Association between Body Mass Index and Migraine: A Survey of Adult Population in China

Huang, Qinwen; Liang, Xiping; Wang, Shiqiang; Mu, Xiaosong

doi:10.1155/2018/6585734

Cited by 17 publications

(21 citation statements)

References 20 publications

(28 reference statements)

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“…According to National Population Health Survey 2016/17 in Singapore, overall trends for obesity and overweight have increased from 34.3 (2013) to 36.2% (2017); similarly, binge drinking continued to increase over the years from 7.7 (2013) to 9.0% (2017) [35]. These associations among lifestyle factors and migraine have been reported in other studies [36,37]. The above-mentioned possible changes in [38,39].…”

Section: Discussionsupporting

confidence: 52%

Prevalence and comorbidity of migraine headache: results from the Singapore Mental Health Study 2016

Jeyagurunathan

Abdin

Vaingankar

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Background and aim Migraine is a highly prevalent and disabling neurological disorder associated with a wide range of psychiatric comorbidities. Studies have revealed that those with migraine headache and coexisting psychiatric disorders have poorer treatment outcomes and increased disability. The study aims to establish the prevalence, correlates, and comorbidities of migraine headache among the multi-ethnic Asian population in Singapore. Method Data were extracted from the Singapore Mental Health Study 2016 (SMHS 2016), a cross-sectional epidemiological survey of a nationally representative sample. Face-to-face interviews were completed with 6126 participants between 2016 and 2017. The data relating to chronic medical conditions, psychiatric conditions, and 30-day functioning and disability were captured using the World Mental Health Composite International Diagnostic Interview (CIDI) version 3.0. Results The lifetime prevalence for migraine headache in the Singapore general population was 8.2%. Malay ethnicity (versus Chinese), female gender (versus male), and diploma holders (versus university) were significantly more likely to experience migraine headache. Participants belonging to the older age group (65 years and above versus 18-34 years of age), and those who were economically inactive (versus employed) were less likely to experience migraine headache. The mean age of onset for migraine was 26.4 years (SD = 11.1). Poisson regression analyses showed that migraine headache was also significantly associated with psychiatric conditions such as major depressive disorder (MDD) (prevalence ratio (

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Section: Discussionsupporting

confidence: 52%

Prevalence and comorbidity of migraine headache: results from the Singapore Mental Health Study 2016

Jeyagurunathan

Abdin

Vaingankar

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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“…[34] A 2017 study in China showed that patients with episodic and chronic migraine were more likely to be overweight, obese, or morbidly obese, and body mass index (BMI) was significantly associated with migraine attacks, but not with the severity or duration of the attacks. [35]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of migraine in Han Chinese of Fujian province

Lin¹,

Xia

Zeng³

et al. 2018

Medicine

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Migraine is a relatively common disease that is associated with high disability and reduced quality-of-life. This study aimed to investigate the prevalence, epidemiological characteristics, and risk factors of migraine in Han Chinese from Fujian Province, China.A cross-sectional epidemiological survey study was conducted to evaluate characteristics of migraine in Han Chinese. Demographic and clinical data were collected through a survey administered in face-to-face interviews by trained investigators, and a physical exam and symptom review were performed. Univariate and multivariate regression analyses were performed to assess independent risk factors for migraine.A total of 7860 subjects aged 15 years and older were surveyed, of which 9.1% (n = 717) were diagnosed with migraine. Among these, a higher percentage was female (12.6%) than male (5.3%). Only 114 subjects (15.9%) were diagnosed as having migraine with aura, which was closely associated with family history of migraine. Multivariate regression analysis showed that the odds of migraine were significantly lower in subjects aged ≥50 years compared with those aged <30 years (odds ratio [OR] ranged from 0.40 to 0.64; P ≤.013) and was higher in females compared with males (OR = 2.89, P <.001). The odds of migraine was significantly greater in subjects with a history of alcohol consumption (OR = 1.81, P <.00) and insomnia (OR = 2.77, P <.001).Han Chinese in Fujian province has a relatively high prevalence of migraine, and female gender, <50 years of age, insomnia, and use of alcohol are associated with increased odds of having migraine in this population.

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“…7,8 Previous studies had revealed that obese migraine patients had frequent, severe attacks of migraine with raised associated symptoms such as advanced disability grades, aura and an increased frequency of sensitivity to light and sensitivity to sound. 9 The association among obesity and migraine is the attention of current clinical research. 9,10 Migraine has been classically divided into four phases: the premonitory, aura, headache, and postdrome phases.…”

Section: Introductionmentioning

confidence: 99%

Association of migraine severity and disability with body mass index.

Bai

Suthar

Goswami

et al. 2020

TPMJ

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Objectives: To explore the association of migraine severity and disability with body mass index. Study Design: Cross sectional study. Setting: Department of Medicine and Physiology of Indus Medical College, Tando Muhammad Khan. Period: August 2018 and March 2019. Material & Methods: It included all patients both female and male diagnosed with migraine of age group 18-55 years. Diagnosis of migraine was done according to the guidelines by international headache society. Approval was taken from the ethical review committee of the Institute. Severity of migraine was evaluated according to MIDAS questionnaire obesity was determined from Body mass index (BMI). Patients were divided into four groups according to various body mass index categories as per the revised guidelines into underweight: m2, Overweight: 23.0-24.9 kg/m2, Obesity: >25 kg/ m2. Clinical features of migraine were compared in these groups. The collected data was analyzed in SPSS version 18.00. Results: A total 189 (n=189) participants recruited in this study, meeting selection criteria were included. Out of 189, 73 presented with aura while 116 presented without aura. So the study population divided into two groups one wit aura (n=73) and other without aura (n=116). The overall mean age + SD (range) was 28.80+ 8.54(18 to 48 years). There was no significant difference of age (compare means) between male and female subjects (p value = 0.99). The study participants (n=189) divided into two types, first migraine with Aura n=73 (38.62%) and second Migraine without aura n=116 (61.36%). Mean±SD of MIDAS score, waist hip ratio, age of onset of headache (in years), frequency of headache per month and the duration of headache (in hours), of the study participants were 12.18+4.48, 0.87+.066, 18.89+2.97, 10.93+2.70 and 67.32+12.52 respectively. Mean±SD of MIDAS Score among the miranieuers without aura (n=116) was 12.18±4.48 but among the patients who presented with aura (n=73), it was 16.39±6.39. (P value<0.01) that presents statistically significant association of the type of migraine with MIDAS score. Out of 189 migraine patients (n=189), 30(15.87%) were with normal BMI, 11(5.82%) were underweight, 111(58.73%) were overweight and remaining 37(19.58%) were obese. Mean of the MIDAS score among normal BMI (n=30), underweight (n=11), overweight (n=111) and obese (n=37), when compared by applying ANOVA test; MIDAS score among these four groups were 11.43, 11.18, 10.81 and 17.18 respectively. (f value 27.3 and p value 0.001). That reveals the significant disability and disturbed quality of life among the migraineurs who are overweight and obese. Similarly, when mean ±SD of the duration of headache (in hours) compared among normal BMI (n=30), underweight (n=11), overweight (n=111) and obese (n=37), it was 66.06±10.70, 58.9091±15.62, 66.64±9.01 and 72.86±18.82 respectively. (p value 0.004 and f value 4.52) that is statistically significant. Duration of headache he was more among obese migraine patients. When Body mass index evaluated according to type of migraine, among the migraine patients without aura (n=116), 18 (60%) were of normal BMI, 8(72.7%) of underweight BMI, 89(80.2%) were overweight and 1 (2.7%) was obese. Instead, among the migraine patients with aura, 12(40.0%) were of normal BMI, 3(27.3%) of underweight, 22(19.8%) were overweight and 36(97.3%) were obese. P value <0.001 with Pearson chi aquare value 70.910a When MIDAS grade compared among the patients with aura (n=116) and without aura (n=37) there was significant difference of MIDAS grade between these two groups. (p value 0.005) Waist hip ratio was more among the patients of migraine with aura when compared with the patients without aura. (P value <0.01). Conclusion: This study demonstrates that there is strong positive association between the severity and disability due to migraine with increase in body nass index. Future research is required to fill the gap to explore the pathophysiologic mechanisms beside this association.

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Association between Body Mass Index and Migraine: A Survey of Adult Population in China

Cited by 17 publications

References 20 publications

Prevalence and comorbidity of migraine headache: results from the Singapore Mental Health Study 2016

Prevalence and comorbidity of migraine headache: results from the Singapore Mental Health Study 2016

Prevalence of migraine in Han Chinese of Fujian province

Association of migraine severity and disability with body mass index.

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