Primary headaches in obese patients

Primary headaches in obese patients
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DOI:
10.1590/s0004-282x2005000600005
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发表时间:
2005-12-01
影响因子:
1.4
通讯作者:
Zukerman, Eliova
Zukerman, Eliova
中科院分区:
医学4区
文献类型:
--
作者:
Peres, Mario Fernando Prieto;Lerário, Daniel Diniz Gonçalves;Zukerman, Eliova

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背景和目的:肥胖是一个全球性的重大公共卫生问题。关于肥胖患者头痛疾病的患病率和影响知之甚少。本研究的目的是评估原发性头痛在肥胖患者和对照组中的患病率。方法:研究对象为来自肥胖手术服务中心的74名连续肥胖患者,并与体重指数小于25的对照组进行比较。结果:五十六例(75%)有头痛诊断,其中偏头痛49例(66%),紧张型头痛7例(9%),失能性头痛36例(48%)。结论:原发性头痛在肥胖患者中比对照组更常见和致残,偏头痛是这一人群中最重要的诊断。肥胖患者的头痛应得到正确的诊断和治疗。
Background and Objective: Obesity is a major public health problem worldwide. Little is known about the prevalence and impact of headache disorders in obese patients. The objective of this study was to assess the prevalence of primary headaches in obese patients and controls. Method: Seventy-four consecutive obese patients from the obesity surgery service were studied, and compared to controls with body mass index less than 25. Results: Fifty-six patients (75%) had a headache diagnosis, 49 migraine (66%), 7 tension-type headache (9%), 36 (48%) had incapacitating headaches. Conclusion: Primary headaches are more common and incapacitating in obese patients than controls, migraine is the most important diagnosis in this population. Headaches should be properly diagnosed and treated in obese patients.