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Published on: June 2, 2014
Chronic daily headache, medication overuse, and obesity in children and adolescents
1Departments of Pediatrics and Neurology, College of Medicine, The Ohio State University, Columbus, OH, USA. ann.pakalnis@nationwidechildrens.org
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.
Abstract:
Obesity and headaches are common in children and adults. Adult studies suggest obesity is a risk factor for chronic daily headache and increased migraine frequency and severity. Pediatric studies have suggested a relationship between obesity, increasing headache frequency, and disability. The authors retrospectively evaluated 925 children from their Pediatric Headache Clinic between July 2004 and July 2008, assessing headache frequency, medication overuse, and body mass index compared to population-based norms. The pediatric headache group as a whole had a greater percentage of overweight than the general population. This was also true with the subgroup of patients with chronic tension-type headache, although the numbers were small. Data did not show increased incidence of overweight in children with medication overuse or chronic migraine. This contrasts with adult data, which have suggested a closer link between chronic migraine and obesity and have not supported a link with chronic tension-type headache.
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