Kim Jiyoung, Cho Soo-Jin, Kim Won-Joo, Yang Kwang Ik, Yun Chang-Ho, Chu Min Kyung
Department of Neurology, Bio Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, South Korea.
Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, South Korea.
J Headache Pain. 2017 Dec;18(1):50. doi: 10.1186/s10194-017-0756-8. Epub 2017 Apr 28.
Sleep disorder and sleep complaints are common in subjects with migraine. Although the association between sleep disorders and migraine has been reported, the association between perceived insufficient sleep and migraine has rarely reported. The aim of this study is to evaluate the association between insufficient sleep and migraine using the data of the Korean Headache-Sleep Study (KHSS).
The KHSS is a nation-wide cross-sectional population-based survey regarding headache and sleep for Korean adults aged 19 to 69 years. A difference of one hour or more between sleep need and average sleep time indicated insufficient sleep.
Of 2,695 participants, 727 (27.0%) individuals were classified as having insufficient sleep. The prevalence of insufficient sleep among individuals with migraine (45.5%) was significantly higher compared to that among individuals with non-migraine headache (32.9%, p = 0.004) or among non-headache (20.4%, p < 0.001). Average sleep time did not differ among migraine, non-migraine headache, and non-headache groups (7.3 ± 1.2 vs. 7.2 ± 1.2 vs. 7.3 ± 1.4, p = 0.207). Multivariable logistic regression analyses demonstrated that migraine had an increased odds ratio (OR) for insufficient sleep after adjusting for sociodemographic variables, short sleep time, insomnia, poor sleep quality, anxiety, and depression (OR = 1.8, 95% confidence interval [CI] = 1. 2 - 2.7, p = 0.002).
The prevalence of insufficient sleep was significantly higher among migraineurs compared to that in non-migraine headache or non-headache group.
睡眠障碍和睡眠问题在偏头痛患者中很常见。虽然睡眠障碍与偏头痛之间的关联已有报道，但关于睡眠不足感与偏头痛之间的关联却鲜有报道。本研究旨在利用韩国头痛-睡眠研究（KHSS）的数据评估睡眠不足与偏头痛之间的关联。
KHSS是一项针对19至69岁韩国成年人的头痛和睡眠情况的全国性横断面人群调查。睡眠需求与平均睡眠时间相差一小时或以上表明睡眠不足。
在2695名参与者中，727人（27.0%）被归类为睡眠不足。偏头痛患者中睡眠不足的患病率（45.5%）显著高于非偏头痛性头痛患者（32.9%，p = 0.004）或非头痛患者（20.4%，p < 0.001）。偏头痛组、非偏头痛性头痛组和非头痛组的平均睡眠时间无差异（7.3±1.2 vs. 7.2±1.2 vs. 7.3±1.4，p = 0.207）。多变量逻辑回归分析表明，在调整社会人口统计学变量、短睡眠时间、失眠、睡眠质量差、焦虑和抑郁后，偏头痛患者睡眠不足的比值比（OR）增加（OR = 1.8，95%置信区间[CI] = 1.2 - 2.7，p = 0.002）。
与非偏头痛性头痛或非头痛组相比，偏头痛患者中睡眠不足的患病率显著更高。
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