Medication overuse, healthy lifestyle behaviour and stress in chronic headache: Results from a population-based representative survey.
Cephalalgia
; 36(1): 15-28, 2016 Jan.
Article
em En
| MEDLINE
| ID: mdl-25804645
ABSTRACT
AIM:
This cross-sectional study investigated associations between chronic headache (CH) with and without medication overuse, healthy lifestyle behaviour, and stress.METHODS:
Questionnaires were sent to 129,150 adults. Those with headache ≥15 days per month for three months were classified as having CH then further described as having medication-overuse headache (MOH) or CH without medication overuse. Associations between headache and daily smoking, physical inactivity, obesity, excessive drinking, illicit drug use, and high stress were analysed by logistic regression.RESULTS:
CH with and without medication overuse (prevalence 1.8% and 1.6%, respectively) had strong, graded associations with stress. Associations with daily smoking, physical inactivity, and obesity were significant only for MOH. Odds for MOH were highest among people who had all three factors compared to those who had none (OR 2.8 in women and 5.1 in men). High stress plus any of these three factors had synergistic effects in MOH but not clearly in those who had CH without overuse. Associations between CH subtypes and excessive drinking or illicit drug use were not statistically significant.CONCLUSION:
Results suggest strong links between healthy lifestyle behaviour and stress in MOH. Stress reduction and promoting healthy behaviour are highly relevant in MOH management.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estresse Psicológico
/
Comportamentos Relacionados com a Saúde
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Inquéritos Epidemiológicos
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Transtornos da Cefaleia
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Comportamento de Redução do Risco
/
Transtornos da Cefaleia Secundários
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Cephalalgia
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Dinamarca