Chronic daily headache, medication overuse, and obesity in children and adolescents

Ann Pakalnis1, Donna Kring

  • 1Departments of Pediatrics and Neurology, College of Medicine, The Ohio State University, Columbus, OH, USA. ann.pakalnis@nationwidechildrens.org

Journal of Child Neurology
|September 29, 2011
PubMed

Insights

Pediatric headache patients show higher rates of overweight compared to the general population. However, obesity was not linked to increased chronic migraine or medication overuse in children, unlike in adults.

Area of Science:

  • Pediatric Neurology
  • Public Health
  • Obesity Research

Background:

  • Obesity is a growing concern in children and adults.
  • Adult studies link obesity to chronic daily headaches and more severe migraines.
  • Pediatric studies suggest obesity may increase headache frequency and disability in children.

Purpose of the Study:

  • To investigate the relationship between body mass index (BMI) and headache characteristics in a pediatric population.
  • To compare the prevalence of overweight in children with headaches to population norms.
  • To examine associations between obesity, medication overuse, and specific headache types in children.

Main Methods:

  • Retrospective analysis of 925 children treated at a Pediatric Headache Clinic (July 2004-July 2008).
  • Assessment of headache frequency, medication overuse, and body mass index (BMI).
  • Comparison of BMI data to population-based norms.

Main Results:

  • The pediatric headache cohort had a higher percentage of overweight individuals than the general population.
  • A higher prevalence of overweight was observed in the subgroup with chronic tension-type headache.
  • No increased incidence of overweight was found in children with medication overuse or chronic migraine.

Conclusions:

  • Children with headaches, particularly chronic tension-type headache, are more likely to be overweight.
  • Unlike adult findings, childhood obesity was not associated with increased chronic migraine or medication overuse.
  • Further research is needed to understand the differing obesity-headache relationships in pediatric versus adult populations.

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