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Tension-type headache associated with obstructive sleep apnea: a nationwide population-based study
Yu-Chwen Chiu1, Hsiao-Yun Hu2,3, Fei-Peng Lee4,5
1Department of Otolaryngology, Taipei City Hospital, Taipei, Taiwan. yuioplk@hotmail.com.
The Journal of Headache and Pain
|April 22, 2015
Summary
Obstructive sleep apnea (OSA) is linked to a higher risk of tension-type headache (TTH). This study found OSA patients were more likely to develop TTH, suggesting a significant association between these conditions.
Area of Science:
- Neurology
- Sleep Medicine
- Epidemiology
Background:
- The relationship between primary headaches and obstructive sleep apnea (OSA) remains debated.
- This study investigates the association between tension-type headache (TTH) and OSA.
Purpose of the Study:
- To explore the association between tension-type headache (TTH) and obstructive sleep apnea (OSA).
Main Methods:
- A nationwide population-based dataset from Taiwan was utilized.
- 4759 patients with OSA (diagnosed via polysomnography) were compared to 19036 matched controls without OSA.
- A multivariate Cox proportional hazards model was employed to assess the association.
Main Results:
- The prevalence of TTH was significantly higher in the OSA group (10.2%) compared to the non-OSA group (7.7%).
- Patients with OSA demonstrated a higher likelihood of developing TTH (Hazard Ratio: 1.18, 95% CI: 1.06-1.31).
Conclusions:
- Obstructive sleep apnea (OSA) is associated with an increased likelihood of developing tension-type headache (TTH).
- Further research into the physiological mechanisms linking OSA and TTH is warranted.

