Prevalence of headache and its association with sleep disorders in children

Marmara University, İstanbul, Istanbul, Turkey
Pediatric Neurology (Impact Factor: 1.5). 03/2007; 36(3):146-51. DOI: 10.1016/j.pediatrneurol.2006.11.006
Source: PubMed

ABSTRACT An association between headache and sleep disturbances has been reported in previous studies, but there is a lack of research examining this relationship in a community sample of children in order to reveal the magnitude of the problem. Among 32 District Educational Directorates in Istanbul, nine school districts and within each district eight schools were randomly selected. A questionnaire consisting of sociodemographic variables and evaluating headache and sleep disturbances was sent to students' homes to be completed by their parents. The prevalence of headache was 31.4% (95% confidence interval: 29.5-33.4%). Migraine prevalence was 3.3%, whereas nonmigraine headache prevalence was 28.1%. The prevalence of headache was similar between males and females (29.6% vs 33.3%, P > 0.05). The frequency of headache increased with age for both sexes. Snoring, parasomnias, sweating during sleep, and daytime sleepiness were more common among children with migraine compared with nonmigraine and no headache groups. Headaches are common among schoolchildren. Because children with migraine headaches have a high prevalence of sleep disturbances, they should always be evaluated for the presence of sleep problems.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background There is a paucity of pediatric data addressing the complex relationship between primary headaches and sleep disturbances. Our study objective was to explore headache-related factors that predict sleep disturbance and to compare sleep complaints with other forms of headache-related disability among youth with migraines. Methods A prospective cohort study was conducted of patients 10-18 years with migraine or probable migraine and without daily sleep complaints. Patients completed a 90-day Internet-based headache diary. On headache days patients rated headache intensity, answered PedMIDAS-based disability questions modified for daily scoring, and reported sleep disturbances that resulted as a direct effect of proximate headaches. Results Fifty two patients generated 4680 diary entries, 984 (21%) involved headaches. Headache intensity (p=0.009) and timing of headache onset (p<0.001) were predictive of sleep disturbances. Three PedMIDAS-based disability items were also associated with sleep disturbances: partial school-day absence [p=0.04], recreational activities prevented [p<0.001], and decreased functioning during recreational activities [p<0.001]. Sleep disturbances correlated positively and significantly with daily headache disability scores [rpb = 0.35; p<0.01]. Conclusion We conclude that specific headache factors predict sleep disturbances among youth with primary headaches.
    Pediatric Neurology 10/2014; 51(4). DOI:10.1016/j.pediatrneurol.2014.07.001 · 1.50 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The existence of a correlation and/or comorbidity between sleep disorders and headache, related to common anatomical structures and neurochemical processes, has important implications for the treatment of both conditions.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective Headaches are common during childhood. In addition, sleep disorders are common problems in children, too. Although it is commonly thought that headache and sleep problems are related, there is not enough evidence to confirm this relationship. Finding evident relations between these problems would help practitioners a lot to make earlier diagnosis and plan treatment modalities for both problems as soon as possible. This study aimed to assess the relative frequency of sleep disorders in migraine and non migraine children. Material & Methods In a cross sectional study, 148 children were enrolled in migraine (60) and non migraine (88) groups. They were aged 6 to 14 years. Migraine group consisted of patients who had definite migraine according to IHS (International Headache Society) criteria. Ten sleep problems (snoring, nightmares, sleep walking, sleep talking, bedtime struggle, bruxism, sweating during sleep, excessive daytime sleepiness, insomnia in early or mid night and sleep apnea) were compared between 2 groups. Fisher exact and chi square tests were used for making comparisons. Results We found relationships between night sleep and daytime headaches. Some of these relationships were easy to explain but for some others, finding complicated explanations are necessary. Our findings showed that bruxism, sleep walking, early and midnight insomnia was significantly higher in migraine children. There was a common etiology for headache and sleep disorders. Also, parents and migraine children were well familiar with the effect of relaxation on decreasing migraine episodes .They provided appropriate facilities for night sleep for this reason. Conclusion we found relationships between night sleep and daytime headaches. Some of these relationships were easy to explain but for some others, finding complicated explanations are necessary.

Full-text (2 Sources)

Available from
Jan 2, 2015