Self-reported vs measured body mass indices in migraineurs.

Self-reported vs measured body mass indices in migraineurs.
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DOI:
10.1111/j.1526-4610.2009.01400.x
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发表时间:
2009-05
期刊:
影响因子:
5
通讯作者:
Erwin KL
Erwin KL
中科院分区:
医学3区
文献类型:
--
作者:
Katsnelson MJ;Peterlin BL;Rosso AL;Alexander GM;Erwin KL

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比较偏头痛患者根据自我报告的身高和体重计算的体重指数与测量的身高和体重。肥胖是多种神经系统疾病的危险因素,包括中风、痴呆和偏头痛慢性化。此外,与偏头痛相关的几种细胞因子和脂肪细胞因子受体重调节。身体质量指数(BMI)是一种常用的人体测量指标,用于估计全身脂肪,通常根据患者自我报告的身高和体重计算。这是一项回顾性研究,评估了连续的偏头痛患者到头痛诊所就诊。人口统计学特征和自我报告的身高和体重从标准化问卷中获得,每个新患者在就诊时完成。此外,由于抑郁症已被证明与偏头痛和肥胖有关,因此还利用患者医疗保健问卷-9提取了有关重度抑郁症的信息。在完成问卷后,常规测量体重指数,使用安装的测距仪测量身高,精确到0.5英寸,使用标准量表测量体重,精确到0.5磅。从图表中提取这些信息后,计算自我报告和测量的体重指数的BMI。使用测量的身体质量指数作为标准,然后将其与患者自我报告的身体质量指数进行比较和对比。共有110例患者入选本研究。患者主要为女性(91%),平均年龄为38.6 ± 11.6岁。在纳入的所有患者中,自我报告的身高(平均64.7 ± 3.1英寸)与测量身高(平均64.5 ± 3.4英寸)相比无显著差异,P = 0.463。然而,与测量体重(173.5 ± 43.2)相比,自我报告体重(169 ± 41.3)被低估,P = .001。自我报告的BMI(28.4 ± 6.8)显著低于测量的BMI(29.4 ± 7.5),P <0.001。在我们的研究中,偏头痛患者自我报告的平均体重和BMI明显低于测量的平均体重和BMI,并且在肥胖偏头痛患者中更大。这表明,偏头痛患者自我报告的BMI评估肥胖的研究得出的结论可能低估了全身肥胖的影响。
To compare and contrast body mass indices calculated based on self-reported height and weight as compared with measured height and weight in migraine patients. Obesity is a risk factor for multiple neurological disorders including stroke, dementia, and migraine chronification. In addition, several cytokines and adipocytokines associated with migraine are modulated by body mass. The body mass index (BMI) is a commonly used anthropometric measure to estimate total body fat and is often calculated based on patient’s self-reported height and weight. This was a retrospective study evaluating consecutive migraine patients presenting to a headache clinic. Demographic characteristics and self-reported height and weight were obtained from a standardized questionnaire that each new patient completes upon presentation to the clinic. In addition, as depression has been shown to be associated with both migraine and obesity, information in regards to major depression utilizing the Patient Healthcare Questionnaire-9 was extracted as well. Following completion of the questionnaire, body mass indices are routinely measured, with height measured to the nearest 0.5 inch utilizing a mounted stadiometer, and weight measured with a standard scale to the nearest 0.5 lb. After this information was extracted from the charts, BMI was then calculated for both self-reported and measured body mass indices. Using the measured body mass indices as a standard, this was then compared and contrasted to the patient’s self-reported body mass indices. A total of 110 patients were included in the study. Patients were predominantly female (91%) with a mean age of 38.6 ± 11.6 years. Of the total patients included, no significant difference in self-reported height (mean 64.7 ± 3.1 inches) as compared with measured height (mean 64.5 ± 3.4 inches) was seen, P = .463. However, self-reported weight (169 ± 41.3) was underestimated as compared with the measured weight (173.5 ± 43.2), P = .001. And, the self-reported BMI (28.4 ± 6.8) was significantly less than the measured BMI (29.4 ± 7.5), P < .001. In our study, the self-reported mean weight and BMI for migraineurs was significantly less than the measured mean weight and BMI, and was of greater magnitude in the obese migraineurs. This suggests that conclusions drawn from studies evaluating obesity utilizing self-reported BMI in migraineurs may undercall the effect of total body obesity.
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期刊: PAIN
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