Medical/Surgical Department, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Pain Pract. 2010 May-Jun;10(3):228-34. doi: 10.1111/j.1533-2500.2009.00343.x. Epub 2010 Feb 11.
Migraine is a very common primary headache disorder with no underlying identifiable pathological cause. It has a profound effect on the well-being and general functioning of its victims. Migraine is best understood as a chronic disorder with episodic manifestations, progressive in some individuals, having dramatic social and economic costs. Migraine causes stress in patients and their families, changes the roles and lifestyles and disturbs the social interactions between family members. Being more common in women, migraine is a significant women's health concern. The low rate of headaches with identifiable organic causes suggests that individual and environmental factors are determinants of migraine. Therefore, studying lifestyle and its relation with migraine is very important. This study examines the relation between migraine headaches and lifestyle in women refereed to university clinics in Iran.
This is a case-control study of 170 patients selected randomly using Poisson sampling. The study population included female patients suffering from headache referred to the neurology clinics and health centers in Iran (with neurologist-diagnosed migraine according to the criteria of the International Society of Headache). The study population for the control group included women without migraine headache whose life conditions were similar to the migraine group and who were living in the same area. Data were collected by interview and a questionnaire which was tested for reliability and validity using content validity and retest methodologies.
Findings showed a significant relation between some dimensions of lifestyle, such as diet eating habits (P = 0.001), resting and sleeping habits (P = 0.012), and drug usage patterns (P = 0.001) with migraine headaches. But there were no significant relationships noted between smoking, exercise or stress levels with migraine headaches.
Lifestyle habits, including rest and sleep, diet and drug usage, are important factors in migraine attacks. It is important to emphasize changing habits, such as improper use of analgesics, to decrease side effects in migraine victims. The health centers should consider promoting healthy habits and behaviors as a priority in their services.
偏头痛是一种非常常见的原发性头痛疾病，没有潜在的可识别的病理原因。它对患者的幸福感和整体功能有深远的影响。偏头痛最好被理解为一种具有间歇性表现的慢性疾病，在某些个体中呈进行性发展，具有巨大的社会和经济成本。偏头痛会给患者及其家属带来压力，改变角色和生活方式，并扰乱家庭成员之间的社会互动。偏头痛在女性中更为常见，是一个重大的女性健康问题。由于可识别的器质性原因引起的头痛发生率较低，这表明个体和环境因素是偏头痛的决定因素。因此，研究生活方式及其与偏头痛的关系非常重要。本研究考察了伊朗大学诊所就诊的女性偏头痛与生活方式之间的关系。
这是一项病例对照研究，使用泊松抽样法随机选择了 170 名患者。研究人群包括因头痛就诊于伊朗神经科诊所和保健中心的女性患者（根据国际头痛协会的标准，由神经科医生诊断为偏头痛）。对照组包括没有偏头痛的女性，其生活条件与偏头痛组相似，居住在同一地区。数据通过访谈和问卷调查收集，该问卷通过内容有效性和重测法进行了可靠性和有效性测试。
研究结果表明，生活方式的某些方面，如饮食习惯（P=0.001）、休息和睡眠习惯（P=0.012）以及药物使用模式（P=0.001）与偏头痛之间存在显著关系。但是，吸烟、运动或压力水平与偏头痛之间没有显著关系。
生活方式习惯，包括休息和睡眠、饮食和药物使用，是偏头痛发作的重要因素。重要的是要强调改变习惯，如不合理使用止痛药，以减少偏头痛患者的副作用。保健中心应考虑将促进健康习惯和行为作为其服务的优先事项。
