Montagni Ilaria, Guichard Elie, Carpenet Claire, Tzourio Christophe, Kurth Tobias
1 INSERM Research Center of Epidemiology and Biostatistics U897, Team Neuroepidemiology, Bordeaux, France.
2 College of Health Sciences, University of Bordeaux, France.
Cephalalgia. 2016 Oct;36(11):1020-1027. doi: 10.1177/0333102415620286. Epub 2016 Jul 19.
Objective The objective of this article is to investigate whether excessive screen time exposure is associated with non-migraine headache and migraine in young adults. Background Increased levels of television time have been associated with increased risk of headache. However, time spent using newer electronic devices with a screen (smartphone, tablet) has not been examined yet. Methods We conducted a cross-sectional study among 4927 participants of the French i-Share cohort. Demographic characteristics, screen time exposure (computers, tablets, smartphones and television) as well as headache/migraine symptoms were recorded in a standardized questionnaire. Multinomial logistic regression models were used to evaluate the association between screen time exposure and headache status. Results Participants had a mean age of 20.8 years and 75.5% were female. The multivariable model showed that students in the highest screen time exposure quintile had an increased risk for migraine. The odds ratio (OR) (95% confidence interval (CI)) was 1.37 (1.14 to 1.66) for migraine when compared with students without headache and with low screen time exposure. This association was somewhat stronger for migraine without aura (OR = 1.50, 95% CI 1.19 to 1.89). We found no significant association between screen time exposure and non-migraine headache. Conclusion High levels of screen time exposure are associated with migraine in young adults. No significant association was found with non-migraine headache.
目的 本文旨在研究在年轻成年人中，过长时间暴露于屏幕是否与非偏头痛性头痛及偏头痛有关。背景 看电视时间的增加与头痛风险的升高有关。然而，使用新型带屏幕电子设备（智能手机、平板电脑）的时间尚未得到研究。方法 我们对法国i-Share队列的4927名参与者进行了一项横断面研究。在一份标准化问卷中记录了人口统计学特征、屏幕暴露时间（电脑、平板电脑、智能手机和电视）以及头痛/偏头痛症状。使用多项逻辑回归模型评估屏幕暴露时间与头痛状态之间的关联。结果 参与者的平均年龄为20.8岁，75.5%为女性。多变量模型显示，屏幕暴露时间处于最高五分位数的学生患偏头痛的风险增加。与无头痛且屏幕暴露时间短的学生相比，偏头痛的优势比（OR）（95%置信区间（CI））为1.37（1.14至1.66）。这种关联在无先兆偏头痛中更强（OR = 1.50，95% CI 1.19至1.89）。我们发现屏幕暴露时间与非偏头痛性头痛之间无显著关联。结论 在年轻成年人中，长时间暴露于屏幕与偏头痛有关。未发现与非偏头痛性头痛有显著关联。
