Physical practice is associated with less functional disability in medical students with migraine

Domingues, Renan Barros; Teixeira, Antônio Lúcio; Domingues, Simone A.

doi:10.1590/s0004-282x2011000100009

Cited by 29 publications

(17 citation statements)

References 24 publications

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“…Various large population-based studies have concluded that low physical activity levels are associated with higher prevalence and frequency of migraine and other headaches [ 13 – 15 ]. Vice versa, higher physical activity levels are associated with reductions in migraine headache frequency and and with less migraine-related disability [ 16 – 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Some of the studies report a significant reduction in pain intensity as well as beneficial effects on frequency and duration of migraine attacks, without reporting worsening of migraine [ 16 , 17 , 36 – 40 ]. In a cross-sectional, community-based study of 480 medical students, Domingues et al [ 19 ] revealed a significantly lower migraine associated disability, assessed by the MIDAS scores ( p = 0.03) between those who practiced regularly exercise (MIDAS: 15.49 ± 1.78) to those who did no exercise (MIDAS: 8.81 ± 1.40). Physical exercise included both aerobic and strength training.…”

Section: Methodsmentioning

confidence: 99%

“…Physical exercise included both aerobic and strength training. However, no difference in migraine prevalence between the two groups was found [ 19 ]. A German single-arm longitudinal study investigated the effect of a 10-week aerobic endurance programme on headache and cognitive function [ 39 ].…”

Section: Methodsmentioning

confidence: 99%

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The association between migraine and physical exercise

et al. 2018

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BackgroundThere is an unmet need of pharmacological and non-pharmacological treatment options for migraine patients. Exercise can be used in the treatment of several pain conditions, including. However, what exact role exercise plays in migraine prevention is unclear. Here, we review the associations between physical exercise and migraine from an epidemiological, therapeutical and pathophysiological perspective.MethodsThe review was based on a primary literature search on the PubMed using the search terms “migraine and exercise”.ResultsLow levels of physical exercise and high frequency of migraine has been reported in several large population-based studies. In experimental studies exercise has been reported as a trigger factor for migraine as well as migraine prophylaxis. Possible mechanisms for how exercise may trigger migraine attacks, include acute release of neuropeptides such as calcitonin gene-related peptide or alternation of hypocretin or lactate metabolism. Mechanisms for migraine prevention by exercise may include increased beta-endorphin, endocannabinoid and brain-derived neurotrophic factor levers in plasma after exercise.ConclusionIn conclusion, it seems that although exercise can trigger migraine attacks, regular exercise may have prophylactic effect on migraine frequency. This is most likely due to an altered migraine triggering threshold in persons who exercise regularly. However, the frequency and intensity of exercise that is required is still an open question, which should be addressed in future studies to delineate an evidence-based exercise program to prevent migraine in sufferers.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The association between migraine and physical exercise

et al. 2018

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“…Conversely, intervention and observational research has shown that higher PA levels are associated with reductions in migraine headache frequency and with less migraine-related disability (18–21). Additionally, PA is associated with reversion of chronic migraine into episodic migraine (22).…”

Section: Introductionmentioning

confidence: 99%

Objectively measured physical activity in obese women with and without migraine

et al. 2014

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Aim The aim of this article is to cross-sectionally compare objectively measured physical activity (PA) levels and their association with migraine characteristics in obese women with and without migraine. Methods Obese women seeking weight loss treatment were divided into migraine (n = 25) and control (n = 25) groups matched by age and body mass index (BMI). Participants wore the SenseWear Armband monitor for seven days to objectively evaluate daily light-(LPA) and moderate-to-vigorous intensity PA (MVPA). Migraine diagnosis was confirmed by a neurologist using ICHD-3-beta criteria. Migraine characteristics were tracked daily using a smartphone-based diary over a four-week period immediately preceding the objective PA assessment. Results Migraine participants spent 57.9 fewer minutes/day in LPA (141.1 ± 56.4 vs. 199.1 ± 87.7, p = 0.019) and 24.5 fewer minutes/day in MVPA (27.8 ± 17.0 vs. 52.3 ± 26.0, p <0.001), compared to controls. Migraine participants reported 4.8 ± 3.1 migraine days/month (mean duration = 17.1 ± 8.9 hours; mean maximum pain severity = 6.4 ± 1.7 on a 0–10 scale). Higher BMI (p <0.05), but not migraine characteristics, were related to lower total PA. Additionally, total objectively measured PA was not associated with how often PA was reported to exacerbate migraine attacks during the four-week diary assessment. Conclusions Obese women with migraine spent nearly 1.5 hours/day less in PA compared to controls; however, lower PA was not related to migraine characteristics. Further research is needed to identify PA barriers and effective interventions in obese women with migraine.

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“…Exercise has received a reasonable amount of consideration as another potential treatment option, as researchers have identified an association between low levels of physical activity and increased prevalence of migraine and non‐migrainous headaches . Engagement in regular physical activity has been associated with decreased functional disability related to migraines and the transition of transformed (chronic) migraines to episodic migraines within 1 year . In 2008, Busch and Gaul summarized the status of research on the role of exercise on migraine outcomes, and concluded that exercise generally was associated with decreases in pain intensity, but not with changes in headache frequency or duration.…”

mentioning

confidence: 99%

A Systematic Review of Behavioral Headache Interventions With an Aerobic Exercise Component

2013

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Incorporating exercise into behavioral headache treatments appears to be promising, but as studies to date have not evaluated the individual contribution of exercise, its role in managing headache symptoms is unclear. Further work is needed to evaluate the unique role of exercise in such treatment programs. Recommendations for future research include adhering to published guidelines for clinical trial design and reporting, adhering to existing guidelines for headache research (such as reporting outcome data for multiple headache variables), developing exercise prescriptions based on public health recommendations, and reporting all aspects of exercise prescriptions.

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Physical practice is associated with less functional disability in medical students with migraine

Cited by 29 publications

References 24 publications

The association between migraine and physical exercise

The association between migraine and physical exercise

Objectively measured physical activity in obese women with and without migraine

A Systematic Review of Behavioral Headache Interventions With an Aerobic Exercise Component

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