Impact of Puberty in Girls on Prevalence of Primary Headache Disorder Among Female Schoolchildren in Kuwait

AlAshqar, Abdelrahman; Shuaibi, Sameera; Ahmed, Samar Farouk; AlThufairi, Hawraa; Owayed, Shaikhah; AlHamdan, Fajer; Alroughani, Raed; Al-Hashel, Jasem Yousef

doi:10.3389/fneur.2020.00594

Cited by 14 publications

(17 citation statements)

References 32 publications

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“…Headaches were reported more frequently among middle schoolers compared to primary schoolers in our study (p = 0.001), a finding that applied to both genders (32) and was also observed in our previous epidemiological study (15). In further support of our findings, epidemiologic cross-sectional (27,32,33) and longitudinal (34) studies show that the prevalence of headaches increases with age.…”

Section: Discussionsupporting

confidence: 91%

“…This was reiterated by Zwart et al (26), Mehta (24), and our community-based epidemiological study (15), where we found a significantly higher prevalence of headaches among girls. More prevalence of primary headache in girls among middle schoolers could be explained by puberty and female sex hormones (27).…”

Section: Discussionmentioning

confidence: 95%

“…Gratitude to Ministry of Education in Kuwait for their support to the study. This manuscript has been released as a preprint at Research Square ( 39 ).…”

mentioning

confidence: 99%

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Primary Headache Disorder Among School Students in Kuwait

et al. 2021

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Background: Primary headaches are remarkably prevalent worldwide and are increasingly reported among children. However, the exact trend in this age group, particularly in the Gulf region, remains largely unknown.Aims and Objectives: To examine the prevalence of primary headache disorders among primary and middle school students in Kuwait.Methods: We conducted a cross-sectional study that included Kuwaiti primary and middle school children and adolescents of both genders in randomly selected schools located in two governorates in Kuwait in the 2018/2019 academic year. Prevalence and attributable burden of headaches, definite and probable migraines, definite and probable tension-type headaches, chronic headaches (≥15 days/month), and probable medication-overuse headaches were assessed using the Headache-Attributed Restriction, Disability, Social Handicap, and Impaired Participation (HARDSHIP) questionnaire for children and adolescents.Results: Of 1,485 questionnaires that were distributed, 1,089 students completed the questionnaire with a respondent rate of 73.4%. The study population consisted of 420 boys (38.56%) and 669 girls (61.43%) students with a mean age of 11.5 ± 2.11 years. The 1-year prevalence of primary headache disorders was 42.78%, with more middle schoolers reporting headaches than primary schoolers (50.37 vs. 30.48%; p < 0.02). The mean age of students with primary headaches was 11.98 ± 2.03 years in both genders. When stratified according to diagnostic criteria, migraine headaches were the most frequently reported (20.75%), followed by tension type headaches (18.8%), chronic headaches (2.75%), and probable medication-overuse headaches (0.46%). Primary headaches were significantly higher in girls compared to boys among middle schoolers (66.46 vs. 38.49%; p < 0.001); however, no significant difference between genders was noted among primary school students (33.12 vs. 22.33%; p < 0.118).Conclusion: Primary headaches are remarkably common in Kuwaiti school students, with migraine headaches being the most frequently reported type. Age and female gender may play a role in the development of primary headaches. These findings necessitate the direction of health services and research efforts toward this age group and warrant the need for further epidemiological studies.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 95%

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Primary Headache Disorder Among School Students in Kuwait

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“…Further, uncorrected vision problems in combination with increased academic demands, may explain the increased prevalence of laboured reading and upper body musculoskeletal pain in the children who did not wear their recommended glasses/contact lenses (12 girls (11 in 10 th grade), 5 boys (4 in 10 th grade)) [ 77 ]. Increased frequency of pain symptoms in girls compared with boys, has previously been linked to differences in physiology and hormone profiles, and psychosocial factors [ 35 , 81 – 83 ].…”

Section: Discussionmentioning

confidence: 99%

Laboured reading and musculoskeletal pain in school children - the role of lifestyle behaviour and eye wear: a cross-sectional study

Thorud

Mork²,

Bjørset³

et al. 2022

BMC Pediatr

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Background Lifestyle behaviour in children and adolescents has become increasingly sedentary and occupied with digital work. Concurrently, there has been an increase in the prevalence of headache, neck- and low back pain, which are leading causes of disability globally. Extensive near work and use of digital devices are demanding for both the visual system and the upper body head-stabilizing musculature. Uncorrected vision problems are present in up to 40% of Nordic school children, and a lack of corrective eye wear may cause eyestrain, musculoskeletal pain and headache. The aim of this study was to investigate associations between laboured reading, musculoskeletal pain, uncorrected vision, and lifestyle behaviours in children and adolescents. Methods This was a cross-sectional study with a total of 192 Norwegian school children aged 10–11 and 15–16 years. As a part of a school vision testing program, the children completed an online questionnaire about general and ocular health, socioeconomic status, academic ambition, near work and related symptoms, upper body musculoskeletal pain, and physical and outdoor activities. Results The 15–16-year-olds had a more indoor, sedentary, digital-based lifestyle with higher academic demands, compared with the 10–11-year-olds. Concurrently, reading became more laboured and upper body musculoskeletal pain increased with age. Girls reported more symptoms, higher academic ambitions, and more time spent on schoolwork and reading, compared with boys. Non-compliance in wearing prescribed eye wear (glasses or contact lenses), increased use of near digital devices, and experiencing visual stress (glare) were positively associated with laboured reading and upper body musculoskeletal pain. Conclusions A screen-based lifestyle with high academic demands challenges the ability to sustain long hours of static, intensive near work. Extensive near work tires the visual system and upper body musculature and provokes laboured reading and musculoskeletal pain symptoms. This study emphasizes the importance of regular eye examinations in school children, and the need to raise awareness among children, parents, and school- and health personnel about the importance of optimal vision and visual environment for academic performance and health.

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“…Spreading cortical depression, which was previously pondered exclusively take place in migraines with aura, now appears to be present in all migraines (8). Central pain pathways are triggered by persistent nociceptive activation of the pericranial my fascia, which can be the cause of chronic tension-type headache conversion (9).…”

Section: Primary Headache's Neurochemistrymentioning

confidence: 98%

Review on primary headache among college students

Yakubu

Sharma

Zafar

2022

ijhs

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Introduction: The most common sort of headache problem on the planet is primary headache disorders yet underappreciated, misunderstood, and inadequately treated, and they seem to be the third leading cause of disability in the world, because of the unpredictability of headache attacks and the existence of associated symptoms including dizziness, vomiting, nausea, and visual and/or hearing problems, persistent primary headaches can even have a massive effect on peoples’ health. Migraine, the most common cause of headache in the world, is characterized by headache bouts that last anywhere from 4 to 72 hours if left untreated. Students are more likely to experience exhaustion, stress, and worry, being the most prevalent triggers of TTH as well as migraine. Cluster Headache is amongst the most debilitating headache conditions, with a significant level of severity. CH has a lesser incidence than migraines. It hits about one out of every thousand people. Methodology: Database searches including PubMed Central, Google Scholar and Cochrane library were performed. Studies that investigated Impact of primary headache, prevalence of primary headache among students, health related quality of life in students with primary headache disorders were included and reviewed. Articles that evaluate any form of secondary headache were excluded.

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Impact of Puberty in Girls on Prevalence of Primary Headache Disorder Among Female Schoolchildren in Kuwait

Cited by 14 publications

References 32 publications

Primary Headache Disorder Among School Students in Kuwait

Primary Headache Disorder Among School Students in Kuwait

Laboured reading and musculoskeletal pain in school children - the role of lifestyle behaviour and eye wear: a cross-sectional study

Review on primary headache among college students

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