Association of Metabolic Syndrome with Migraine: A Case-Control Study

Chowdhury Neamul Hassan Refayet, S. M. Alam, H. Z. Rahman, Md Rafiqul Islam, M. Bhuiyan, M. Hannan, A. N. Rizvi, Md Abdullah Yusuf, Md Jafrul Kawsar, Md. Habibur Rahaman, Md Rakib Hasan Mahmood, M. Hasan, Imran Sarker
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Abstract

Background: Migraine is a disabling primary headache disorder and metabolic syndrome is a major escalating public-health challenge worldwide. They share some common pathophysiology. But till date, their relationship is obscure. Methods: This study was conducted in headache clinic and inpatient-outpatient department of Neurology and Biochemistry laboratory of BSMMU, from June 2017 to February 2019. In these age-sex matched case control study, 30 migraine patient and equal number non migraine volunteer were taken according to inclusion exclusion criteria. Waist circumference (WC), blood pressure (BP), fasting plasma glucose (FPG), serum triglyceride (TG) and high density lipoprotein cholesterol (HDL-C) were measured among all. Results: In this case control study, 24 women and 6 men were taken in both case and control groups, with mean age (±SD) of 32 (±7.77) and 30 (±8.46) years respectively. Metabolic syndrome was significantly higher among migraineurs (36.7% in case and 13.3% in control group respectively, p=0.037). Patient with metabolic syndrome had 3.763 times more chance of having migraine then person without metabolic syndrome [p=0.037, OR=3.763, 95% C.I. (1.038-13.646)]. Conclusion: There is an association between metabolic syndrome and migraine. Bangladesh Journal of Neuroscience 2018; Vol. 34 (1): 17-24
代谢综合征与偏头痛的关联:一项病例对照研究
背景:偏头痛是一种致残的原发性头痛疾病,代谢综合征是世界范围内日益严重的公共卫生挑战。它们有一些共同的病理生理。但到目前为止,他们的关系还很模糊。方法:本研究于2017年6月至2019年2月在BSMMU头痛门诊和神经内科及生物化学实验室住院部进行。在年龄性别匹配的病例对照研究中,根据纳入排除标准选取30名偏头痛患者和同等数量的非偏头痛志愿者。测量腰围(WC)、血压(BP)、空腹血糖(FPG)、血清甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)。结果:病例对照组女性24例,男性6例,平均年龄(±SD)分别为32(±7.77)岁和30(±8.46)岁。偏头痛组代谢综合征发生率明显高于对照组,分别为36.7%和13.3%,p=0.037。代谢综合征患者发生偏头痛的几率是非代谢综合征患者的3.763倍[p=0.037, OR=3.763, 95% C.I.(1.038 ~ 13.646)]。结论:代谢综合征与偏头痛有一定的相关性。孟加拉国神经科学杂志2018;Vol. 34 (1): 17-24
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