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Association between iron deficiency anemia and chronic daily headache: A case-control study
Rohit Kumar Singh1, Rajeev Mohan Kaushik1, Deepak Goel2
1Department of General Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Cephalalgia : an International Journal of Headache
|February 5, 2023
Summary
Iron deficiency anemia is independently linked to chronic daily headaches. Severe cases of this anemia correlate with increased headache severity, highlighting a significant association.
Area of Science:
- Neurology
- Hematology
Background:
- Chronic daily headache (CDH) is a prevalent condition impacting quality of life.
- The role of nutritional deficiencies, such as iron deficiency anemia (IDA), in CDH requires further investigation.
Purpose of the Study:
- To investigate the association between iron deficiency anemia and chronic daily headache.
- To explore the relationship between IDA and the characteristics of CDH, including type, severity, and duration.
Main Methods:
- A case-control study was conducted with 100 patients diagnosed with CDH and 100 controls.
- Participants were assessed for iron deficiency anemia using standard laboratory parameters.
- CDH subtypes were classified according to the International Classification of Headache Disorders, 3rd edition.
Main Results:
- Iron deficiency anemia was diagnosed in 51% of patients with CDH.
- IDA showed a significant independent association with CDH (p < 0.001).
- Severe IDA was significantly associated with increased CDH severity (p = 0.021).
- Serum iron, ferritin, TIBC, and transferrin saturation were also significantly associated with CDH.
Conclusions:
- Iron deficiency anemia is an independent risk factor for chronic daily headache.
- The severity of iron deficiency anemia correlates with the severity of chronic daily headache.
- These findings suggest that screening for IDA may be beneficial in patients with CDH.
Keywords:
Iron deficiency anemiachronic daily headachechronic migrainenew daily persistent headachetension-type headache
