Author(s): PinhasHamiel O, Frumin K, Gabis L, MazorAronovich K, ModanMoses D,
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Abstract OBJECTIVE: To assess the association between obesity and primary headaches in children and adolescents. METHODS AND PROCEDURES: In a prospective study, the short-questionnaire version based on existing International Headache Society diagnostic criteria was administered. Two hundred and seventy-three children and adolescents (61\% females) aged 9-17 years were assessed. One hundred and sixteen (42.5\%) subjects were of normal weight, 45 (16.5\%) were at risk for overweight (BMI >85th and <95th percentile for age and gender) and 112 (41\%) were overweight (BMI >/=95th percentile). The outcome measures were prevalence of headaches, type of headaches, association between headaches and elevated blood pressure in overweight subjects. RESULTS: Headache was reported in 39 (14.3\%) subjects, with a similar rate in females (14.5\%) and males (14\%). Among 39 subjects with headaches, 20 (17.9\%) were overweight, 7 (15.6\%) were at risk for overweight and 12 (10.3\%) were normal-weight children. Among females, 7.7\% of normal-weight group suffered from headaches, compared with 14.8\% of the at risk for overweight group and 20.3\% of the overweight group (P for trend 0.04). Among males, the occurrence of headaches was similar in all three weight groups (P = 0.96). The occurrence of headaches increased from 10.6\% among children aged 9-11 years to 21.8\% in the 15-18 years age group (P < 0.05). In multivariate analysis, a significant independent risk for headaches was present in overweight females (odds ratio (OR) = 3.93, 95\% confidence interval (CI) 1.28-12.1) and in adolescents aged 15-18 years (OR = 2.62, 95\% CI 1.07-6.45). Elevated blood pressure was not independently associated with headaches. Of the 15 children with migraine, 12 were either at risk for overweight or overweight. DISCUSSION: Overweight females had an almost fourfold excess risk of headaches when compared with normal-weight girls.
This article was published in Obesity (Silver Spring)
and referenced in Journal of Obesity & Weight Loss Therapy