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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesity in children with headaches: association with headache type, frequency, and disability
Sarit Ravid1, Eli Shahar, Aharon Schiff
1Child Neurology Unit, Meyer Children's Hospital, Rambam Health Care Campus, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. s_ravid@rambam.health.gov.il
Insights
Childhood obesity is linked to primary headaches, particularly migraines. Higher body mass index in children correlates with more frequent and disabling headaches, regardless of type.
Area of Science:
- Pediatric Neurology
- Public Health
- Epidemiology
Background:
- The link between obesity and headaches is established in adults, but less understood in children.
- Few studies explore obesity's relationship with specific primary headache types in pediatric populations.
Purpose of the Study:
- To investigate the association between childhood obesity and primary headache types.
- To determine the relationship between obesity, headache frequency, and disability in children.
Main Methods:
- Retrospective analysis of 181 children presenting with primary headaches.
- Collected data on demographics, headache characteristics, height, and weight.
- Calculated body mass index (BMI) percentiles and compared headache features across weight categories.
Main Results:
- Obesity prevalence was 39.8% in the study group.
- Migraine diagnosis, unlike tension-type headache, was significantly associated with overweight status (OR=2.29).
- Higher BMI percentile correlated with increased headache frequency and disability, irrespective of headache type.
Conclusions:
- Childhood obesity is associated with primary headaches.
- Obesity appears to be a risk factor for migraine in children.
- Increased headache frequency and disability are linked to higher BMI in children, regardless of headache classification.
Objective:
To examine the association between obesity and the different types of primary headaches, and the relation to headache frequency and disability
Background:
The association between obesity and headache has been well established in adults, but only a few studies have examined this association in children, in particular, the relationship between obesity and different types of primary headaches.
Methods:
The authors retrospectively evaluated 181 children evaluated for headaches as their primary complaint between 2006 and 2007 in their Pediatric Neurology Clinic. Data regarding age, gender, headache type, frequency, and disability, along with height and weight were collected. Body mass index was calculated, and percentiles were determined for age and sex. Headache type and features were compared among normal weight, at risk for overweight, and overweight children.
Results:
A higher prevalence (39.8%) of obesity was found in our study group compared with the general population. The diagnosis of migraine, but not of tension-type headache, was significantly associated with being at risk for overweight (odds ratio [OR] = 2.37, 95% confidence interval 1.21-4.67, P = .01) or overweight (OR = 2.29, 95% confidence interval 0.95-5.56, P = .04). A significant independent risk for overweight was present in females with migraine (OR = 4.93, 1.46-8.61, P = .006). Regardless of headache type, a high body mass index percentile was associated with increased headache frequency and disability, but not with duration of attack.
Conclusions:
Obesity and primary headaches in children are associated. Although obesity seems to be a risk factor for migraine more than for tension-type headache, it is associated with increased headache frequency and disability regardless of headache type.
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