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Published on: June 2, 2014
The Relationship between Infant Colic and Migraine as well as Tension-Type Headache: A Meta-Analysis
Dongli Zhang1, Yuan Zhang1, Yan Sang1
1Second Ward of Department of Neurology, XuZhou Children's Hospital, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Insights
Infant colic history is more common in migraine patients but not associated with tension-type headache (TTH). This meta-analysis clarifies the link between early childhood colic and primary headache disorders in pediatrics.
Area of Science:
- Neurology
- Pediatrics
- Gastroenterology
Background:
- Infant colic is a common, benign condition in early infancy.
- Migraine and tension-type headache (TTH) are prevalent primary headache disorders in children.
- Previous research explored the link between infant colic and these pediatric headache types.
Purpose of the Study:
- To conduct a meta-analysis assessing the relationship between infant colic and migraine.
- To evaluate the association between infant colic and TTH in pediatric populations.
Main Methods:
- Searched PubMed, Web of Science, and Cochrane Library for relevant studies up to August 2018.
- Extracted data from 7 included studies using RevMan 5.2 software.
- Calculated odds ratios (ORs) with 95% confidence intervals (CIs) to determine associations.
Main Results:
- A higher incidence of infant colic was observed in migraine patients compared to controls (OR: 2.51, 95% CI: 1.32-4.77).
- A significant inverse association was found between infant colic and TTH (OR: 0.33, 95% CI: 0.13-0.86).
- No significant association was found between TTH and controls (OR: 1.17, 95% CI: 0.73-1.89).
Conclusions:
- Migraine is associated with an increased incidence of infantile colic history.
- TTH incidence is not significantly relevant to the incidence of infantile colic history.
Background:
Infant colic is a common benign disease during early infancy. Migraine and tension-type headache (TTH) are the most common primary headache forms among pediatric population. Several studies have investigated the incidence of infant colic in patients with migraine and TTH. The meta-analysis was to assess the relationship between infant colic and migraine as well as TTH.
Methods:
PubMed, Web of Science, and Cochrane Library were searched until August 16, 2018, for potential studies. Data were extracted by two independent authors and analyzed using RevMan 5.2 software. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to determine the association between infant colic and migraine as well as TTH, respectively.
Results:
A total of 148 studies were found, and 7 studies were finally included. A higher incidence of colic during infancy was revealed in migraine patients than controls (P=0.05, OR: 2.51, 95% CI: 1.32-4.77) and TTH subjects (P=0.02, OR: 0.33, 95% CI: 0.13-0.86), respectively. And no significances were found between TTHs with controls (P=0.51, OR: 1.17, 95% CI: 0.73-1.89).
Conclusion:
This meta-analysis indicated that migraine was associated with increased incidence of infantile colic history, but TTH incidence was not relevant with the incidence of infantile colic history.
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