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Association between sleep quality, migraine and migraine burden
Shaojie Duan1,2, Zhiying Ren1,2, Hui Xia1,2
1Graduate School of Beijing University of Chinese Medicine, Beijing, China.
Frontiers in Neurology
|September 12, 2022
Summary
Poor sleep quality significantly increases migraine risk and burden. This association is stronger in women, older adults, and those with lower education, highlighting the importance of sleep assessment for migraine prevention and treatment.
Area of Science:
- Neurology
- Sleep Medicine
- Epidemiology
Background:
- The bidirectional relationship between sleep and migraine is established, yet systematic data on sleep quality's impact on migraine risk and associated burdens are limited.
- Gender and age-specific differences in the association between sleep quality and migraine risk remain unclear.
- Evidence linking sleep quality to the overall burden of migraine, including pain, disability, and mental health, requires further investigation.
Purpose of the Study:
- To investigate the association between sleep quality and the risk of developing migraine, examining gender and age variations.
- To explore the relationship between sleep quality and various migraine-related burdens, such as pain, severity, disability, headache impact, quality of life, anxiety, and depression.
Main Methods:
- The study included 134 migraine patients and 70 matched healthy controls.
- Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI).
- Logistic and linear regression models were employed to analyze the associations between sleep quality, migraine risk, and migraine-related burdens.
Main Results:
- Poor sleep quality was significantly more prevalent in migraine patients (P < 0.001).
- Individuals with poor sleep quality had a 3.981 times higher risk of migraine, even after adjusting for confounders.
- Significant interactions were observed between poor sleep quality and migraine risk across gender, age (>35 years), and education level, with stronger associations in females and those with lower education.
- Poor sleep quality independently correlated with increased total pain burden, severity, headache impact, reduced quality of life, and higher levels of anxiety and depression in migraine patients (P trend < 0.05).
Conclusions:
- Poor sleep quality is a significant independent risk factor for developing migraine and exacerbating migraine-related burdens.
- Targeted assessment of sleep quality, particularly using the PSQI, is crucial for the early prevention and management of migraine.
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