Shift work and migraine: A systematic review

Leso, Veruscka; Gervetti, Paola; Mauro, Sara Giovanna; Macrini, Maria Carmela; Ercolano, Maria Luigia; Iavicoli, Ivo

doi:10.1002/1348-9585.12116

Cited by 23 publications

(19 citation statements)

References 52 publications

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“…For these reasons, no statistical test has been performed nor any threshold of statistical significance has been established. P-values have not been provided as possibly misleading [24][25][26][27][28][29][30][31][32]. Accordingly, any finding deemed as significant is intended to be clinically or epidemiologically (and not statistically) significant.…”

Section: Discussionmentioning

confidence: 99%

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Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank

Affatato

Miguet

Schiöth

et al. 2021

Preprint

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Migraine represents one of the most prevalent neurological conditions worldwide. It is a disabling condition with high impact on the working situation of migraineurs. Interestingly, gender-related differences regarding an association of migraine with important occupational characteristics has been hardly studied. The current study scrutinizes gender-specific differences in the prevalence of migraine across a broad spectrum of occupational categories, shedding also light on associations with important job-related features such as shift work, job satisfaction, and physical activity. The study included data from 415 712 participants from the UK Biobank cohort, using the official ICD10 diagnosis of migraine and other health conditions as selection criteria. Prevalence ratios of migraineurs compared to healthy controls among different occupational categories and job-related variables were estimated using log-binomial regression analyses. Statistical models were adjusted for important sociodemographic features such as age, BMI, ethnicity, education and neuroticism. To better highlight specific differences between men and women we stratified by sex. We detected a differential prevalence pattern in relation to different job categories between men and women. Especially in men, migraine appears to be more prevalent in highly physically demanding occupations (PR 1.38, 95\% CI [0.93, 2.04]). Furthermore, migraine is also more prevalent in jobs that frequently involve shift or night shift work compared to healthy controls. Interestingly, this prevalence is especially high in women (shift work PR 1.45, 95\% CI [1.14, 1.83], night shift work PR 1.46, 95\% CI [0.93, 2.31]). Our results show that higher migraine prevalence is associated with physically demanding jobs and shift working.

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Section: Discussionmentioning

confidence: 99%

“…The level of the impact of shift work on migraine has not been fully established, as the available data are few and conflicting [9,32]. One key argument in favor of the possible migraine risk due to shift work is the variation of the circadian rhythm.…”

Section: Discussionmentioning

confidence: 99%

Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank

Affatato

Miguet

Schiöth

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…For these reasons, no statistical test has been performed nor any threshold of statistical significance has been established. P -values have not been provided as possibly misleading [ 24 – 32 ]. Accordingly, any finding deemed as significant is intended to be clinically or epidemiologically (and not statistically) significant.…”

Section: Methodsmentioning

confidence: 99%

Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank

et al. 2021

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Background Migraine represents one of the most prevalent neurological conditions worldwide. It is a disabling condition with high impact on the working situation of migraineurs. Interestingly, gender-related differences regarding an association of migraine with important occupational characteristics has been hardly studied. Methods The current study scrutinizes gender-specific differences in the prevalence of migraine across a broad spectrum of occupational categories, shedding also light on associations with important job-related features such as shift work, job satisfaction, and physical activity. The study included data from 415 712 participants from the UK Biobank cohort, using the official ICD10 diagnosis of migraine and other health conditions as selection criteria. Prevalence ratios of migraineurs compared to healthy controls among different occupational categories and job-related variables were estimated using log-binomial regression analyses. Statistical models were adjusted for important sociodemographic features such as age, BMI, ethnicity, education and neuroticism. To better highlight specific differences between men and women we stratified by sex. Results We detected a differential prevalence pattern of migraine in relation to different job categories between men and women. Especially in men, migraine appears to be more prevalent in highly physically demanding occupations (PR 1.38, 95% CI [0.93, 2.04]). Furthermore, migraine is also more prevalent in jobs that frequently involve shift or night shift work compared to healthy controls. Interestingly, this prevalence is especially high in women (shift work PR 1.45, 95% CI [1.14, 1.83], night shift work PR 1.46, 95% CI [0.93, 2.31]). Conclusion Our results show that migraine is genderdependently associated with physically demanding jobs and shift working.

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“…(7) Sex and age are signi cantly associated with migraine burden, with females at least twice as likely to report having migraine, (1) and working-age individuals more likely to report having migraine than younger or older individuals. (8) This implies that migraine poses a signi cant economic burden, and various studies in the past have tried to quantify the economic impacts of migraine. The European Eurolight project estimated that more than 90% of economic losses associated with migraine were attributable to indirect costs such as sick days and reduced work productivity, as compared to less than 10% of direct costs such as medicines and outpatient consultation.…”

Section: Introductionmentioning

confidence: 99%

A Cross-sectional Study on the Burden and Impact of Migraine on Work Productivity and Quality of Life in Selected Workplaces in the Philippines

Haw

Cabaluna

Kaw³

et al. 2020

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Background Migraine imposes a substantial personal and economic burden to many working age individuals. This study aimed to evaluate the burden and impact of migraine on work productivity in selected workplaces in the Philippines.Methods A cross-sectional survey was conducted among employees suspected or diagnosed with migraine February to May 2020. Volunteer employees were screened for migraine using the ID-Migraine™ test. Eligible employees were tested for migraine severity and impact on work productivity was measured using the Migraine Disability Assessment (MIDAS) questionnaire. Quality of life was also measured using the Short Form-36 (SF-36) questionnaire and additional questions on triggers, coping mechanisms, workplace assistance, and health care utilization were asked. Multiple logistic regression was used to identify significant predictors of migraine disability (high – MIDAS Grade III/IV vs. low – MIDAS Grade I/II). Differences in quality of life scores by migraine disability were measured using multiple linear regression. Productivity costs lost to migraine disability were calculated as the number of days lost to migraine multiplied by the self-reported wage rate, and costs according to migraine severity were measured using a two-part model (logistic then generalized linear model).Results A total of 511 positive migraine screens were included in the final sample. Females comprised two-thirds of all positive migraine screens and were more likely to have high migraine disability (odds ratio: 1.60, 95% CI: 1.03 - 2.49) than males. Those with high migraine disability scored lower on role limitations compared to those with low migraine disability. Stress and looking at computer screens were cited as the top trigger for migraine, while sleeping enough hours and getting a massage were cited as top coping mechanisms. Three in four (77%) visited their company clinic within the past three months, which meant that most doctors seen for migraine-related symptoms were general practitioners. Five in six (85%) took medication for migraine, almost all of which were over-the-counter medications. Mean annual productivity costs lost due to migraine disability were PHP27 794 (USD556).Conclusion Migraine poses a significant threat to work productivity in the Philippines. Many opportunities, such as disease management and introduction of alternative options for migraine treatment, may be introduced to help address these issues.

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Shift work and migraine: A systematic review

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 23 publications

References 52 publications

Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank

Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank

Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank

A Cross-sectional Study on the Burden and Impact of Migraine on Work Productivity and Quality of Life in Selected Workplaces in the Philippines

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