伴随性疾病作为偏头痛发作的风险因素:系统性审查和三级元分析
Maria Terhart1, Lucas Hendrik Overeem1,2, Ja Bin Hong1
1Department of Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
European journal of neurology
|March 5, 2025
概括
预先存在的阿托皮,精神病,睡眠和心血管疾病会显著增加患新发偏头痛的风险. 了解这些联系可以帮助制定针对性偏头痛的预防和治疗策略.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 偏头痛是一种复杂的神经系统疾病,风险因素不明.
- 伴随性疾病可能在新发性偏头痛的发展中发挥重要作用.
研究的目的:
- 系统地审查和分析现有的关于与新偏头痛发作相关的先前存在的并发症的文献.
- 量化与各种先前存在的疾病相关的偏头痛发作的风险.
主要方法:
- 在PubMed和EMBASE数据库的系统文献搜索.
- 三级元分析使用限制的最大概率估计来计算聚合风险比率 (pRR).
- 使用预测研究工具的质量评估偏差风险.
主要成果:
- 确定了38项研究,从58次暴露中确定了124个效果大小.
- 显著增加的偏头痛发作的风险发现与先前的亚托皮性疾病 (pRR=1.53),精神病/心理障碍 (pRR=2.63),睡眠障碍 (pRR=1.89),和心血管疾病 (pRR=1.72).
- 观察到很高的异质性,主要是由于研究内部的差异.
结论:
- 以前存在的亚托皮性,精神病,睡眠和心血管疾病与新的偏头痛发作有显著的联系.
- 共同的遗传因素和压力和炎症等调解途径可能会导致这些关联.
- 对这些并发症的进一步研究可以为有针对性的偏头痛预防和治疗提供信息.
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