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Updated: Jul 1, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesity in the pediatric headache population: a multicenter study
Andrew D Hershey1, Scott W Powers, Timothy D Nelson
1Cincinnati Children's Hospital Medical Center-Neurology, Cincinnati, OH 45229, USA.
Insights
Pediatric obesity is linked to more frequent and disabling headaches. Weight loss in overweight children can reduce headache frequency over time, highlighting the importance of weight management in pediatric headache care.
Area of Science:
- Pediatric neurology
- Obesity research
- Public health
Background:
- Headache and obesity are prevalent in children and adults.
- Adult studies suggest a link between headache and obesity.
- This relationship is under-explored in pediatric populations.
Purpose of the Study:
- Examine pediatric obesity prevalence.
- Correlate weight with headache frequency and disability.
- Assess weight change impact on pediatric headache outcomes.
Main Methods:
- Collected data on 913 pediatric patients across 7 centers.
- Measured height, weight, age, gender, headache frequency, and disability.
- Calculated Body Mass Index (BMI) percentile and tracked changes at 3- and 6-month follow-ups.
Main Results:
- Overweight prevalence in the cohort matched the general pediatric population.
- BMI percentile correlated with initial headache frequency and disability.
- In obese/overweight children, BMI change positively correlated with headache frequency change at follow-up.
Conclusions:
- Childhood obesity is associated with increased headache frequency and disability.
- Weight loss in overweight children can lead to reduced headaches.
- Clinicians should consider patient weight status when managing pediatric headaches.
Objective:
To examine the prevalence of obesity, the relationship between weight compared with headache frequency and disability, and effect of weight change on headache outcomes within a pediatric headache population.
Background:
Headache and obesity are both common conditions in children and adults. Research in adults has suggested a relationship between the 2 conditions. This relationship has not yet been explored within a pediatric population. The effect of obesity and weight change on headache outcomes may have important implications for clinical care.
Method:
Data on height, weight, age, and gender, as well as headache frequency and disability, were collected on 913 consecutive patients at 7 pediatric headache centers, the body mass index (BMI) calculated and the BMI percentile determined. The same data were collected on patients seen at 3- (n = 213) and 6-month (n = 174) follow-up for comparative analysis.
Results:
The prevalence of overweight patients at initial visit did not significantly differ from the general pediatric population. BMI percentile was significantly correlated with headache frequency and disability at initial visit, although the correlations were relatively small. For children who were obese or at risk for overweight as initial visit, change in BMI was significantly positively correlated with change in headache frequency at 3- and 6-month follow-up.
Conclusions:
Obesity is associated with headache frequency and disability in the pediatric headache population. For children who are overweight, weight loss can contribute to a reduction in headaches over time. Clinicians should consider child weight status in providing care for pediatric headache.
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