Increased prevalence of migraine in women with inflammatory bowel disease: A cross-sectional study.

IF 5 2区 医学 Q1 CLINICAL NEUROLOGY
Marta Pascual-Mato, Gabriel Gárate, Carlota de Prado-Tejerina, María José García, Beatriz Castro, Vicente González-Quintanilla, Jorge Madera, Javier Crespo, Julio Pascual, Monserrat Rivero
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Abstract

Background: Some studies have suggested an association between migraine and inflammatory bowel disease. We determined migraine prevalence in a cohort of patients with inflammatory bowel disease.

Methods: Patients with inflammatory bowel disease aged 18-65 years were interviewed using an ad hoc headache questionnaire. Those who admitted a history of headache in the last year answered the three questions of the ID-Migraine questionnaire. Those who answered "yes" to the three of them were classified as "definite" and those who answered "yes" to two were classified as "probable" migraine.

Results: We interviewed 283 patients with inflammatory bowel disease. Of these, 176 (62.2%) had headache. Fifty-nine (20.8%; 95% CI 16.3-26.0%) met migraine criteria either definite (n = 33; 11.7%; 95% CI 8.2-16.0%) or probable (n = 26; 9.2%; 95% CI 6.1-13.2). When divided by gender, 12 men (9.6%; 95% CI 5.1-16.2%) and 47 women (29.8%; 95% CI 22.8-37.5%) met migraine criteria. The prevalence of migraine was increased in inflammatory bowel disease patients from the current cohort (20.8%) versus that reported for our general population for the same age group (12.6%; p < 0.0001). These differences remained significant in female inflammatory bowel disease patients (29.8% versus 17.2% in our general population; p < 0.0001), but not in males (9.6% in inflammatory bowel disease vs 8.0%; p = 0.30). Seventeen patients with inflammatory bowel disease (6.0%; 95% CI 3.54-9.44%) fulfilled chronic migraine criteria. There were no differences in migraine prevalence by inflammatory bowel disease subtypes.

Conclusion: Migraine prevalence, including chronic migraine, seems to be increased in patients with inflammatory bowel disease. The fact that this association was stronger for women suggests an influence of sex-related factors.

患有炎症性肠病的女性偏头痛发病率增加:一项横断面研究。
背景:一些研究表明偏头痛与炎症性肠病有关。我们测定了一组炎症性肠病患者中偏头痛的发病率:方法:我们对年龄在 18-65 岁之间的炎症性肠病患者进行了采访,并使用了一份特别设计的头痛问卷。承认在过去一年中有头痛病史的患者回答了 ID 偏头痛问卷的三个问题。对其中三个问题回答 "是 "的被归类为 "确定 "偏头痛,对其中两个问题回答 "是 "的被归类为 "可能 "偏头痛:我们对 283 名炎症性肠病患者进行了访谈。结果:我们对 283 名炎症性肠病患者进行了访谈,其中 176 人(62.2%)患有头痛。59人(20.8%;95% CI 16.3-26.0%)符合偏头痛标准,包括明确(n = 33;11.7%;95% CI 8.2-16.0%)或可能(n = 26;9.2%;95% CI 6.1-13.2)。按性别划分,12名男性(9.6%;95% CI 5.1-16.2%)和47名女性(29.8%;95% CI 22.8-37.5%)符合偏头痛标准。与我国同年龄组普通人群的偏头痛患病率(12.6%;P 结论:包括偏头痛在内的偏头痛患病率在炎症性肠病患者中有所增加(20.8%):炎症性肠病患者偏头痛(包括慢性偏头痛)的发病率似乎有所增加。女性偏头痛发病率更高,这表明这与性别因素有关。
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来源期刊
Cephalalgia
Cephalalgia 医学-临床神经学
CiteScore
10.10
自引率
6.10%
发文量
108
审稿时长
4-8 weeks
期刊介绍: Cephalalgia contains original peer reviewed papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications. Published monthly on behalf of the International Headache Society, Cephalalgia''s rapid review averages 5 ½ weeks from author submission to first decision.
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