Gender-specific results of the Dresden children and adolescents headache program DreKiP

Zaranek, Laura; Sobe, Hanna; Richter, Matthias; Hübler, Anke; Berner, Reinhard; von der Hagen, Maja; Koch, Thea; Sabatowski, Rainer; Klimova, Anna; Goßrau, Gudrun

doi:10.1007/s00482-023-00756-z

Cited by 2 publications

(2 citation statements)

References 59 publications

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“…Among 5,944 adolescents (50.7% boys and 49.3% girls), being female was associated with an increased risk of having a headache in Turkey ( 7 ). Girls also showed a significantly higher headache frequency than boys among adolescents in Germany ( 10 ), Indonesia ( 11 ), Lithuania (except tension headache) ( 16 ), and Brazil ( 15 ). On the other hand, no such association was observed with gender among Canadian adolescents ( 14 ), and only a weak association was reported between migraine, tension headache, and female gender among adolescents in Zambia ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

“…It has recently been shown that headache is the leading reported cause of school absenteeism among children and adolescents ( 7 ). Although the exact etiology of primary headache disorders among adolescents is not yet fully understood ( 8 ), several factors, such as age ( 7 , 9 ), sex ( 4 , 10 , 11 ), obesity, underweight ( 12 ), anxiety/depression ( 11 , 13 , 14 ), and sleep disorders ( 11 , 15 ) are associated with primary headache disorders among children and adolescents. Recent reports show varied primary headache disorders rates among adolescents in different countries ( 3 , 7 , 9 – 11 , 16 ).…”

Section: Introductionmentioning

confidence: 99%

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The prevalence and associated factors for primary headache disorders in adolescents in eastern Sudan: a community-based cross-sectional study

Omar,

Osman,

Al-Nafeesah

et al. 2024

Front. Neurol.

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BackgroundHeadache disorder is the second-highest cause of disability worldwide; however, data are scarce on headache among adolescents, especially in Africa. There has yet to be published data on headache among adolescents in Sudan, the third-largest country in Africa. This study aimed to assess the prevalence of primary headache disorders and associated factors among adolescents (10–19 years) in eastern Sudan.MethodsA community-based cross-sectional study was conducted in the city of Gadarif in eastern Sudan. Questionnaires were used to gather the adolescents’ sociodemographic characteristics. Headache diagnostic questions were based on the beta version of the International Classification of Headache Disorders-III (ICHD-3). Multivariate analysis was conducted to assess the associated factors for primary headache disorders, and the results were expressed as risk ratios (RRs) and 95.0% confidence interval (CI).ResultsOf the 401 enrolled adolescents, 186 (46.4%) and 215 (53.6%) were male and female, respectively. The median (IQR) age was 14.0 (12.1–16.2) years. Eighty-one (20.2%) of the 401 adolescents reported experiencing primary headache disorders, including migraine with aura in 16 (4.0%), migraine without aura in 33 (8.2%), tension-type in 14 (3.5%), and undifferentiated headache in 18 (4.5%) adolescents. The prevalence of primary headache disorders was significantly higher in females than in males [55/215 (67.9%) vs. 26/186 (32.1%), p = 0.004]. In the multivariate analysis, increased age (RR = 1.09, 95.0 CI = 1.02–1.16) and being female (RR = 1.75, 95.0 CI = 1.14–2.67) were associated with increased RR of primary headache disorders. Parents’ education level and occupation, smoking/snuff use, and body mass index were not associated with primary headache disorders.ConclusionOne-fifth of the adolescents in eastern Sudan reported experiencing primary headache disorders, which was more common in females and with increased age.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The prevalence and associated factors for primary headache disorders in adolescents in eastern Sudan: a community-based cross-sectional study

Omar,

Osman,

Al-Nafeesah

et al. 2024

Front. Neurol.

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Children and adolescents with primary headaches exhibit altered sensory profiles – a multi-modal investigation

Pieniak,

Höfer,

Knipping

et al. 2024

J Headache Pain

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Background Pediatric headache is an increasing medical problem that has adverse effects on children’s quality of life, academic performance, and social functioning. Children with primary headaches exhibit enhanced sensory sensitivity compared to their healthy peers. However, comprehensive investigations including multimodal sensory sensitivity assessment are lacking. This study aimed to compare sensory sensitivity of children with primary headaches with their healthy peers across multiple sensory domains. Methods The study included 172 participants aged 6 to 17 years (M = 13.09, SD = 3.02 years; 120 girls). Of these 80 participants were patients with migraine, 23 were patients with tension-type headache, and 69 were healthy controls. The following sensory measures were obtained: Mechanical Detection Threshold (MDT), Mechanical Pain Threshold (MPT), Mechanical Pain Sensitivity (MPS), detection and pain threshold for Transcutaneous Electrical Nerve Stimulation (TENS), olfactory and intranasal trigeminal detection threshold, and odor identification ability. Sensory sensitivity was compared between groups with a series of Kruskal-Wallis tests. Binomial regression models were used to compare the relative utility of sensory sensitivity measures in classifying participants into patients and healthy controls, as well as into patients with migraine and tension-type headache. Results Patients with migraine had lower MPT measured at the forearm than patients with tension-type headaches and healthy controls. MPS was higher in patients with migraine than in healthy controls. All patients with headaches had lower detection threshold of TENS and higher olfactory sensitivity. Healthy controls showed increased intranasal trigeminal sensitivity. Scores in MPS, TENS, and olfactory and trigeminal thresholds were significantly predicting presence of primary headaches. Additionally, scores in MPT, olfactory and trigeminal threshold were positive predictors of type of headache. Conclusions Children with primary headaches exhibit different sensory profiles than healthy controls. The obtained results suggest presence of increased overall, multimodal sensitivity in children with primary headaches, what may negatively impact daily functioning and contribute to further pain chronification. Trial registration The study was registered in the German Registry of Clinical Trials (DRKS) DRKS00021062.

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Gender-specific results of the Dresden children and adolescents headache program DreKiP

Cited by 2 publications

References 59 publications

The prevalence and associated factors for primary headache disorders in adolescents in eastern Sudan: a community-based cross-sectional study

The prevalence and associated factors for primary headache disorders in adolescents in eastern Sudan: a community-based cross-sectional study

Children and adolescents with primary headaches exhibit altered sensory profiles – a multi-modal investigation

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