1
|
Pacheco-Barrios K, Velasquez-Rimachi V, Navarro-Flores A, Huerta-Rosario A, Morán-Mariños C, Molina RA, Farroñay-García C, Metcalf T, Fregni F, Alva-Díaz C. Primary headache disorders in Latin America and the Caribbean: A meta-analysis of population-based studies. Cephalalgia 2023; 43:3331024221128265. [PMID: 36606574 DOI: 10.1177/03331024221128265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND In this manuscript, we aim to systematically estimate the pooled prevalence and incidence of primary headaches and its subtypes (migraine, tension-type headache, and chronic headaches) in Latin America and the Caribbean, describing its epidemiological profile and associated factors. METHODS We systematically searched PubMed/MEDLINE, Scopus, and LILACS (From conception to March 2021), for populational studies reporting the epidemiology of primary headaches and their associated factors in Latin America and the Caribbean. The data extraction was conducted independently. We performed random-effect model meta-analysis of prevalence (overall primary headaches and by subtypes) and associated factors, assessed potential sources of heterogeneity, the risk of bias, publication bias, and the evidence certainty (GRADE methodology). RESULTS We included 32 populational studies (38 subpopulations, n = 63,813). The prevalence of primary headaches was 41.4% (95% CI 31.1-52.2%; n = 54,357), 15% for migraine (95% CI 12.0-18.3; n = 53,658 individuals), 20.6% for tension-type headache (95% CI 12.4-30.2; n = 25,840), and 6% for chronic headaches (95% CI 3.3-9.6; n = 21,720), with high between-study heterogeneity. No incidence data was found. Female sex, white ethnicity, high BMI, comorbid mental health disorders, and low-back pain were associated with higher prevalence of primary headaches. The prevalence was less in rural areas. CONCLUSION In Latin America and the Caribbean, primary headaches are highly prevalent affecting young females disproportionally. The prevalence of chronic headaches is higher than in other systematic global and regional estimations. The presence of comorbidities as modifiable risk factors should encourage their integration as targets for community-based preventive and therapeutic interventions. PROTOCOL REGISTRATION NUMBER CRD42018105116.
Collapse
Affiliation(s)
- Kevin Pacheco-Barrios
- Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru.,SYNAPSIS Mental Health and Neurology, Lima, Peru.,Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, USA.,Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Victor Velasquez-Rimachi
- Red de Eficacia Clínica y Sanitaria, REDECS, Lima, Peru.,Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Alba Navarro-Flores
- Georg-August-University Göttingen, International Max Planck Research School for Neurosciences, Göttingen, Germany
| | | | - Cristian Morán-Mariños
- Red de Eficacia Clínica y Sanitaria, REDECS, Lima, Peru.,Unidad de Investigación en Bibliometría, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru
| | | | - Chandel Farroñay-García
- Red de Eficacia Clínica y Sanitaria, REDECS, Lima, Peru.,Instituto Nacional de Salud, INS, Lima, Peru
| | - Tatiana Metcalf
- Red de Eficacia Clínica y Sanitaria, REDECS, Lima, Peru.,Servicio de Neurología, Departamento de Medicina y Oficina de Apoyo a la Docencia e Investigación, Hospital Daniel Alcides Carrión, Callao, Peru
| | - Felipe Fregni
- Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, USA.,Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Carlos Alva-Díaz
- Unidad de Investigación en Bibliometría, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru
| |
Collapse
|
2
|
Bossoni AS, Peres MFP, Leite CDC, Fortini I, Conforto AB. Headache at the chronic stage of cerebral venous thrombosis. Cephalalgia 2022; 42:1476-1486. [PMID: 35899769 DOI: 10.1177/03331024221113825] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Headache is the most frequent symptom of cerebral venous thrombosis (CVT) but there is limited information about the frequency and phenotype of headache, weeks to months after cerebral venous thrombosis (post-cerebral venous thrombosis headache, post cerebral venous thrombosis headache). OBJECTIVE To assess the frequency, characteristics and predictors of PCH. METHODS In this cross-sectional study, the frequency and characteristics of PCH were assessed in cerebral venous thrombosis survivors. Patients were interviewed between six months and five years after the cerebral venous thrombosis diagnosis. Clinical and imaging characteristics at the time of cerebral venous thrombosis diagnosis, as well as history of headache prior to cerebral venous thrombosis were compared in subjects with (GroupPCH) and without PCH (Groupcontrol). RESULTS Subjects (n = 100; 82% women) were assessed, on average, at 1.1 ± 1.6 years of follow-up. PCH was present in 59% of the patients, phenotypes of tension-type-like headache were present in 31/59 (52.6%) and of migraine-like headache in 16/59 (27.1%). History of primary headache prior to cerebral venous thrombosis was significantly more common (OR: 6.4; 95% CI: 1.7-36.3) in GroupPCH (33.9%) than in Groupcontrol (7.3%). CONCLUSION Post cerebral venous thrombosis headache was present in more than half of the patients. History of prior headache may be a risk factor for post cerebral venous thrombosis headache. Prospective studies are required to confirm these findings and determine mechanisms, as well as interventions for prevention and treatment of post cerebral venous thrombosis headache.
Collapse
Affiliation(s)
- Alexandre Souza Bossoni
- Neurology Clinical Division, Hospital das Clínicas/São Paulo University, São Paulo - SP, Brazil
| | | | - Claudia da Costa Leite
- Institute of Radiology, Hospital das Clínicas/São Paulo University, São Paulo - SP, Brazil
| | - Ida Fortini
- Neurology Clinical Division, Hospital das Clínicas/São Paulo University, São Paulo - SP, Brazil
| | - Adriana Bastos Conforto
- Neurology Clinical Division, Hospital das Clínicas/São Paulo University, São Paulo - SP, Brazil.,Hospital Israelita Albert Einstein, São Paulo - SP, Brazil
| |
Collapse
|
3
|
Dabilgou AA, Dravé A, Kyelem JMA, Sawadogo Y, Napon C, Millogo A, Kaboré J. Frequency of Headache Disorders in Neurology Outpatients at Yalgado Ouedraogo University Teaching Hospital. A 3-Month Prospective Cross-sectional Study. ACTA ACUST UNITED AC 2020. [DOI: 10.1007/s42399-020-00238-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
4
|
Peres MFP, Queiroz LP, Rocha-Filho PS, Sarmento EM, Katsarava Z, Steiner TJ. Migraine: a major debilitating chronic non-communicable disease in Brazil, evidence from two national surveys. J Headache Pain 2019; 20:85. [PMID: 31370786 PMCID: PMC6734239 DOI: 10.1186/s10194-019-1036-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Accepted: 07/23/2019] [Indexed: 12/22/2022] Open
Abstract
Background Even though migraine and other primary headache disorders are common and debilitating, major health surveys in Brazil have not included them. We repair this omission by combining data on non-communicable diseases (NCDs) in the Brazilian National Health Survey (PNS) 2013 with epidemiological data on migraine prevalence and severity in Brazil. The purpose is to rank migraine and its impact on public healthh among NCDs in order to support public-health policy toward better care for migraine in Brazil. Methods Data from PNS, a cross-sectional population-based study, were merged with estimates made by the Brazilian Headache Epidemiology Study (BHES) of migraine prevalence (numbers of people affected and of candidates for migraine preventative therapy) and migraine-attributed disability. Results Migraine ranked second in prevalence among the NCDs, and as the highest cause of disability among adults in Brazil. Probable migraine accounted for substantial additional disability. An estimated total of 5.5 million people in Brazil (or 9.5 million with probable migraine included) were in need of preventative therapy. Conclusion On this evidence, migraine should be included in the next health surveys in Brazil. Public-health policy should recognize the burden of migraine expressed in public ill health, and promote health services offering better diagnosis and treatment.
Collapse
Affiliation(s)
- Mario Fernando Prieto Peres
- Hospital Israelita Albert Einstein, Rua Joaquim Eugenio de Lima, 881 cj 708, São Paulo, SP, Brazil. .,Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da USP, Rua Joaquim Eugenio de Lima, 881 cj 708, Sao Paulo, SP, Brazil.
| | - Luiz Paulo Queiroz
- Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | | | - Zaza Katsarava
- Evangelical Hospital Unna, Unna, Germany.,Departmentof Neurology, University of Duisburg-Essen, Essen, Germany.,EVEX Medical Corporation, Tbilisi, Georgia.,IM Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Timothy J Steiner
- Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway.,Division of Brain Sciences, Imperial College London, London, UK
| |
Collapse
|
5
|
The PACE study: lifetime and past-year prevalence of headache in Parma's adult general population. Neurol Sci 2017; 38:789-795. [PMID: 28210911 DOI: 10.1007/s10072-017-2845-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2016] [Accepted: 02/08/2017] [Indexed: 10/20/2022]
Abstract
Headache is a widespread disorder and therefore it has a strong impact on quality of life. In the present work we focused on lifetime and past-year prevalence of headache in general and by gender, in a population-based sample in Parma. A total of 904 subjects representative of Parma's adult general population were interviewed face-to-face by a physician from the Parma Headache Centre, using a validated questionnaire. The lifetime prevalence of headache was 69.1%, i.e. 75.8% in women and 60.6% in men; the crude past-year prevalence of headache was 42.8%, i.e. 52.0% in women and 31.1% in men. Both lifetime and past-year prevalence rates were significantly higher in females than in males (odds ratio, respectively, 2.0 and 2.4). In our study, past-year prevalence decreased after age 50 in both genders. Most people suffer from one headache subtype. In over 80% of cases, headache starts before age 40 and therefore people were not very likely to develop headache after 50 years. The past-year and lifetime prevalence rate of headache in general that we found in our study falls within the lower range of values for headache prevalence in European countries. Further researches need to be set in the Italian epidemiological background.
Collapse
|
6
|
Escher CM, Paracka L, Dressler D, Kollewe K. Botulinum toxin in the management of chronic migraine: clinical evidence and experience. Ther Adv Neurol Disord 2017; 10:127-135. [PMID: 28382110 PMCID: PMC5367647 DOI: 10.1177/1756285616677005] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Chronic migraine (CM) is a severely disabling neurological condition characterized by episodes of pulsating unilateral or bilateral headache. The United States Food and Drug Administration (FDA) approved onabotulinumtoxinA (Botox®) for the prophylactic treatment of CM in 2010. It has been shown that onabotulinumtoxinA is effective in the reduction of headache frequency and severity in patients with CM. Treatment is well tolerated by the patients. This review reports on the history of botulinum neurotoxin (BoNT) in CM and presents the current clinical evidence for the use of onabotulinumtoxinA in the treatment of CM.
Collapse
Affiliation(s)
- Claus M Escher
- Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, Germany
| | - Lejla Paracka
- Department of Neurology, Movement Disorder Section, Hannover Medical School, Hannover, Germany
| | - Dirk Dressler
- Department of Neurology, Movement Disorder Section, Hannover Medical School, Hannover, Germany
| | - Katja Kollewe
- Department of Neurology, Movement Disorder Section, Hannover Medical School, Carl-Neuberg Str. 1, D-30625 Hannover, Germany
| |
Collapse
|
7
|
Goulart AC, Santos IS, Bittencourt MS, Lotufo PA, Benseñor IM. Migraine and subclinical atherosclerosis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Cephalalgia 2016; 36:840-8. [DOI: 10.1177/0333102415613611] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 09/26/2015] [Indexed: 01/03/2023]
Abstract
Introduction The relationship between migraine and coronary heart disease (CHD) remains controversial. We aimed to investigate the association of subclinical atherosclerosis and migraine with or without aura compared to a non-migraine subgroup (reference) in a large Brazilian multicentric cohort study, the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods Migraine diagnostic was based on International Headache Society criteria, and aura symptoms were validated by a medical doctor in a sub-sample of the ELSA-Brasil, who also underwent coronary artery calcium score (CAC) and carotid intima-media thickness (C-IMT) evaluations. Subclinical atherosclerosis indexes (CAC and C-IMT) were analyzed as dependent variables and migraine (all, with aura, without aura) as an independent variable in the linear and multinomial logistic regression models adjusted for possible confounders. Results Of 3217 ELSA participants free from CVD at baseline, we found a migraine frequency of 11.9% (5.1% with aura and 6.8% without aura). Overall, migraineurs were mostly women, younger and had lower frequency of CV risk factors, such as hypertension, diabetes and low HDL-cholesterol, compared to non-migraineurs. The strongest inverse correlation between migraine and subclinical atherosclerosis was verified with CAC score. However, all associations lost their significance after multivariate adjustment. Conclusions In this cross-sectional evaluation of the ELSA study, migraine was not associated with subclinical atherosclerosis, regardless of aura symptoms.
Collapse
Affiliation(s)
| | - Itamar S Santos
- Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
- School of Medicine, University of São Paulo, Brazil
| | | | - Paulo A Lotufo
- Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
- School of Medicine, University of São Paulo, Brazil
| | - Isabela M Benseñor
- Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil
- School of Medicine, University of São Paulo, Brazil
| |
Collapse
|
8
|
Abstract
Nummular headache is proposed as a distinct type of headache in the Appendix of the second edition of the International Classification of Headache Disorders (ICHD-II). It is a chronic condition, with the following characteristics: pain is felt on a small circumscribed cranial area; pain is of mild to moderate intensity; there is no evidence of a structural abnormality. Herein, three cases fulfilling the ICHDII proposed criteria (code A13.7.1) for nummular headache are reported.
Collapse
Affiliation(s)
- F Dach
- Department of Neurology, University of Sao Paulo, School of Medicine at Ribeirao Preto, Sao Paulo, Brazil.
| | | | | | | | | |
Collapse
|
9
|
Valença MM, de Oliveira DA. The Frequent Unusual Headache Syndromes: A Proposed Classification Based on Lifetime Prevalence. Headache 2015; 56:141-52. [PMID: 26335933 DOI: 10.1111/head.12646] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
BACKGROUND There is no agreement on a single cutoff point or prevalence for regarding a given disease as rare. The concept of what is a rare headache disorder is even less clear and the spectrum from a very frequent, frequent, occasional to rare headache syndrome is yet to be established. OBJECTIVE An attempt has been made to estimate the lifetime prevalence of each of the headache subtypes classified in the ICHD-II. METHOD Using the ICHD-II, 199 different headache subtypes were identified. The following classification was made according to the estimated lifetime prevalence of each headache disorder: very frequent (prevalence >10%); frequent (between 1 and 10%); occasional (between 0.07 and 1%); and unusual or rare (<0.07%). RESULTS One hundred and fifty-four of 199 (77%) were categorized as unusual headache disorders, 7/199 (4%) as very frequent, 9/199 (5%) as frequent, and 29/199 (15%) as occasional forms of headache disorder. CONCLUSION The unusual headache syndromes do not appear to be as infrequent in clinical practice as has been generally believed. About three-fourths of the classified headache disorders found in the ICHD-II can be considered as rare. This narrative review article may be regarded as an introduction to the concept of unusual headaches and a proposed classification of all headaches (at least those listed in the ICHD-II).
Collapse
Affiliation(s)
- Marcelo M Valença
- Department of Neuropsychiatry, Neurology and Neurosurgery Unit, Federal University of Pernambuco, Brazil.,Neurology and Neurosurgery Unit, Hospital Esperança, Brazil
| | - Daniella A de Oliveira
- Department of Neuropsychiatry, Neurology and Neurosurgery Unit, Federal University of Pernambuco, Brazil
| |
Collapse
|
10
|
Goulart AC, Santos IS, Lotufo PA, Benseñor IM. Gender aspects of the relationship between migraine and cardiovascular risk factors: A cross-sectional evaluation in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Cephalalgia 2015; 35:1103-14. [DOI: 10.1177/0333102415570494] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2014] [Accepted: 12/27/2014] [Indexed: 11/15/2022]
Abstract
Background The relationship between cardiovascular risk factors (CVRF) and migraine is controversial and might be different in both genders. These associations were evaluated in Brazilian middle-aged men and women from the Longitudinal Study of Adult Health (ELSA-Brasil). Methods The cross-sectional relationship between our main outcome, which was migraine headache (definite, probable and overall), and CVRF was evaluated in the total sample and according to gender. We calculated frequencies and odds ratios (95% CI) for this relationship using binary and multinomial logistic regression analyses in crude, age-adjusted and multivariable models adjusted by potential confounders. Results Of 14,953 individuals who completed the data about headache and CVRF, the frequency of one-year migraine was of 29.5% (22.5% in women and 7.0% in men). In the multivariable-adjusted regression analyses, an inverse association between hypertension (OR, 0.53; 95% CI, 0.36–0.79), metabolic syndrome (OR, 0.65; 95% CI, 0.43–0.99) and definite migraine were confirmed for men, but not for women. In the opposite direction, a positive association between migraine headaches (definite, probable and overall) and dyslipidemia (overall migraine OR, 1.25; 95% CI, 1.13–1.38) was observed only for women, but not for men. Conclusions A gender influence on the relationship between migraine and CVRF was verified in the ELSA-Brasil.
Collapse
Affiliation(s)
| | - Itamar S Santos
- Hospital Universitário, Universidade de São Paulo, Brazil
- School of Medicine, Universidade de São Paulo, Brazil
| | - Paulo A Lotufo
- Hospital Universitário, Universidade de São Paulo, Brazil
- School of Medicine, Universidade de São Paulo, Brazil
| | - Isabela M Benseñor
- Hospital Universitário, Universidade de São Paulo, Brazil
- School of Medicine, Universidade de São Paulo, Brazil
| |
Collapse
|
11
|
Queiroz LP, Silva Junior AA. The Prevalence and Impact of Headache in Brazil. Headache 2015; 55 Suppl 1:32-8. [DOI: 10.1111/head.12511] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2014] [Indexed: 01/03/2023]
Affiliation(s)
- Luiz P. Queiroz
- Department of Neurology; Universidade Federal de Santa Catarina; Florianopolis Brazil
| | | |
Collapse
|
12
|
Valença MM, da Silva AA, Bordini CA. Headache Research and Medical Practice in Brazil: An Historical Overview. Headache 2015; 55 Suppl 1:4-31. [DOI: 10.1111/head.12512] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2014] [Indexed: 12/28/2022]
Affiliation(s)
- Marcelo Moraes Valença
- Neurology and Neurosurgery Unit; Department of Neuropsychiatry; Federal University of Pernambuco; Recife Brazil
- Neurology and Neurosurgery Unit, Hospital Esperança; Brazil
| | - Amanda Araújo da Silva
- Neurology and Neurosurgery Unit; Department of Neuropsychiatry; Federal University of Pernambuco; Recife Brazil
| | | |
Collapse
|
13
|
Correia LL, Linhares MBM. Enxaqueca e Estresse em Mulheres no Contexto da Atenção Primária. PSICOLOGIA: TEORIA E PESQUISA 2014. [DOI: 10.1590/s0102-37722014000200003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
O presente estudo teve por objetivo verificar a associação entre enxaqueca e estresse em mulheres, assim como examinar o melhor modelo de predição da enxaqueca, considerando variáveis pessoais e do contexto ambiental. A enxaqueca foi identificada pelo Teste de Cefaleia em 75 mulheres sem antecedentes psiquiátricos. O estresse foi avaliado por meio do Inventário de Sintomas de Stress para adultos. Paralelamente, foram avaliados: eventos vitais, nível socioeconômico e características da amostra. Verificou-se que 55% das mulheres apresentaram enxaqueca e 59% sintomas de estresse. O modelo de predição identificou que o estresse foi o único preditor da enxaqueca em mulheres. Os achados mostram associação entre enxaqueca e estresse, a qual precisa ser levada em conta na assistência à saúde da mulher.
Collapse
|
14
|
Bayraktutan OF, Demir R, Ozel L, Ozdemir G, Ertekin A. Prevalence of Tension-Type Headache in Individuals Aged between 18-65 Years in the Eastern Parts of Turkey. Eurasian J Med 2014; 46:78-83. [PMID: 25610303 PMCID: PMC4261458 DOI: 10.5152/eajm.2014.20] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Accepted: 08/27/2013] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Although tension-type headache (TTHA) is one of the most frequently encountered diseases in the general population, relatively few studies have been conducted on this health condition. The published data are limited on the frequency of TTHA in Turkey, and no studies to date have been initiated on the prevalence of TTHA in the city of Erzurum or the Eastern Anatolian Region. MATERIALS AND METHODS The study was conducted using in-depth interviews from 1972 individuals from city of Erzurum. TTHA was queried in patients with a history of headache, according to the International Classification of Headache Disorders diagnostic criteria, and the frequency of TTHA was investigated. RESULTS A total of 1972 patients were enrolled in this study. The frequency reached a peak between the ages of 40-49 years (35%), and it significantly declined after the age of 49. During an examination (palpation), cranial muscle sensitivity was detected in 33% of the patients. CONCLUSION The frequency of TTHA has been identified as 22.3% in patients between the ages of 18-65. The frequency of tension type headache in the city of Erzurum was lower than that in the general population of Turkey.
Collapse
Affiliation(s)
| | - Recep Demir
- Department of Neurology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Lutfi Ozel
- Department of Neurology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Gokhan Ozdemir
- Department of Neurology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Ayfer Ertekin
- Department of Neurology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| |
Collapse
|
15
|
Silva Júnior AAD, Brandão KV, Faleiros BE, Tavares RM, Lara RP, Januzzi E, Carvalho ABD, Carvalho EMDD, Gomes JBL, Leite FMG, Alves BMF, Gómez RS, Teixeira AL. Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache. ARQUIVOS DE NEURO-PSIQUIATRIA 2014; 72:99-103. [DOI: 10.1590/0004-282x20130221] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2013] [Accepted: 10/03/2013] [Indexed: 01/07/2023]
Abstract
Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging. Objectives : To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center. Method : Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD. Results : Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001). Conclusion : TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.
Collapse
|
16
|
Primary headache disorders at a tertiary health facility in Lagos, Nigeria: prevalence and consultation patterns. BIOMED RESEARCH INTERNATIONAL 2014; 2014:782915. [PMID: 24587991 PMCID: PMC3920920 DOI: 10.1155/2014/782915] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Revised: 10/15/2013] [Accepted: 10/28/2013] [Indexed: 11/17/2022]
Abstract
Background. Primary headaches are underdiagnosed and undertreated, with a significant impact on social activities and work. Aim. To determine the last-year prevalence and health care utilization pattern of primary headaches at a tertiary centre. Methods. A cross-sectional study was carried out amongst staff of the Lagos State University Teaching Hospital in Lagos, Nigeria. 402 staff members were selected by simple random sampling and administered a detailed structured headache assessment questionnaire. Migraine and tension-type headache were diagnosed according to the criteria of the International Headache Society (2004). Results. The participants comprised 168 males and 234 females. The mean age was 36.9 ± 7.9 years. The overall headache prevalence was 39.3% with female predominance (P < 0.0001). Tension-type headache was the most prevalent at 72.8% and migraine at 18.9%. Unclassifiable headache constituted 8.2%. Migraine headache showed female preponderance (P = 0.000). 80.4% of participants did not seek medical consultation compared with 19.6% who did (P = 0.000). Of the latter, 83.9% consulted the general practitioner (GP), whilst 16.1% consulted the neurologist. Conclusions. Primary headache prevalence is high in our population. It is not recognised as that requiring care by most of the staff of this tertiary health facility; thus education is required to increase health care utilization.
Collapse
|
17
|
Steiner TJ, Stovner LJ, Al Jumah M, Birbeck GL, Gururaj G, Jensen R, Katsarava Z, Queiroz LP, Scher AI, Tekle-Haimanot R, Wang SJ, Martelletti P, Dua T, Chatterji S. Improving quality in population surveys of headache prevalence, burden and cost: key methodological considerations. J Headache Pain 2013; 14:87. [PMID: 24160915 PMCID: PMC4231353 DOI: 10.1186/1129-2377-14-87] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Accepted: 10/14/2013] [Indexed: 11/29/2022] Open
Abstract
Population-based studies of headache disorders are important. They inform needs assessment and underpin service policy for a set of disorders that are a public-health priority. On the one hand, our knowledge of the global burden of headache is incomplete, with major geographical gaps; on the other, methodological differences and variable quality are notable among published studies of headache prevalence, burden and cost. The purpose here was to start the process of developing standardized and better methodology in these studies. An expert consensus group was assembled to identify the key methodological issues, and areas where studies might fail. Members had competence and practical experience in headache epidemiology or epidemiology in general, and were drawn from all WHO world regions. We reviewed the relevant literature, and supplemented the knowledge gathered from this exercise with experience gained from recent Global Campaign population-based studies, not all yet published. We extracted methodological themes and identified issues within them that were of key importance. We found wide variations in methodology. The themes within which methodological shortcomings had adverse impact on quality were the following: study design; selection and/or definition of population of interest; sampling and bias avoidance; sample size estimation; access to selected subjects (managing and reporting non-participation); case definition (including diagnosis and timeframe); case ascertainment (including diagnostic validation of questionnaires); burden estimation; reporting (methods and results). These are discussed.
Collapse
Affiliation(s)
- Timothy J Steiner
- Norwegian National Headache Centre, Norwegian University of Science and Technology, and St Olavs University Hospital, Trondheim, Norway
- Department of Neuroscience, Imperial College London, London, UK
| | - Lars Jacob Stovner
- Norwegian National Headache Centre, Norwegian University of Science and Technology, and St Olavs University Hospital, Trondheim, Norway
| | - Mohammed Al Jumah
- King Saud Bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Gretchen L Birbeck
- Department of Neurology, University of Rochester, Rochester, NY, USA
- Chikankata Hospital, Mazabuka, Zambia
| | - Gopalakrishna Gururaj
- Department of Epidemiology, Centre for Public Health, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - Rigmor Jensen
- Danish Headache Centre, Glostrup Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Zaza Katsarava
- Evangelical Hospital, Unna, Germany
- Department of Neurology, University of Duisburg-Essen, Essen, Germany
| | - Luiz Paulo Queiroz
- Department of Neurology, University Hospital, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Ann I Scher
- Uniformed Services University, Bethesda, MD, USA
| | - Redda Tekle-Haimanot
- School of Medicine, Department of Neurology, Addis Ababa University, Addis Ababa, Ethiopia
| | - Shuu-Jiun Wang
- The Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
- Department of Neurology, Brain Research Center and Institute of Brain Science, National Yang-Ming University of School of Medicine, Taipei, Taiwan
| | - Paolo Martelletti
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Tarun Dua
- Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland
| | - Somnath Chatterji
- Department of Health Statistics and Informatics, World Health Organization, Geneva, Switzerland
| |
Collapse
|
18
|
Prevalence of chronic headache in Croatia. BIOMED RESEARCH INTERNATIONAL 2013; 2013:837613. [PMID: 24078925 PMCID: PMC3773924 DOI: 10.1155/2013/837613] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/23/2013] [Revised: 07/27/2013] [Accepted: 07/28/2013] [Indexed: 11/17/2022]
Abstract
BACKGROUND Chronic headache describes the presence of headache for >15 days per month on average for >3 months and fulfills the rest of the IHS criteria. The prevalence of chronic headache is within the range of 0.5-7.3% worldwide. The aim of this study was to determine the 1-year prevalence of chronic headache in adult Croatian population. METHODS The data were collected from a cross-sectional survey of an adult population (>18 years of age) sample. Randomly selected patients from the general population in four Croatian cities were asked to fulfill a self-completed questionnaire. The prevalence of chronic headache was calculated in the sample representing 3,383,769 Croatian adults. RESULTS The total sample included 1542 responders among which 616 were with headache. The 1-year prevalence of chronic headache was 2.4%, and 0.9% of responders declared having headache 30 days per month. According to these results, 81,192 adult inhabitants in Croatia suffer from chronic headache. CONCLUSIONS The prevalence of chronic headache in Croatia is comparable to other countries worldwide. These patients require special attention and should be offered multidisciplinary medical support.
Collapse
|
19
|
Stewart WF, Roy J, Lipton RB. Migraine prevalence, socioeconomic status, and social causation. Neurology 2013; 81:948-55. [PMID: 23990405 DOI: 10.1212/wnl.0b013e3182a43b32] [Citation(s) in RCA: 106] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE To determine whether the known higher prevalence of migraine in lower household (HH) income groups is explained by a higher incidence rate or a lower remission rate. METHODS We used data from the American Migraine Prevalence and Prevention Study, a US national sample of 132,674 females (with a 64.3% response rate) and 124,665 males (with a 62.0% response rate) 12 years of age and older. Data were previously collected on migraine symptoms, onset age, and demographics. Previously validated methods applied to the American Migraine Prevalence and Prevention Study data were used to simulate a cohort study. Incidence and remission rates were estimated within 3 sex-specific HH income groups (<$22,500, $22,500-$59,999, and ≥$60,000). The χ² test was used to determine whether the incidence or remission rates differed by HH income group as an explanation for differences in migraine prevalence by HH income. RESULTS Migraine prevalence increased as HH income decreased for females (χ², p < 0.01) and males (χ², p < 0.01). Differences were not explained by race and other known confounders. Variation in prevalence was explained, in large part, by a higher incidence rate in the lower HH income groups for both females (χ², p < 0.01) and males (χ², p < 0.01). Migraine remission rates did not differ by HH income. CONCLUSIONS The higher incidence of migraine in lower HH income groups is compatible with the social causation hypothesis. Once initiated, migraine remission is independent of HH income. Onset and remission may have etiologically distinct causes.
Collapse
Affiliation(s)
- Walter F Stewart
- From Sutter Health (W.F.S.), Concord, CA; University of Pennsylvania (J.R.), Philadelphia; and Albert Einstein College of Medicine (R.B.L.), Bronx, NY
| | | | | |
Collapse
|
20
|
Silva AAD, Tavares RM, Lara RP, Faleiros BE, Gomez RS, Teixeira AL. Frequency of types of headache in the tertiary care center of the Hospital das Clínicas of the Universidade Federal de Minas Gerais, MG, Brazil. Rev Assoc Med Bras (1992) 2013; 58:709-13. [PMID: 23250101 DOI: 10.1590/s0104-42302012000600017] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2011] [Accepted: 07/10/2012] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To assess the frequency of different diagnoses of headaches in the Headache Outpatient Clinic of the Hospital das Clínicas of the Universidade Federal de Minas Gerais (AmbCef-UFMG). METHODS Cross sectional study with 289 patients consecutively attended to at AmbCef-UFMG. Headaches were diagnosed based on the criteria established by the International Classification of Headache Disorders (ICDH-2004). RESULTS The average age of patients was 42.6 years, mostly women (86.9%) with less than nine years of education. Primary headaches were the most common type, with migraine found in 79.8% of cases, and tension-type headache (TTH) in 20.4%. Among the secondary types, the most common was headache caused by overuse of analgesics (16.6%), followed by less common types, such as idiopathic intracranial hypertension. Chronic daily headache (CDH) was found in 31.8% of cases. CONCLUSION This study confirms literature data showing migraine as the most common headache in tertiary care centers. The expressive number of cases of CDH and headaches caused by overuse of analgesics indicates that, starting at the primary care level, patients should be advised to avoid the abuse of symptomatic drugs.
Collapse
Affiliation(s)
- Ariovaldo Alberto da Silva
- Department of Neurology, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
| | | | | | | | | | | |
Collapse
|
21
|
Kim BK, Chung YK, Kim JM, Lee KS, Chu MK. Prevalence, clinical characteristics and disability of migraine and probable migraine: a nationwide population-based survey in Korea. Cephalalgia 2013; 33:1106-16. [PMID: 23615490 DOI: 10.1177/0333102413484990] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Epidemiological data on probable migraine (PM) in Asia have rarely been reported. This study aimed to assess the prevalence, clinical characteristics, and disability of PM in comparison with strict migraine (SM) in Korea. METHODS The Korean Headache Survey (KHS) is a nationwide interview survey that investigates the status of headache disorders among adults aged 19-69. We used data from the KHS. RESULTS In a representative sample of 1507 individuals, the one-year prevalence of SM was 6.0%, and that of PM was 11.5%. Most PM sufferers missed the criterion of typical headache duration (82.0%). Multivariable regression analyses revealed that PM sufferers had an increased odds ratio (OR) for mild headache intensity (OR = 2.08; 95% confidence interval (CI): 1.11-3.90) and decreased ORs for living in a small city (OR = 0.50; 95% CI: 0.26-0.94), living in a rural area (OR = 0.36; 95% CI: 0.14-0.92) and headache frequency five to nine days per month (OR = 0.29; 95% CI: 0.11-0.78) compared to SM sufferers. Some SM and PM sufferers experienced decreased activity (26.4% in SM vs. 18.0% in PM) and missed activity (12.1% in SM vs. 14.4% in PM) due to headache. CONCLUSIONS PM is a prevalent headache disorder in Korea. Some sociodemographic and clinical characteristics of PM are different from those of SM.
Collapse
Affiliation(s)
- Byung-Kun Kim
- Department of Neurology, Eulji University School of Medicine, Republic of Korea
| | | | | | | | | |
Collapse
|
22
|
Mengistu G, Alemayehu S. Prevalence and burden of primary headache disorders among a local community in Addis Ababa, Ethiopia. J Headache Pain 2013; 14:30. [PMID: 23574933 PMCID: PMC3620379 DOI: 10.1186/1129-2377-14-30] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2012] [Accepted: 12/17/2012] [Indexed: 01/11/2023] Open
Abstract
Background Headache disorders are the most common complaints worldwide. Migraine, tension type and cluster headaches account for majority of primary headaches and improvise a substantial burden on the individual, family or society at large. There is a scanty data on the prevalence of primary headaches in sub-Saharan Africa in general and Ethiopia in particular. Moreover there is no population based urban study in Ethiopia. The purpose of this study is to determine the prevalence and burden of primary headaches in local community in Addis Ababa, Ethiopia. Methods Cross-sectional sample survey was carried out in Addis Ketema sub city, Kebele 16/17/18 (local smallest administrative unit). Using systematic random sampling, data were collected by previously used headache questionnaire, over a period of 20 days. Results The study subjects were 231 of which 51.5% were males and 48.5% were females. The overall one year prevalence of primary headache disorders was 21.6% and that for migraine was 10%, migraine without aura 6.5% migraine with aura was 2.6% and probable migraine was 0.9%. The prevalence of tension type of headache was found to be 10.4%, frequent episodic tension type headache was 8.2% followed by infrequent tension type headache of 2.2%. The prevalence of cluster headache was 1.3%. The burden of primary headache disorders in terms of missing working, school or social activities was 68.0%. This was 78.3% for migraineurs and 66.7% for tension type headache. Majority 92.0% of primary headache cases were not using health services and 66.0% did not use any drug or medications during the acute attacks and none were using preventive therapy. Conclusion Prevalence and burden of primary headache disorders was substantial in this community. Health service utilization of the community for headache treatment was poor.
Collapse
Affiliation(s)
- Getahun Mengistu
- Department of Neurology, School of Medicine, Addis Ababa University, P,O, Box: 2380, Addis Ababa, Ethiopia.
| | | |
Collapse
|
23
|
|
24
|
da Silva Junior AA, Mattos Tavares R, Pinto Lara R, Engler Faleiros B, Santiago Gomez R, Lúcio Teixeira A. Frequência dos tipos de cefaleia no centro de atendimento terciário do Hospital das Clínicas da Universidade Federal de Minas Gerais. Rev Assoc Med Bras (1992) 2012. [DOI: 10.1016/s0104-4230(12)70276-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
25
|
Epidemiology of headaches in Tehran urban area: a population-based cross-sectional study in district 8, year 2010. Neurol Sci 2012; 34:1157-66. [DOI: 10.1007/s10072-012-1200-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Accepted: 09/13/2012] [Indexed: 11/28/2022]
|
26
|
Ayzenberg I, Katsarava Z, Sborowski A, Chernysh M, Osipova V, Tabeeva G, Yakhno N, Steiner TJ. The prevalence of primary headache disorders in Russia: a countrywide survey. Cephalalgia 2012; 32:373-81. [PMID: 22395797 DOI: 10.1177/0333102412438977] [Citation(s) in RCA: 120] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To estimate the 1-year prevalences of primary headache disorders and identify their principal risk factors in the general population of Russia. METHODS A countrywide population-based random sample of 2725 biologically unrelated adults in 35 cities and nine rural areas were interviewed in a door-to-door survey using a previously validated diagnostic questionnaire. RESULTS Of the 2725 eligible adults contacted, 2025 (74.3%) responded (females 52.6%, mean age 39.5 ± 13.4 years). Of these, 1273 (62.9%) reported headache 'not related to flu, hangover, cold, head injury' occurring at least once in the previous year. The gender- and age-standardized 1-year prevalence of migraine was 20.8%. Female gender (odds ratio (OR) = 3.8; 95% confidence interval (CI) 2.8-5.1) and obesity (OR = 1.5; 1.1-2.1) were positively associated with this type of headache. The gender- and age-standardized 1-year prevalence of tension-type headache (TTH) was 30.8%. TTH was more prevalent in urban than in rural areas (OR = 1.6; 1.3-2.0). Headache on ≥15 days/month was reported by 213 (10.5%) respondents (gender- and age-standardized prevalence 10.4%), and associated with low socioeconomic status (OR = 3.4; 2.4-4.9), obesity (OR = 3.0; 2.1-4.3), female gender (OR = 2.9; 2.1-4.1) and age over 40 years (OR = 2.6; 1.9-3.6). The majority of these respondents (68.1%) overused acute headache medications. CONCLUSION The study demonstrated a high prevalence of migraine and a very high prevalence of headache on ≥15 days/month, and revealed unmet health-care needs of people with headache in Russia.
Collapse
Affiliation(s)
- I Ayzenberg
- Department of Neurology, University of Bochum, Germany.
| | | | | | | | | | | | | | | | | |
Collapse
|
27
|
Falavigna A, Teles AR, Velho MC, Vedana VM, Silva RCD, Mazzocchin T, Basso M, Braga GLD. Prevalence and impact of headache in undergraduate students in Southern Brazil. ARQUIVOS DE NEURO-PSIQUIATRIA 2011; 68:873-7. [PMID: 21243244 DOI: 10.1590/s0004-282x2010000600008] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2010] [Accepted: 06/04/2010] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To determine the prevalence, characteristics and impact of headache among university students. METHOD The criteria established by the International Headache Society were used to define the primary headache subtypes and the Migraine Disability Assessment Questionnaire (MIDAS), to assess the disability. The students were then grouped into six categories: [1] migraine; [2] probable migraine; [3] tension-type headache; [4] probable tension-type headache; [5] non-classifiable headache; [6] no headache. RESULTS Of all undergraduate students interviewed, 74.5% had at least one headache episode in the last three months. Regarding disability, there was a significant difference between the headache types (p<0.0001). In the post-hoc analysis, migraine was the headache type with most reported disability. CONCLUSION Headache is a highly prevalent condition among the students at the University of Caxias do Sul. This disease may have a major impact on the students' lives and in some cases, ultimately lead to educational failure.
Collapse
Affiliation(s)
- Asdrubal Falavigna
- Department of Neurology and Neurosurgery, University of Caxias do Sul, RS, Brazil.
| | | | | | | | | | | | | | | |
Collapse
|
28
|
Hippocampal sclerosis and ipsilateral headache among mesial temporal lobe epilepsy patients. Seizure 2011; 20:480-4. [DOI: 10.1016/j.seizure.2011.02.014] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2010] [Revised: 01/24/2011] [Accepted: 02/25/2011] [Indexed: 12/31/2022] Open
|
29
|
Lucchetti G, Peres MFP. The Prevalence of Migraine and Probable Migraine in a Brazilian Favela: Results of a Community Survey. Headache 2011; 51:971-9. [PMID: 21631479 DOI: 10.1111/j.1526-4610.2011.01899.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
30
|
Nunes JC, Zakon DB, Claudino LS, Guarnieri R, Nunes FC, Queiroz LP, Lin K, Walz R. Headache among mesial temporal lobe epilepsy patients: a case-control study. J Neurol Sci 2011; 306:20-3. [PMID: 21549393 DOI: 10.1016/j.jns.2011.04.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2011] [Revised: 03/14/2011] [Accepted: 04/04/2011] [Indexed: 11/25/2022]
Abstract
Epilepsy and headache are two chronic disorders that are characterized by recurrent attacks, but the relationship between them is not completely understood. Using a structured questionnaire, we investigated the prevalence of headache during the previous year in a homogeneous group of 100 patients with mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS). The control group consisted of 100 age-matched individuals who were randomized from a nationwide Brazilian headache database. There was a significantly higher prevalence of headache (92%) among the MTLE-HS patients when compared with the controls (73%; p=0.001). Chronic daily headache (CDH) was significantly associated with MTLE-HS (OR 6.1, CI 95% 1.7-22, p=0.005). We did not find any association between the diagnosis of migraine or tension-type headache and MTLE-HS. This study showed that MTLE-HS increases the likelihood of a headache diagnosis. In addition, CDH was more prevalent among the MTLE-HS patients, which supports a common pathophysiological mechanism for epilepsy and headache.
Collapse
Affiliation(s)
- Jean Costa Nunes
- Centro de Epilepsia de Santa Catarina (CEPESC), Hospital Governador Celso Ramos (HGCR), Florianópolis, SC, Brazil.
| | | | | | | | | | | | | | | |
Collapse
|
31
|
Carod-Artal FJ, Ezpeleta D, Martín-Barriga ML, Guerrero AL. Triggers, symptoms, and treatment in two populations of migraneurs in Brazil and Spain. A cross-cultural study. J Neurol Sci 2011; 304:25-8. [PMID: 21402387 DOI: 10.1016/j.jns.2011.02.027] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2010] [Revised: 02/19/2011] [Accepted: 02/23/2011] [Indexed: 01/07/2023]
Abstract
BACKGROUND AND AIM Cultural variation in pain and headache presentation may exist. The objective of this study was to assess cross-cultural differences in the use of drugs commonly managed to treat and prevent migraine, and to analyze the awareness about symptoms and triggers between two populations of migraneurs in Brazil and Spain. METHODS International cross-cultural study. Patients answered a socio-demographic questionnaire that included questions about trigger factors, and use of drugs to treat and prevent migraine attacks. RESULTS 292 patients (mean age 34.6 years; 80% females) were included in the study. Most common identified triggers in Brazilian and Spanish patients were: food (30.5% vs 12.6%), sleep (56.7% vs 28.5%), odors (52.5% vs 9.3%), stress (73.1% vs 46.4%), and menstrual period (55.6% vs 38.1%), all p<0.01. Analgesics and anti-inflammatory drugs were the most commonly used drugs to treat migraine attacks. Brazilian migraneurs used less commonly triptans (16.3% vs 47%; p<0.0001). Prophylactic drugs were used less frequently in Brazil than in Spain (21.9% vs 52.9%; p<0.0001). Calcium-antagonists, tricyclic anti-depressives, beta-blockers, and anti-epileptic drugs were significantly more used in Spanish migraineurs (p<0.01). CONCLUSIONS Brazilians migraneurs are more often undertreated for migraine, and underutilization of triptans and preventatives was observed.
Collapse
|
32
|
Stuginski-Barbosa J, Speciali JG. Frequency of headache among the employees of a rubber company in the state of São Paulo, Brazil. SAO PAULO MED J 2011; 129:66-72. [PMID: 21603782 PMCID: PMC10896032 DOI: 10.1590/s1516-31802011000200003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2010] [Revised: 01/28/2010] [Accepted: 12/16/2010] [Indexed: 04/07/2023] Open
Abstract
CONTEXT AND OBJECTIVE Primary headaches may be responsible for absenteeism and a fall in the yield and productivity of work. The aim of this study was to establish the presence and frequency of primary headache among employees of a rubber shoe sole company, and its link to absenteeism. DESIGN AND SETTING Cross-sectional study carried out with help from the staff of the medical and social department of a rubber factory located in the municipality of Franca, São Paulo. METHOD A questionnaire on headache characteristics was distributed to all employees. The returned and completed questionnaires were divided into two groups: with and without reports of headache. The headaches were classified into four main groups: migraine, tension-type headache (TTH), cluster headache and others. In terms of the reported frequency, headaches were also classified as chronic daily headache (CDH). RESULTS The number of valid questionnaires was 392 (59%); 80.9% were from male and 19.1% from female employees. Headaches were reported by 120 subjects (30.6%), with 17.4% belonging to the migraine group and 8.9% to the TTH group. Migraine was more frequent (p < 0.001) among all participants and also among the women (p < 0.05). TTH was more frequent among the men (p < 0.05). CDH was identified in 14 individuals (3.6%). CONCLUSIONS Headache was a common problem among the employees of this company and was a cause of absenteeism for 8.7% of the respondents to the questionnaire.
Collapse
|
33
|
Natoli JL, Manack A, Dean B, Butler Q, Turkel CC, Stovner L, Lipton RB. Global prevalence of chronic migraine: a systematic review. Cephalalgia 2011; 30:599-609. [PMID: 19614702 DOI: 10.1111/j.1468-2982.2009.01941.x] [Citation(s) in RCA: 425] [Impact Index Per Article: 32.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
The aim of this review was to summarize population-based studies reporting prevalence and/or incidence of chronic migraine (CM) and to explore variation across studies. A systematic literature search was conducted. Relevant data were abstracted and estimates were subdivided based on the criteria used in each study. Sixteen publications representing 12 studies were accepted. None presented data on CM incidence. The prevalence of CM was 0-5.1%, with estimates typically in the range of 1.4-2.2%. Seven studies used Silberstein-Lipton criteria (or equivalent), with prevalence ranging from 0.9% to 5.1%. Three estimates used migraine that occurred ≥15 days per month, with prevalence ranging from 0 to 0.7%. Prevalence varied by World Health Organization region and gender. This review identified population-based studies of CM prevalence, although heterogeneity across studies and lack of data from certain regions leaves an incomplete picture. Future studies on CM would benefit from an International Classification of Headache Disorders consensus diagnosis that is clinically appropriate and operational in epidemiological studies.
Collapse
Affiliation(s)
- J L Natoli
- Cerner LifeSciences, Beverly Hills, Irvine, California 90212, USA.
| | | | | | | | | | | | | |
Collapse
|
34
|
Lambert TD, Morrison KE, Edwards J, Clarke CE. The use of complementary and alternative medicine by patients attending a UK headache clinic. Complement Ther Med 2010; 18:128-34. [PMID: 20688258 DOI: 10.1016/j.ctim.2010.05.035] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2009] [Revised: 03/01/2010] [Accepted: 05/22/2010] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES This study was undertaken in order to determine the extent of the use of CAM in a UK headache clinic. DESIGN Ninety-two patients attending a headache clinic were given a questionnaire containing questions regarding their headaches and their use of CAM for headaches. SETTING Outpatient headache clinic, Birmingham, UK. Main outcome measures. The use of complementary and alternative therapies and predictive factors. RESULTS 32% of respondents had used a median of 3 different CAM therapies for their headache. The commonest source of recommendation of CAM use was a friend or relative (72%) and the commonest reason given for using CAM was as a last resort after trying all conventional therapies offered (48%). CAM therapies were perceived as beneficial by 60% of CAM users and no users perceived the CAM therapy to worsen their headache. 42% of CAM users had not disclosed it to their doctor or nurse, 80% of these giving the reason that the doctor or nurse never asked, rather than fear of discouragement or lack of understanding. Individuals who were in employment were more likely to have used CAM than those who were not. Binary logistic regression revealed Headache Impact Test (HIT-6) score to be a significant predictor of CAM use (Odds Ratio=1.38 [95% CI 1.05-1.81]). CONCLUSIONS As a matter of desperation, headache clinic patients try CAM therapies. Health care professionals involved in the management of headache should be aware of this. There is a need for evaluation of the benefits and safety of CAM therapies for headache.
Collapse
Affiliation(s)
- Thomas D Lambert
- Division of Neuroscience, University of Birmingham, Birmingham, B15 2TT, UK.
| | | | | | | |
Collapse
|
35
|
Corrêa TDS, Santos KMD, Galato D. Prevalence and management of headache in a selected area of Southern Santa Catarina. ARQUIVOS DE NEURO-PSIQUIATRIA 2010; 68:216-23. [PMID: 20464288 DOI: 10.1590/s0004-282x2010000200012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2009] [Accepted: 10/06/2009] [Indexed: 11/21/2022]
Abstract
UNLABELLED Headache is a worldwide health problem which affects quality of life. OBJECTIVE To identify the prevalence and management of headache and examine its impact. METHOD A cross-sectional study with 240 participants was performed to collect data related to (a) headache occurrence, (b) its impact through the "Migraine Disability Assessment Test" (Midas), and (c) headache management. RESULTS Last year prevalence (2008) was 64.6%. There was a low Midas score in 80.6% of cases. With regard to headache management, 86.4% of respondents said that they use medicines, mainly analgesics (73.9%). Prescribed medicines were used in 31.0% of cases, although 72.4% of those were old prescriptions. Headache was associated with gender (p=0.0002), occupation (p=0.0109) and mean age (p=0.0083), while the Midas score was associated with pain intensity (p=0.0069) and the use of drugs only during headache crisis (p=0.0464). CONCLUSION There was a high prevalence of headaches and a low level of disability among the population studied, being the management based on self-medication.
Collapse
|
36
|
da Silva A, Costa EC, Gomes JB, Leite FM, Gomez RS, Vasconcelos LP, Krymchantowski A, Moreira P, Teixeira AL. Chronic headache and comorbidities: a two-phase, population-based, cross-sectional study. Headache 2010; 50:1306-12. [PMID: 20163479 DOI: 10.1111/j.1526-4610.2010.01620.x] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Studies using resources of a public family health program to estimate the prevalence of chronic daily headaches (CDH) are lacking. OBJECTIVES To estimate the 1-year prevalence of CDH, as well as the presence of associated psychiatric and temporomandibular disorders (TMD) comorbidities, on the entire population of a city representative of the rural area of Brazil. METHODS This was a cross-sectional, population-based, 2-phase study. In the first phase, health agents interviewed all individuals older than 10 years, in a rural area of Brazil. In the second stage, all individuals who reported headaches on 4 or more days per week were then evaluated by a multidisciplinary team. CDH were classified according to the second edition of the International Classification of Headache Disorders (ICHD-2). Medication overuse headache was diagnosed, as per the ICHD-2, after detoxification trials. Psychiatric comorbidities and TMD were diagnosed based on the DSM-IV and on the Research Diagnostic Criteria for Temporomandibular Disorders criteria, respectively. RESULTS A total of 1631 subjects participated in the direct interviews. Of them, 57 (3.6%) had CDH. Chronic migraine was the most common of the CDH (21, 36.8%). Chronic tension-type headache (10, 17.5%), medication overuse headache (13, 22.8%) and probable medication overuse headache (10, 17.5%) were also common. Psychiatric disorders were observed in 38 (67.3%) of the CDH subjects. TMD were seen in 33 (58.1)% of them. CONCLUSIONS The prevalence of CDH in the rural area of Brazil is similar to what has been reported in previous studies. A significant proportion of them have psychiatric comorbidities and/or TMD. In this sample, comorbidities were as frequent as reported in convenience samples from tertiary headache centers.
Collapse
|
37
|
Gonçalves DA, Bigal ME, Jales LC, Camparis CM, Speciali JG. Headache and Symptoms of Temporomandibular Disorder: An Epidemiological Study. Headache 2010; 50:231-41. [DOI: 10.1111/j.1526-4610.2009.01511.x] [Citation(s) in RCA: 117] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|
38
|
Nyame YA, Ambrosy AP, Saps M, Adams PN, Dhroove GN, Suresh S. Recurrent Headaches in Children: An Epidemiological Survey of Two Middle Schools in Inner City Chicago. Pain Pract 2010; 10:214-21. [DOI: 10.1111/j.1533-2500.2009.00338.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
|
39
|
Abstract
Epidemiological studies conducted in the general population point to average headache prevalence rates of 46% for 1-year prevalence and of 64% for lifetime prevalence. For migraine, most studies conducted in the adult general population of western Europe and North America indicate rates between 5% and 9% in men, and between 12% and 25% in women. Non-western countries report lower figures. Migraine shows no gender differences in children, while in the elderly its frequency appears much reduced in both genders. About one-third of migraineurs suffer from migraine with aura. For tension-type headache, prevalence data reports in the literature are few and conflicting: rates range from 11% in Singapore to 20-40% in the USA and over 80% in Denmark. It is worth noting that the highest figures are found in studies where a personal interview has been employed. This probably indicates that the prevalence of this headache subtype is particularly sensitive to the method of data collection. Cluster headache occurs in 1-3 per thousand of the general population, with a gender (M:F) ratio of about 3:1. About 4% of the adult general population suffers from chronic daily headache.
Collapse
|
40
|
Silberstein S, Diener HC, Lipton R, Goadsby P, Dodick D, Bussone G, Freitag F, Schwalen S, Ascher S, Morein J, Greenberg S, Biondi D, Hulihan J. Epidemiology, risk factors, and treatment of chronic migraine: a focus on topiramate. Headache 2009; 48:1087-95. [PMID: 18687081 DOI: 10.1111/j.1526-4610.2008.01185.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The term chronic daily headache refers to a heterogeneous group of headache disorders characterized by a frequency of headaches on > or = 15 days per month. Chronic migraine is a subtype of chronic daily headache. The prevalence of chronic migraine is approximately 1%. Baseline attack frequency and acute medication overuse have been identified as potential risk factors for the progression of migraine from an episodic disorder to a chronic condition. There is an unmet patient need for effective and safe treatments for patients with chronic migraine, but data from rigorous controlled trials are limited. Previous studies have demonstrated that topiramate is an effective and safe preventive treatment for episodic migraine. In addition, pilot studies have suggested the utility of topiramate for the prevention of chronic migraine. Two randomized, double-blind, placebo-controlled, multicenter trials investigating the efficacy and safety of topiramate in the treatment of patients with chronic migraine have recently been completed. This review presents comparative data from these 2 clinical trials, which suggest that topiramate at a dose of 100 mg daily is effective and generally well tolerated in chronic migraine.
Collapse
|
41
|
Straube A, Pfaffenrath V, Ladwig KH, Meisinger C, Hoffmann W, Fendrich K, Vennemann M, Berger K. Prevalence of chronic migraine and medication overuse headache in Germany—the German DMKG headache study. Cephalalgia 2009; 30:207-13. [DOI: 10.1111/j.1468-2982.2009.01906.x] [Citation(s) in RCA: 102] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Population-based epidemiological studies about the prevalence of chronic migraine using the 2004 International Headache Society (IHS) classification definition are rare. We analysed the data of the Deutsche Migräne und Kopfschmerz Gesellschaft headache study, which included 7417 adults in three regions of Germany, with respect to their headache. Additionally, body mass index, alcohol consumption and smoking behaviour were recorded. Using the IHS definition from 2004, chronic migraine was diagnosed in 0.2% of the population. Half of these patients also fulfilled the criteria of medication overuse headache (MOH). The distribution of migraine attacks per subject was highly skewed, with only 14% of all migraine patients having more than six migraine attacks per month. Patients with chronic migraine or MOH seem more often to be active smokers than controls without headache. A body mass index of ≥ 30 was present significantly more often in patients with MOH than in controls or in patients with episodic migraine. The skewed distribution of the numbers of attacks per patient supports the recommendation to differentiate between episodic migraine with low and high attack frequency, as is done in the classification of tension-type headache. It further suggests that migraine with high attack frequency might be biologically different. The higher prevalence of smokers and of patients with a body mass index ≥ 30 in chronic migraine or MOH supports the idea of a frontal dysfunction in these patients.
Collapse
Affiliation(s)
- A Straube
- Department of Neurology, Klinikum Großhadern Ludwig-Maximilians-University Munich, Germany
| | | | - K-H Ladwig
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health (GmbH), Neuherberg, Germany
| | - C Meisinger
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health (GmbH), Neuherberg, Germany
| | - W Hoffmann
- Institute for Community Medicine, University of Greifswald, Greifswald, Germany
| | - K Fendrich
- Institute for Community Medicine, University of Greifswald, Greifswald, Germany
| | - M Vennemann
- Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany
| | - K Berger
- Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany
| |
Collapse
|
42
|
Sá K, Baptista AF, Matos MA, Lessa I. Prevalence of chronic pain and associated factors in the population of Salvador, Bahia. Rev Saude Publica 2009; 43:622-30. [PMID: 19488666 DOI: 10.1590/s0034-89102009005000032] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2008] [Accepted: 12/04/2008] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of chronic pain, identifying the associated factors. METHODS A cross-sectional study was conducted in a population sample of 2,297 individuals aged 20 years or more, in Salvador, Northeastern Brazil, in 1999 and 2000. A standardized questionnaire was administered at the individuals' home to collect data about pain, sociodemographic characteristics, and abdominal circumference measurement. The criterion for chronic pain classification was duration above six months. Prevalence of pain was estimated by adjusted prevalence ratio with confidence interval of 95% and p<0.05 for the univariate analyses and logistic regression. RESULTS The presence of chronic pain was found in 41.4% of the population. In the gross analysis, the most frequent associated factors were: sex, age, marital status, smoking and alcohol consumption (p<0.05). In the multivariate analysis, female sex, age, smoking and presence of central obesity were independent predictors, while moderate consumption of alcohol and being single were protectors. CONCLUSIONS The presence of chronic pain was predominant in women, elderly individuals, obese individuals, smokers and ex-smokers. Preventive public health strategies are suggested, aiming to disseminate the risks of smoking and obesity for the development of chronic pain. In addition, the periodic monitoring of health is encouraged.
Collapse
Affiliation(s)
- Katia Sá
- Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
| | | | | | | |
Collapse
|
43
|
Junior AS, Krymchantowski A, Moreira P, Vasconcelos L, Gomez R, Teixeira A. Prevalence of Headache in the Entire Population of a Small City in Brazil. Headache 2009; 49:895-9. [DOI: 10.1111/j.1526-4610.2009.01435.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
44
|
Winkler A, Stelzhammer B, Kerschbaumsteiner K, Meindl M, Dent W, Kaaya J, Matuja W, Schmutzhard E. The prevalence of headache with emphasis on tension-type headache in rural Tanzania: a community-based study. Cephalalgia 2009; 29:1317-25. [PMID: 19438921 DOI: 10.1111/j.1468-2982.2009.01885.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The aim of the study was to assess the prevalence of headache with special attention to tension-type headache (TTH) in a rural area in northern Tanzania. A door-to-door study was performed using a standardized and validated questionnaire. A total of 7412 participants were screened. The total headache prevalence during the past year was 12.1%; the overall 1-year prevalence of TTH was 7%; 5% reported episodic TTH and 0.4% chronic TTH. Borderline cases (International Headache Society code 2.3) were described in 1.6%. The prevalence of headache was highest in the 41-50-year-old group in women and in the 61+ age group in men. This is the first account of the prevalence of TTH in a rural Tanzanian population, and shows that headache in general and, more specifically, TTH are prevalent disorders that deserve attention. However, the prevalence of primary headache seems to be lower than in Western countries.
Collapse
Affiliation(s)
- As Winkler
- Interdisciplinary Centre for Palliative Care and Department of Neurology, Ludwig-Maximilians-University, Munich, Germany.
| | | | | | | | | | | | | | | |
Collapse
|
45
|
From drug-induced headache to medication overuse headache. A short epidemiological review, with a focus on Latin American countries. J Headache Pain 2009; 10:71-6. [PMID: 19238511 PMCID: PMC3451648 DOI: 10.1007/s10194-009-0101-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2008] [Accepted: 01/20/2009] [Indexed: 12/03/2022] Open
Abstract
Medication overuse headache (MOH) is a daily or almost-daily type of headache that results from the chronicization, usually migraine or tension-type headache, as a consequence of the progressive increase of intake of symptomatic drugs. MOH is now the third most frequent type of headache and affects a percentage of 1–1.4% of the general population. The currently available data on the impact of chronic headache associated with analgesic overuse in specialist headache centres confirm, beyond doubt, the existence of a serious health problem. Limited amount of data exists on the burden and impact of MOH in Latin American Countries. In this review, we summarise the reliable information from the literature on the epidemiological impact of MOH.
Collapse
|
46
|
Queiroz LP, Peres MFP, Piovesan EJ, Kowacs F, Ciciarelli MC, Souza JA, Zukerman E. A nationwide population-based study of migraine in Brazil. Cephalalgia 2009; 29:642-9. [PMID: 19187337 DOI: 10.1111/j.1468-2982.2008.01782.x] [Citation(s) in RCA: 87] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The aim of this study was to estimate the 1-year prevalence of migraine and the degree of the association of migraine with some sociodemographic characteristics of a representative sample of the adult population of Brazil. This was a cross-sectional, population-based study. Telephone interviews were conducted on 3848 people, aged 18-79 years, randomly selected from the 27 States of Brazil. The estimated 1-year gender- and age-adjusted prevalence of migraine was 15.2%. Migraine was 2.2 times more prevalent in women, 1.5 times more in subjects with > 11 years of education, 1.59 times more in subjects with income of < 5 Brazilian Minimum Wages per month, and 1.43 times more in those who do not do any physical exercise. The overall prevalence of migraine in Brazil is 15.2%. Migraine is significantly more prevalent in women, subjects with higher education, with lower income, and those who do not exercise regularly, independently of their body mass index.
Collapse
Affiliation(s)
- L P Queiroz
- Universidade Federal de Santa Catarina, Florianópolis, Brazil.
| | | | | | | | | | | | | |
Collapse
|
47
|
Queiroz LP, Peres MFP, Kowacs F, Piovesan EJ, Ciciarelli MC, Souza JA, Zukerman E. Chronic Daily Headache in Brazil: A Nationwide Population-Based Study. Cephalalgia 2008; 28:1264-9. [PMID: 18727642 DOI: 10.1111/j.1468-2982.2008.01670.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The objectives of this study were to estimate the 1-year prevalence of chronic daily headache (CDH) and the degree of the association of CDH with some sociodemographic characteristics of the adult population of Brazil. This was a cross-sectional, population-based study. We conducted telephone interviews with 3848 people, aged 18-79 years, randomly selected from the 27 States of Brazil. The degree of the association was calculated through prevalence ratios, adjusted with Poisson regression by gender, age and some sociodemographic factors. The estimated 1-year gender- and age-adjusted prevalence of CDH was 6.9±. CDH was 2.4 times more prevalent in women, 1.72 times more in unemployed, 1.63 times more in subjects with high household income and two times greater in those who did not exercise. The overall prevalence of CDH in Brazil is high. CDH is significantly more prevalent in women, the unemployed, subjects with higher income, and in those who do not exercise.
Collapse
Affiliation(s)
- LP Queiroz
- Universidade Federal de Santa Catarina, Florianópolis
- Universidade Federal de São Paulo
| | - MFP Peres
- Universidade Federal de São Paulo
- Hospital Israelita Albert Einstein, São Paulo
| | - F Kowacs
- Fundação Faculdade Federal de Ciências Médicas, Porto Alegre
| | | | - MC Ciciarelli
- Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto
| | - JA Souza
- Universidade Federal Fluminense, Niterói, Brazil
| | - E Zukerman
- Hospital Israelita Albert Einstein, São Paulo
| |
Collapse
|
48
|
Queiroz LP, Peres MFP, Piovesan EJ, Kowacs F, Ciciarelli MC, Souza JA, Zukerman E. A nationwide population-based study of tension-type headache in Brazil. Headache 2008; 49:71-8. [PMID: 18793211 DOI: 10.1111/j.1526-4610.2008.01227.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To estimate the 1-year prevalence of tension-type headache (TTH) and the degree of the association of TTH with some sociodemographic characteristics of a representative sample of the adult population of Brazil. METHODS This was an observational, cross-sectional, population-based study. We conducted telephone interviews on 3848 people, aged 18-79 years, randomly selected from the 27 states of Brazil. Trained lay interviewers administered the structured questionnaire. It included questions about the sociodemographic characteristics of the population, as well as questions about headache. The degree of the association was calculated through prevalence ratios, adjusted with Poisson regression by gender, age, years of education, marital status, household income, job status, body mass index (BMI), and physical exercise. RESULTS The estimated 1-year gender- and-age-adjusted prevalence of TTH was 13.0% (95% CI: 11.8-14.2%); 15.4% in males and 9.5% in females. The prevalence of probable TTH was 22.6% (95% CI: 21.1-24.1%). Most (86.2%) subjects reported episodic TTH; 6.4% had chronic TTH. The prevalence was higher at 18-29 years of age (16.2%). TTH was 1.6 times more prevalent in men, and 1.54 times more in subjects with more than 11 years of education. There was no significant association of TTH with marital or job status, household income, BMI, and physical activity. CONCLUSION This is the first nationwide epidemiological study of TTH in Brazil. The overall prevalence of TTH in Brazil is low, at 13%. TTH is significantly more prevalent in males and subjects with higher education level.
Collapse
Affiliation(s)
- Luiz P Queiroz
- Universidade Federal de Santa Catarina, Neurology Department, Florianopolis, Brazil
| | | | | | | | | | | | | |
Collapse
|
49
|
Sá KN, Baptista AF, Matos MA, Lessa Í. Chronic pain and gender in Salvador population, Brazil. Pain 2008; 139:498-506. [PMID: 18672325 DOI: 10.1016/j.pain.2008.06.008] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2008] [Revised: 04/27/2008] [Accepted: 06/02/2008] [Indexed: 11/24/2022]
Abstract
Chronic pain is a public health problem with high impact on various population segments. There are few population studies with the aim of delineating the profile of the chronic pain patient, and generating data for actions to prevent, control and minimize the problem. The aim of this study was to estimate the prevalence of chronic pain in the population of Salvador, Bahia, Brazil and identify independent predictors associated with this morbidity. A cross-sectional study was conducted in a sample population of 2297 individuals of >20 years of age, in Salvador, Brazil. A standardized questionnaire was applied at home to collect data about socio-demographic characteristics, lifestyle, chronic pain and abdominal circumference measurement. The chronic pain was defined as pain with a duration of longer than 6 months. Prevalence of pain and the OR (univariate analysis) were estimated and adjusted (logistic regression), and their ICs at 95% and p<0.05 in the two analyses. The presence of chronic pain was found in 41.4% of the total study population, women being more affected (48.4% against 32.8% in men), with OR of 1.92 IC 95% 1.6-2,28 p<0.001. Among the studied factors, in the gross analysis, the following were shown to be associated with chronic pain: conjugal situation, smoking, excessive alcohol consumption, presence of central obesity and age, all with p<0.05. In the multivariate analysis, female sex, smoking, excessive alcohol consumption, and age were sustained as independent predictors. The presence of chronic pain was predominant in women, the elderly, smokers or ex-smokers and excessive alcohol consumers.
Collapse
Affiliation(s)
- Katia Nunes Sá
- Escola Bahiana de Medicina e Saúde Pública, Fundação Bahiana para Desenvolvimento das Ciências, Programa de Pos-graduacao e extensao da, Rua D.Joao VI, 274 - Brotas, 40290-000 Salvador, Bahia, Brazil Instituto de Saúde Coletiva, Universidade Federal da Bahia, Brazil
| | | | | | | |
Collapse
|
50
|
Benseñor IM, Lotufo PA, Goulart AC, Menezes PR, Scazufca M. The Prevalence of Headache Among Elderly in a Low-Income Area of São Paulo, Brazil. Cephalalgia 2008; 28:329-33. [DOI: 10.1111/j.1468-2982.2007.01507.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
There are scarce data about headache prevalence and its characteristics among elderly people. The aim was to carry out a cross-sectional study to determine the 1-year prevalence of tension-type and migraine headaches in people >65 years old in the city of São Paulo, Brazil. All 1615 people living in the study catchment area who agreed to participate in the study answered a questionnaire based in the International Headache Society criteria. Prevalence (mean and 95% confidence interval) of any type of headache in the last year was 45.6% (43.2, 48.0). Prevalence of tension-type headache in the last year was 33.1% (30.8, 35.4): 28.1% (24.6, 31.6) for men and 36.4% (33.4, 39.4) for women; for migraine headaches, prevalence in the last year was 10.6% (9.1, 12.1): 5.1% (3.4, 6.8) for men and 14.1% (11.9, 16.3) for women. One-year prevalence rates of headaches, and especially of migraine headaches, are very high among the elderly in Brazil.
Collapse
Affiliation(s)
- IM Benseñor
- Hospital Universitário, School of Medicine, University of São Paulo, São Paulo, Brazil
- School of Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - PA Lotufo
- Hospital Universitário, School of Medicine, University of São Paulo, São Paulo, Brazil
- School of Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - AC Goulart
- Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - PR Menezes
- Hospital Universitário, School of Medicine, University of São Paulo, São Paulo, Brazil
- School of Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - M Scazufca
- Hospital Universitário, School of Medicine, University of São Paulo, São Paulo, Brazil
| |
Collapse
|