Prevalence of Headache and its Association With Sleep Disorders in Children

Marmara University, İstanbul, Istanbul, Turkey
Pediatric Neurology (Impact Factor: 1.7). 03/2007; 36(3):146-51. DOI: 10.1016/j.pediatrneurol.2006.11.006
Source: PubMed


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.

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    • "These rates are much higher than in our study. Isik et al. [20] reported headache prevalence in Turkish adolescents to be 31.4% with low Migraine prevalence (3.3%), quite similar to headaches prevalence in the Jewish population in our study, and found no differences between males and females, very different than in our study. "
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    ABSTRACT: Headache is the most common cause for chronic or recurrent pain in childhood and adolescence. Chronic pain may have a long-term effect on adolescents. It might contribute to functional limitations, such as poor school attendance, and it may adversely affect development of healthy social relationships. The aim of our study was to examine the cross- ethnic variation in the prevalence of headache in a non- clinical sample of adolescents in Northern Israel and to learn about its association to other somatic complaints. A self-administered, anonymous questionnaire was presented to 2,088 tenth grade students attending 19 high-schools in Northern Israel (all the public high schools within two districts). Participants were Jews and Arabs, the latter including Muslim, Christians, and Druze, aged 15 to 16. Parental and student consent was obtained from all participants. The study was approved by the IRB of our institution. All 2088 questionnaires were returned although only 2019 were usable and analyzed. Arab adolescents comprised 55% (1117) of the analyzed sample and Jews 45% (902), 56% of participants were girls. Of the Arab participants, 18.6% reported having frequent headaches (girls 25.3%, boys 9.1%, P<0.0001) much less than their Jewish peers (P<0.0001) among whom 27.9% reported having frequent headaches (girls 35.6%, boys 19% P<0.0001). Other somatic complaints such as abdominal pain, palpitations, disordered sleep and fatigue were more frequent in adolescents (Jews and Arabs, girls and boys) who suffered from headaches than in their peers who did not report having headaches (P<0.0001), the same pattern observed in the Jewish and the Arab group. Headache is a frequent complaint among adolescents in Northern Israel. Jewish adolescents reported having headaches more frequently than their Arab peers. Those who suffered from frequent headaches also reported having significantly more other somatic complaints than adolescents without headaches. Girls had more somatic complaints then boys in the two ethnic groups.
    Full-text · Article · Mar 2013 · The Journal of Headache and Pain
    • "A higher number of persons per room and a lower housing standard were associated with a higher frequency of headache.[14] Another study determined children with migraine headaches have a high prevalence of sleep disturbances.[1516] "
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    ABSTRACT: The etiology and pathogenesis of migraine and other types of headache are still under discussion. The aim of this study was to investigate the prevalence of migraine and tension-type headache and its association with demographic variables among schoolchildren. A cross-sectional study was performed on 930 school children (aged 12-14 years) through cluster sampling method. International Headache Society criteria were used for diagnosis. Descriptive statistics and logistic regression were used for data analysis. The prevalence of migraine headache was 12.3% (95% CI: 10.2-14.4) and tension-type headache was 4.2% (95% CI: 2.9-5.6). The factor associated with migraine in multivariate analysis were age and sleep disturbances. Migraine is common among school children, although it may be under-recognized. Because children with migraine and tension-type headache have a high prevalence of sleep disturbances, they should always be evaluated for the presence of sleep problems.
    No preview · Article · Jul 2011 · Journal of Pediatric Neurosciences
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    • "According to the present study, severe sleep disturbance were five times more likely among migraineurs, and three times more likely among subjects with TTH. Other studies using different types of questionnaires have also reported a higher prevalence of sleep disturbances among migraineurs [16, 18, 19, 22, 26, 27], and subjects with TTH [10, 13, 25], respectively. "
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    ABSTRACT: The aim of the study was to evaluate the association between sleep disturbance and headache type and frequency, in a random sample of participants in the third Nord-Trøndelag Health Survey. The headache diagnoses were set by neurologists using the ICHD-2 criteria performing a semi structured face-to-face interview. Sleep problems were measured by the two validated instruments Karolinska Sleep Questionnaire (KSQ) and Epworth Sleepiness Scale (ESS). Among 297 participants, 77 subjects were headache-free, whereas 135 were diagnosed with tension-type headache (TTH), 51 with migraine, and 34 with other headache diagnoses. In the multivariate analyses, using logistic regression, excessive daytime sleepiness, defined as ESS >or= 10, was three times more likely among migraineurs compared with headache-free individuals (OR = 3.3, 95% CI 1.0-10.2). Severe sleep disturbances, defined as KSQ score in the upper quartile, was five times more likely among migraineurs (OR = 5.4, 95% CI 2.0-15.5), and three times more likely for subjects with TTH (OR = 3.3, 1.4-7.3) compared with headache-free individuals. Subjects with chronic headache were 17 times more likely to have severe sleep disturbances (OR = 17.4, 95% CI 5.1-59.8), and the association was somewhat stronger for chronic migraine (OR = 38.9, 95% CI 3.1-485.3) than for chronic TTH (OR = 18.3, 95% CI 3.6-93.0). In conclusion, there was a significant association between severe sleep disturbances and primary headache disorders, most pronounced for those with chronic headache. Even though one cannot address causality in the present study design, the results indicate an increased awareness of sleep problems among patients with headache.
    Full-text · Article · Mar 2010 · The Journal of Headache and Pain
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