Varkey E, Hagen K, Zwart J-A, Linde M
Cephalea Headache Centre, Gothenburg, Sweden.
Cephalalgia. 2008 Dec;28(12):1292-7. doi: 10.1111/j.1468-2982.2008.01678.x. Epub 2008 Sep 11.
The aim of this study was to evaluate, using a prospective and a cross-sectional design, the relationship between level of physical activity and migraine and non-migraine headache. In the prospective part, 22,397 participants, not likely to have headache, answered questions about physical activity at baseline (1984-1986) and responded to a headache questionnaire at follow-up. In the cross-sectional part (1995-1997), 46,648 participants answered questions about headache and physical activity. Physically inactive individuals at baseline were more likely than active individuals to have non-migraine headache 11 years later (odds ratio 1.14, 95% confidence interval 1.02, 1.28). In the cross-sectional analyses, low physical activity was associated with higher prevalence of migraine and non-migraine headache. In both headache groups, there was a strong linear trend (P < 0.001) of higher prevalence of 'low physical activity' with increasing headache frequency. The result may indicate that physical inactivity among headache-free individuals is a risk factor for non-migraine headache and that individuals with headache are less physically active than those without headache.
本研究的目的是采用前瞻性和横断面设计,评估身体活动水平与偏头痛及非偏头痛性头痛之间的关系。在前瞻性研究部分,22397名不太可能患头痛的参与者在基线时(1984 - 1986年)回答了有关身体活动的问题,并在随访时对头痛问卷做出了回应。在横断面研究部分(1995 - 1997年),46648名参与者回答了有关头痛和身体活动的问题。基线时身体不活动的个体在11年后比活动个体更易患非偏头痛性头痛(优势比1.14,95%置信区间1.02,1.28)。在横断面分析中,低身体活动与偏头痛和非偏头痛性头痛的较高患病率相关。在两个头痛组中,随着头痛频率增加,“低身体活动”的患病率呈强烈线性趋势(P < 0.001)。该结果可能表明,无头痛个体的身体不活动是患非偏头痛性头痛的一个危险因素,且头痛个体比无头痛个体身体活动更少。