculoskeletal complaints and high score of depression or anxiety at baseline doubled the risk of having headache in all three surveys. CONCLUSIONS: The 1-year prevalence of migraine and MOH was lower in HUNT4 than in HUNT3. Young age, female sex, and occurrence of musculoskeletal complaints and high score of anxiety and/or depression were all associated with substantially increased risk of reporting headache in all three surveys. SN - 1129-2377 UR - https://www.unboundmedicine.com/medline/citation/32160857/Time_trends_of_major_headache_diagnoses_and_predictive_factors__Data_from_three_Nord_Trøndelag_health_surveys_ L2 - https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-020-01095-5 DB - PRIME DP - Unbound Medicine ER -