Journal
CEPHALALGIA
Volume 41, Issue 6, Pages 649-664Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0333102420977183
Keywords
Migraine; aura; epidemiology; older people; depression; sleep; blood pressure; sports
Categories
Funding
- Heinz Nixdorf Foundation
- German Research Council (DFG) [EI 969/2-3, ER 155/6-1, 6-2, HO 3314/2-1, 2-3, 4-3, INST 58219/32-1, JO 170/8-1, KN 885/3-1, PE 2309/2-1, SI 236/8-1, 9-1, 10-1]
- German Ministry of Education and Science (BMBF) [01EG0401, 01GI0856, 01GI0860, 01GS0820_WB2-C, 01ER1001D, 01GI0205]
- Ministry of Innovation, Science, Research and Technology, North Rhine-Westphalia (MIWFT-NRW)
- Else KronerFresenius-Stiftung [2015_A119]
- German Social Accident Insurance [FF-FP295]
- IFORES of the University Duisburg-Essen
- European Union
- German Competence Network Heart Failure, Kulturstiftung Essen
- Protein Research Unit within Europe (PURE)
- Celgene GmbH Munchen
- Imatron/GE-Imatron
- Janssen
- Merck KG
- Philips
- ResMed Foundation
- Roche Diagnostics
- Sarstedt AG Co
- Siemens HealthCare Diagnostics
- Volkswagen Foundation
Ask authors/readers for more resources
Headaches and migraines are not uncommon in the elderly population, and they are associated with mood and sleep disturbances, as well as potentially linked to lower levels of physical activity. The use of antihypertensive medications may be related to headache remission.
Background The prevalence of migraine and non-migraine headache declines with age. Methods Data from the third visit (2011-2015) of the population-based Heinz Nixdorf Recall study were analysed (n = 2038, 51% women, 65-86 years). Possible risk factors for headache activity (obesity, education, smoking, sports, alcohol, partnership status, living alone, having children, sleep quality, depression, hypertension, diabetes mellitus, stroke, coronary heart disease, medication), and headache symptoms were assessed. We estimated the lifetime prevalence and the prevalence of current active headache of migraine with and without aura, and non-migraine headache. The associations between possible risk factors and headache activity (active vs. inactive) were estimated by age and sex-adjusted odds ratios and 95% confidence intervals (OR [95% CI]) using multiple logistic regression. Results The lifetime prevalence of migraine was 28.6% (n = 584). One hundred and ninety-two (9.4%) had still-active migraine, 168 (3.5%) had migraine with aura, and 416 (5.9%) had migraine without aura. One hundred and sixty-eight (8.2%) had episodic infrequent migraine, 0-8 headache days/month, 10 (0.5%) had episodic frequent migraine, 9-14 headache days/month, and five (0.2%) had chronic migraine, >= 15 headache days/month. Overall, 10 (0.5%) had chronic headache, any headache on >= 15 days/month. Female gender and younger age were the most important associated migraine risk factors. Depression (1.62 [1.06; 2.47]) and poor sleep (1.06 [1.00; 1.12]) were associated with migraine and headache activity in general. Antihypertensives were associated with headache remission (0.80 [0.64; 1.00]). Additionally, undertaking less sports (0.72 [0.51; 1.03]) was associated with higher migraine activity. Conclusions Headaches and migraines are not rare in the older population. They are related to mood and sleep disturbance, and migraine even to less physical activity. Antihypertensives are related to headache remission.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available