Primary headache disorders in adolescents in North- and South-Tyrol: Findings of the EVA-Tyrol-Study

Kaltseis, Katharina; Frank, Florian; Bernar, Benoît; Kiechl, S.; Winder, Bernhard; Kiechl‐Kohlendorfer, Ursula; Knoflach, Michael; Broessner, Gregor

doi:10.1177/03331024221088997

Cited by 9 publications

(23 citation statements)

References 35 publications

(61 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Data were extracted from 31 studies [ 15 , 16 , 18 , 20 – 22 , 24 – 27 , 29 , 30 , 32 – 34 , 37 , 39 – 43 , 45 , 46 , 48 – 50 , 53 , 54 , 56 , 59 , 60 ], including 13,105 children and adolescents with TTH diagnosis. The weighted-pooled prevalence was 17%; heterogeneity was considerable high ( I 2 = 100%; 95% CI: 12%-23%; Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Data were extracted from 19 studies [ 15 , 19 , 22 , 28 – 30 , 32 – 34 , 39 – 43 , 46 , 47 , 49 , 54 , 59 ], including 6,740 children and adolescents with unclassified headache, also called undiagnosed or unspecified headache. The weighted-pooled prevalence was 11%; heterogeneity was considerable high ( I 2 = 100%; 95% CI: 7%-18%; Fig.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Primary headache epidemiology in children and adolescents: a systematic review and meta-analysis

Onofri

Pensato²,

Rosignoli³

et al. 2023

J Headache Pain

View full text Add to dashboard Cite

Introduction Headache is the most prevalent neurological manifestation in adults and one of the leading causes of disability worldwide. In children and adolescents, headaches are arguably responsible for a remarkable impact on physical and psychological issues, yet high-quality evidence is scarce. Material and methods We searched cross-sectional and cohort studies in Embase, Medline, Web of Science, and Cochrane databases from January 1988 to June 2022 to identify the prevalence of headaches in 8–18 years old individuals. The risk of bias was examined with the Joanna Briggs Institute (JBI) scale. A random-effects model was used to estimate the pooled prevalence of pediatric headache. Subgroup analyses based on headache subtypes were also conducted. Results Out of 5,486 papers retrieved electronically, we identified 48 studies that fulfilled our inclusion criteria. The pooled prevalence of primary headaches was 11% for migraine overall [95%CI: 9–14%], 8% for migraine without aura (MwoA) [95%CI: 5–12%], 3% for migraine with aura (MwA) [95%CI:2–4%] and 17% for tension-type headache (TTH) [95% CI: 12–23%]. The pooled prevalence of overall primary headache in children and adolescents was 62% [95% CI: 53–70%], with prevalence in females and males of 38% [95% CI: 16–66%] and 27% [95% CI: 11–53%] respectively. After the removal of studies ranked as low-quality according to the JBI scale, prevalence rates were not substantially different. Epidemiological data on less common primary headaches, such as trigeminal autonomic cephalalgias, were lacking. Conclusion We found an overall remarkably high prevalence of primary headaches in children and adolescents, even if flawed by a high degree of heterogeneity. Further up-to-date studies are warranted to complete the picture of pediatric headache-related burden to enhance specific public interventions.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Primary headache epidemiology in children and adolescents: a systematic review and meta-analysis

Onofri

Pensato²,

Rosignoli³

et al. 2023

J Headache Pain

View full text Add to dashboard Cite

show abstract

“…Table 2 provides an overview of the first author, study design, sample, and major findings of the 48 included studies 8–55 . Of these, 46 (96%) were cross‐sectional surveys, one was prospective, and one a qualitative survey.…”

Section: Resultsmentioning

confidence: 99%

“…did not find any definitive association between the use of electronic media and different headache types (migraine, TTH, unclassified type). Kaltseis et al 33 . also attempted to evaluate screen time in relation to headache diagnosis as part of their analysis of headache prevalence and associated risk factors among adolescents in Austria and Italy.…”

Section: Resultsmentioning

confidence: 99%

Screen time and pediatric headache: A scoping review of the literature

Langdon,

DiSabella,

Strelzik

2024

Headache

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to summarize the evidence regarding screen use as a contributing factor in pediatric headache and migraine.BackgroundScreen exposure is often reported as a headache trigger, though there is no current consensus in terms of how screen type, duration, or frequency influences pediatric headache and the associated burden of disease.MethodsA systematic search in PubMed, Scopus, Cochrane Library, ProQuest Health and Medical Database, and Google Scholar was performed through November 2022 in accordance with Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. All English‐language articles of pediatric patients aged ≤18 years evaluating screen use in relation to headache were included.ResultsA total of 48 studies were included. Nearly all studies were cross‐sectional and represented international samples. The strongest association between screen use and headache found was for duration of use, and computer use emerged as the most common device type related to headache. While there were mixed findings related to screen use and specific headache diagnosis, migraine appeared to confer a higher risk. Across studies, there were insufficient data to assess the impact of screen use on headache frequency or headache‐related disability. Several studies demonstrated changes in screen use and headache patterns related to the COVID‐19 pandemic and computer vision syndrome was commonly reported.ConclusionsWhile there is preliminary evidence supporting possible associations between screen use and pediatric headache, there are several limitations in the present review including a lack of prospective and randomized controlled trials to better demonstrate causal relationships as well as methodological limitations with significant variability in how both headache and screen use are defined and measured. Future studies including real‐time screen use and device monitoring are needed to better understand the influence of screen use behaviors on pediatric headache and to help further define best‐use guidelines around these technologies.

show abstract

“…In addition, positive effects of odor training on mood and concentration in adults have been shown ( 33 ). For children and adolescents with primary headaches, restrictions in sleep quality are known, but also restrictions in affect and the ability to concentrate ( 29 ). In this context, the results of this study point the way to further research on improving these comorbidities through exposure to pleasant odors.…”

Section: Discussionmentioning

confidence: 99%

Olfactory training reduces pain sensitivity in children and adolescents with primary headaches

Goßrau

Zaranek²,

Klimová³

et al. 2023

Front. Pain Res.

View full text Add to dashboard Cite

ObjectiveHeadache prevalence among children and adolescents has increased over the last few years. Evidence-based treatment options for pediatric headaches remain limited. Research suggests a positive influence of odors on pain and mood. We investigated the effect of repeated exposure to odors on pain perception, headache-related disability, and olfactory function in children and adolescents with primary headaches.MethodsEighty patients with migraine or tension-type headache (mean 13.1 ± 3.29 years) participated, of whom 40 underwent daily olfactory training with individually selected pleasant odors for 3 months and 40 received state-of-the-art outpatient therapy as a control group. At baseline and after a 3-month follow-up, olfactory function [odor threshold; odor discrimination; odor identification; comprehensive Threshold, Discrimination, Identification (TDI) score], mechanical detection and pain threshold (quantitative sensory testing), electrical pain threshold, patient-reported outcomes on headache-related disability [Pediatric Migraine Disability Assessment (PedMIDAS)], pain disability [Pediatric Pain Disability Index (P-PDI)], and headache frequency were assessed.ResultsTraining with odors significantly increased the electrical pain threshold compared to the control group (U = 470.000; z = −3.177; p = 0.001). Additionally, olfactory training significantly increased the olfactory function (TDI score [t(39) = −2.851; p = 0.007], in particular, olfactory threshold, compared to controls (U = 530.500; z = −2.647; p = 0.008). Headache frequency, PedMIDAS, and P-PDI decreased significantly in both groups without a group difference.ConclusionsExposure to odors has a positive effect on olfactory function and pain threshold in children and adolescents with primary headaches. Increased electrical pain thresholds might reduce sensitization for pain in patients with frequent headaches. The additional favorable effect on headache disability without relevant side effects underlines the potential of olfactory training as valuable nonpharmacological therapy in pediatric headaches.

show abstract

Primary headache disorders in adolescents in North- and South-Tyrol: Findings of the EVA-Tyrol-Study

Cited by 9 publications

References 35 publications

Primary headache epidemiology in children and adolescents: a systematic review and meta-analysis

Primary headache epidemiology in children and adolescents: a systematic review and meta-analysis

Screen time and pediatric headache: A scoping review of the literature

Olfactory training reduces pain sensitivity in children and adolescents with primary headaches

Contact Info

Product

Resources

About