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Age-Related Changes in Headache Days across the Cognitive Spectrum
Karl Echiverri1, Gregory A Jicha1, Jonathan H Smith1
1Department of Neurology, University of Kentucky, Lexington, Kentucky, USA.
Pain Medicine (Malden, Mass.)
|October 13, 2017
Summary
Aging is linked to fewer monthly headache days, even in individuals with cognitive impairment. This association between age and reduced headache frequency holds across different cognitive statuses.
Area of Science:
- Neurology
- Gerontology
- Epidemiology
Background:
- Previous research indicated age-related decreases in headache prevalence.
- These studies often overlooked the impact of cognitive impairment as a confounding factor.
Purpose of the Study:
- To investigate the relationship between aging and self-reported monthly headache frequency.
- To examine this association across individuals with normal cognition, mild cognitive impairment, and dementia.
Main Methods:
- A prospective longitudinal cohort study involving the Sanders-Brown Center on Aging.
- Participants completed a detailed headache questionnaire via annual mailings.
- Cognitive status was assessed using the Mini-Mental Status Examination (MMSE).
Main Results:
- The study included 332 cognitively normal, 71 mild cognitive impairment, and 51 dementia participants.
- Headache prevalence was 22.8%, 25%, and 27.1% in the respective groups.
- A significant negative correlation between age and headache days was found in cognitively normal and mild cognitive impairment groups. Age was a predictor of headache days in the overall cohort.
Conclusions:
- Aging is associated with fewer headache days, independent of cognitive pathology.
- The observed decline in headache frequency with age appears consistent across the cognitive spectrum.
- Further research is needed to determine if this is due to reporting bias or has neurobiological underpinnings.
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