Obesity in the Pediatric Headache Population: A Multicenter Study
Obesity in the Pediatric Headache Population: A Multicenter Study
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DOI：
10.1111/j.1526-4610.2008.01232.x
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发表时间：
2009-02-01
期刊：
影响因子：
5
通讯作者：
McClintock, William
中科院分区：
文献类型：
--
作者：
Hershey, Andrew D.;Powers, Scott W.;McClintock, William
旨在检查儿童头痛人群中肥胖的患病率、体重与头痛频率和残疾之间的关系，以及体重变化对头痛结果的影响。头痛和肥胖都是儿童和成人的常见病症。对成人的研究表明这两种情况之间存在关联。这种关系尚未在儿科人群中得到探索。肥胖和体重变化对头痛结果的影响可能对临床护理产生重要影响。我们收集了 7 个儿科头痛中心的 913 名连续患者的身高、体重、年龄和性别以及头痛频率和残疾情况的数据，计算了体重指数 (BMI) 并确定了 BMI 百分位数。对 3 个月 (n = 213) 和 6 个月 (n = 174) 随访的患者收集了相同的数据进行比较分析。初次就诊时超重患者的患病率与一般儿科人群没有显着差异。 BMI 百分位与初次就诊时的头痛频率和残疾显着相关，尽管相关性相对较小。对于初次就诊时肥胖或有超重风险的儿童，BMI 的变化与 3 个月和 6 个月随访时的头痛频率变化显着正相关。肥胖与儿科头痛人群的头痛频率和残疾有关。对于超重的儿童，随着时间的推移，体重减轻有助于减少头痛。临床医生在提供小儿头痛护理时应考虑儿童体重状况。
To examine the prevalence of obesity, the relationship between weight compared with headache frequency and disability, and effect of weight change on headache outcomes within a pediatric headache population.Headache and obesity are both common conditions in children and adults. Research in adults has suggested a relationship between the 2 conditions. This relationship has not yet been explored within a pediatric population. The effect of obesity and weight change on headache outcomes may have important implications for clinical care.Data on height, weight, age, and gender, as well as headache frequency and disability, were collected on 913 consecutive patients at 7 pediatric headache centers, the body mass index (BMI) calculated and the BMI percentile determined. The same data were collected on patients seen at 3- (n = 213) and 6-month (n = 174) follow-up for comparative analysis.The prevalence of overweight patients at initial visit did not significantly differ from the general pediatric population. BMI percentile was significantly correlated with headache frequency and disability at initial visit, although the correlations were relatively small. For children who were obese or at risk for overweight as initial visit, change in BMI was significantly positively correlated with change in headache frequency at 3- and 6-month follow-up.Obesity is associated with headache frequency and disability in the pediatric headache population. For children who are overweight, weight loss can contribute to a reduction in headaches over time. Clinicians should consider child weight status in providing care for pediatric headache.