Effects of Different Exercise Intensities on Headache

Machado-Oliveira, Luciano; Gauto, Yumie Okuyama da Silva; Neto, Fernando José de Santana; Silva, Magno Gomes da; Germano-Soares, Antônio Henrique; Diniz, Paula Rejane Beserra

doi:10.1097/phm.0000000000001349

Cited by 27 publications

(22 citation statements)

References 36 publications

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“…In agreement with our findings, a review article revealed that aerobic exercise can alleviate the duration of migraine headaches and also somewhat decrease the incidence of these headaches [33]. In another similar study, a beneficial effect of exercise on primary headaches including migraine and tension-type headaches and also a decrease in the use of headache-related medications were reported [34]. In a study on 22,397 adults, a sedentary lifestyle was associated with an increased risk of non-migraine headaches [15].…”

Section: Discussionsupporting

confidence: 92%

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Mansouri¹,

Sharifi²,

Varmaghani³

et al. 2020

Preprint

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Background: Primary headaches have a high prevalence among university students. Lifestyle has an important role in the prevention and management of these headaches. Among lifestyle factors, data on the association between physical activity and primary headaches are scarce and conflicting.Aim: To examine the association between physical activity and primary headaches among a large population of university students.Methods: Totally, 83,463 university students from 28 provinces of Iran were included in the current cross-sectional study. Data on physical activity, dietary intakes, and demographic characteristics were collected using pre-tested questionnaires. Primary headaches were determined according to the International Classification of Headache Disorders-3 (ICHD-3) criteria.Results: Mean age of university students was 21.50 ± 4.01, and 54.7% were female. Primary headaches were prevalent among 9% of students. A significant inverse association was seen between physical activity and primary headaches in the whole population (OR: 0.66, 95% CI: 0.62-0.71). Such an inverse association was also observed after taking potential confounders into account; such that students who were physically active had 21% lower odds of primary headaches compared with those who were physically inactive (OR: 0.79, 95% CI: 0.72-0.87). Also, physical activity was associated with reduced odds of primary headaches in male and female students (Males; OR: 0.70, 95% CI: 0.60-0.82, females; OR: 0.84, 95% CI: 0.75-0.94) as well as those students with normal-weight (OR: 0.79, 95% CI: 0.71-0.87), overweight, or obesity (OR: 0.80, 95% CI: 0.66-0.96).Conclusion: Our findings support the protective association between physical activity and primary headaches.

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Section: Discussionsupporting

confidence: 92%

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Mansouri¹,

Sharifi²,

Varmaghani³

et al. 2020

Preprint

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“…Indeed, a growing body of experimental and treatment outcome research points to therapeutic exposure to triggers as a promising line of migraine intervention 31,32 . Although recent systematic reviews have supported the prophylactic value of exercise, 33,34 much work remains in determining the optimal parameters of such PA (eg, intensity, duration) 34 . Future studies should investigate further the fear‐avoidance properties of salient migraine stimuli (eg, light, sound, and PA) and their role in the progression of disability.…”

Section: Discussionmentioning

confidence: 99%

Objectively Measured Physical Activity in Migraine as a Function of Headache Activity

et al. 2020

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Objective.-This study sought to compare ambulatory physical activity (PA) between young adults with migraine, tensiontype headache (TTH), and non-headache controls and determine if differences in PA were attributable to headache activity or other relevant covariates. Background.-PA has been implicated in the development, manifestation, and treatment of various headache disorders. However, objective quantification of PA across headache types is lacking, and no study has quantified both prospective PA and the influence of headache occurrence on PA. Methods.-A prospective cohort study followed university participants with migraine, with TTH, or without headache for 7 days using an Omron HJ-112 pedometer and daily headache diaries. Daily free-living PA was compared between groups, and differences in PA as a function of headache day vs non-headache day were compared among those with migraine and TTH. Results.-The final sample consisted of 516 observations from 100 young adults (81/100 female, mean age = 19.0 ± 1.7) comprised of 28 individuals with migraine, 37 individuals with TTH, and 35 non-headache controls. On average, individuals with migraine engaged in less total PA than non-headache controls (6847 vs 8573 steps/day; mean difference = −1726 [95% CI: −3135 to −318], P = .017) across the 7-day monitoring period. After adjusting for relevant covariates (psychological symptoms, body mass index, weekend vs weekday), this difference was evident on both non-headache days (adjusted mean = 5987 vs 8610, P = .002) and headache days (adjusted mean = 6986 vs 9958, P = .017). In contrast, PA of individuals with TTH (mean = 7691 steps/day) did not significantly differ from those with migraine. PA within groups as a function of headache day (vs non-headache day) did not significantly differ for individuals with migraine (mean = 7357 vs 6191, P = .061) or individuals with TTH (mean = 7814 vs 7641, P = .736). Conclusions.-Consistent with other studies, individuals with migraine reported lower levels of PA compared to non-headache controls. Notably, relative reductions in PA occurred even on days in which headache was not experienced and were not attributable to the examined covariates, instead supporting a more global pattern of reduced PA. Further research is needed to isolate the mechanisms underlying interictal reductions in PA among those with migraine.

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“…Considering the minimal side effects of therapeutic exercise, patients with migraine should be encouraged to practice physical exercise; but with proper intensity, frequency, and duration, to achieve the most beneficial clinical outcomes. In fact, a recent meta-analysis concluded that data on the best type of exercise, intensity, and dosage for the management of headaches are still lacking [75]. Another topic for determining relevance is adherence and patient' satisfaction.…”

Section: Scientific Evidence Of Exercise Interventions For Headachesmentioning

confidence: 99%

Clinical Reasoning Behind Non-Pharmacological Interventions for the Management of Headaches: A Narrative Literature Review

Fernández‐de‐las‐Peñas

Plaza-Manzano

Arias-Buría

2020

IJERPH

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Headache is the clinical syndrome most commonly observed by neurologists in daily practice. Pharmacological and non-pharmacological treatments are commonly used for the management of headaches; however, the clinical reasoning behind these interventions is not properly applied. We conducted a narrative literature review using as data sources for academic PubMed, MEDLINE, EMBASE, AMED, CINAHL, EBSCO, PEDro, Cochrane Database of Systematic Reviews, Cochrane Collaboration Trials Register, and SCOPUS. This narrative literature review mainly considered systematic reviews, meta-analyses, randomised clinical trials, and expert opinions published after the year 2000 discussing clinical reasoning for application of non-pharmacological interventions in individuals with tension-type, migraine, and cervicogenic headaches. After the data extraction, we organized the literature thematically as follows: (1) mapping of theoretical aspects of non-pharmacological interventions; (2) summarizing most updated literature about effectiveness of non-pharmacological interventions grouped by targeted tissue and headache; (3) identifying research gaps in the existing literature and proposing hypotheses for better understanding of current clinical reasoning. We found that there are many non-pharmacological treatment strategies used for headaches, including beyond the tissue-based impairment treatments (bottom-up) and strategies targeting the central nervous system (top down). Bottom-up strategies include joint-biased, soft-tissue biased, or needling interventions, whereas top-down strategies include exercise and cognitive interventions. Evidence shows that the effectiveness of these interventions depends on the application of proper clinical reasoning, since not all strategies are effective for all headaches. For instance, evidence of non-pharmacological interventions is more controversial for migraines than for tension-type or cervicogenic headaches, since migraine pathogenesis involves activation of sub-cortical structures and the trigemino- vascular system, whereas pathogenesis of tension-type or cervicogenic headaches is most associated to musculoskeletal impairments of the cervical spine. We conclude that current literature suggests that not all non-pharmacological interventions are effective for all headaches, and that multimodal, not isolated, approaches seem to be more effective for patients with headaches. Most published studies have reported small clinical effects in the short term. This narrative literature review provides some hypotheses for discrepancies in the available literature and future research. Clinical reasoning should be applied to better understand the effects of non-pharmacological interventions.

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Effects of Different Exercise Intensities on Headache

Cited by 27 publications

References 36 publications

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Physical activity and the prevalence of primary headaches among a large population of university students: The MEPHASOUS study

Objectively Measured Physical Activity in Migraine as a Function of Headache Activity

Clinical Reasoning Behind Non-Pharmacological Interventions for the Management of Headaches: A Narrative Literature Review

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