The burden of migraine and tension-type headache in Asia from 1990 to 2021.

IF 7.3 1区医学 Q1 CLINICAL NEUROLOGY

Journal of Headache and Pain Pub Date : 2025-03-10 DOI:10.1186/s10194-025-01990-9

Yingzhu Zhao, Yujie Yi, Hong Zhou, Qian Pang, Jie Wang

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引用次数: 0

Abstract

Background: In recent years, headache diseases have spread throughout the world, causing great suffering and even severe disability to patients, and increasing the burden on health care systems. However, studies of specific regions are rare. The purpose of our study is to comprehensively analyze the current situation and trends of headache diseases in Asia between 1990 and 2021, to provide details of headache diseases in Asia, and to provide scientific data to support health development strategies.

Methods: Data from the Global Burden of Disease (GBD) 2021 database were used to calculate the incidence, prevalence and disability-adjusted life years (DALYs) of headache disorders in Asia from 1990 to 2021. Differences between years, ages, sexes and countries were also assessed, and we evaluated the correlation between epidemiological and sociodemographic indices (SDIs).

Result: In 2021, there were approximately 683,514,637 cases of migraine in Asia. Meanwhile, there are now 1,130,221,326 cases associated with tension-type headache (TTH) in Asia. Specifically, the age-standardized DALYs (ASDR) [607 cases per 100,000 people (95% UI: 70 - 1,363)] for migraine were highest in Southeast Asia, and the ASDR [422 cases per 100,000 people (95% UI: 86-938)] was lowest in high-income countries of the Asia-Pacific region. ASDR [67 cases per 100,000 people (95% UI: 18-236)] was highest for TTH in Central Asia and lowest for ASDR [43 cases per 100,000 people (95% UI: 13-141)] in East Asia. In addition, women are the key population for migraine and TTH prevalence. In Asia, there were negative and positive correlations between migraine and TTH and SDI, respectively.

Conclusions: Headache disorders pose a serious threat to the quality of life and safety of patients in Asia, increasing the burden on society, and this impact will continue to grow. Our findings suggest that active public awareness, improved guidelines, and better disease management are necessary to expand the public and healthcare system's attention to headache disorders, and thereby gain a greater advantage in combating the burden of headache disorders in the future.

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1990年至2021年亚洲偏头痛和紧张性头痛负担。

背景：近年来，头痛疾病在世界各地蔓延，给患者造成巨大痛苦甚至严重残疾，并增加了卫生保健系统的负担。然而，对特定区域的研究很少。我们的研究目的是全面分析1990年至2021年亚洲头痛疾病的现状和趋势，提供亚洲头痛疾病的详细信息，为支持健康发展战略提供科学数据。方法：使用全球疾病负担（GBD） 2021数据库的数据，计算1990年至2021年亚洲头痛疾病的发病率、患病率和残疾调整生命年（DALYs）。我们还评估了年龄、性别和国家之间的差异，并评估了流行病学和社会人口指数（sdi）之间的相关性。结果：2021年，亚洲约有683,514,637例偏头痛病例。与此同时，亚洲目前有1,130,221,326例与紧张性头痛（TTH）相关。具体而言，偏头痛的年龄标准化DALYs (ASDR)[每10万人607例（95% UI: 70 - 1363）]在东南亚最高，ASDR[每10万人422例（95% UI: 86-938）]在亚太地区高收入国家最低。中亚地区TTH的ASDR最高[每10万人67例（95% UI: 18-236）]，东亚地区ASDR最低[每10万人43例（95% UI: 13-141）]。此外，女性是偏头痛和TTH患病率的关键人群。在亚洲，偏头痛与TTH和SDI分别呈负相关和正相关。结论：头痛疾病严重威胁亚洲患者的生活质量和安全，增加了社会负担，而且这种影响将继续扩大。我们的研究结果表明，积极的公众意识，改进的指南和更好的疾病管理是必要的，以扩大公众和医疗保健系统对头痛疾病的关注，从而在未来与头痛疾病的负担作斗争中获得更大的优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Headache and Pain 医学-临床神经学

CiteScore

11.80

自引率

13.50%

发文量

143

审稿时长

6-12 weeks

期刊介绍： The Journal of Headache and Pain, a peer-reviewed open-access journal published under the BMC brand, a part of Springer Nature, is dedicated to researchers engaged in all facets of headache and related pain syndromes. It encompasses epidemiology, public health, basic science, translational medicine, clinical trials, and real-world data. With a multidisciplinary approach, The Journal of Headache and Pain addresses headache medicine and related pain syndromes across all medical disciplines. It particularly encourages submissions in clinical, translational, and basic science fields, focusing on pain management, genetics, neurology, and internal medicine. The journal publishes research articles, reviews, letters to the Editor, as well as consensus articles and guidelines, aimed at promoting best practices in managing patients with headaches and related pain.