First Vienna Pediatric Medical Center, Donau-City Straße 1, 1220, Vienna, Austria.
Sigmund Freud University Vienna, Freudplatz 1, 1020, Vienna, Austria.
BMC Pediatr. 2019 May 24;19(1):164. doi: 10.1186/s12887-019-1537-0.
Migraine is a disabling primary headache disorder that occurs in about 10 % of children and might lead to a lower quality of life. There are several possible migraine triggers in a patient's environment, which should be avoided where possible. The objective of this Austrian monocentric study was to identify migraine triggers and the areas, in which children and adolescents with migraine have a lower quality of life than healthy, headache-free children.
In this cross-sectional, questionnaire study, 76 children from ages 8 to 17 years were included. Thirty-seven were classified as migraineurs, 39 as non-migraineurs. Participants filled in a questionnaire surveying the areas of physical, socio-economic and school functioning. Migraineurs further answered migraine-specific questions.
The study included 33 (43.4%) males and 43 (56.6%) females. Median age was 13.00 (10.00-16.00) years. Average age of onset for migraine was 9.22 ± 3.34 years. Non-migraineurs skipped trendwise fewer meals (p.adjust = 0.108) and exercised more often (p.adjust = 0.108). In socio-economic functioning, the father's nationality being Austrian might be related to migraine (p.adjust = 0.108). Children with migraine had a significantly lower quality of life in school functioning (PedsQL 4.0 questionnaire, p.adjust = 0.04) and had significantly less often "good" grades than children without migraine (p.adjust = 0.048).
Children with migraine show a reduced quality of life in the areas of physical, socio-economic and school functioning.
偏头痛是一种常见于 10%儿童的致残性原发性头痛疾病，可能导致生活质量下降。患者的环境中存在多种可能的偏头痛触发因素，应尽可能避免。本奥地利单中心研究的目的是确定偏头痛触发因素，以及偏头痛儿童和青少年在哪些方面的生活质量低于健康、无头痛的儿童。
在这项横断面问卷调查研究中，共纳入了 76 名 8 至 17 岁的儿童。其中 37 名被诊断为偏头痛患者，39 名被诊断为非偏头痛患者。参与者填写了一份问卷调查，调查了身体、社会经济和学校功能等方面。偏头痛患者进一步回答了偏头痛特异性问题。
研究包括 33 名（43.4%）男性和 43 名（56.6%）女性。中位数年龄为 13.00（10.00-16.00）岁。偏头痛的平均发病年龄为 9.22±3.34 岁。非偏头痛患者更经常不吃早餐（p.adjust=0.108），更经常运动（p.adjust=0.108）。在社会经济功能方面，父亲的国籍为奥地利可能与偏头痛有关（p.adjust=0.108）。偏头痛儿童在学校功能方面的生活质量显著较低（PedsQL 4.0 问卷，p.adjust=0.04），且偏头痛儿童的“好”成绩显著少于无偏头痛儿童（p.adjust=0.048）。
偏头痛儿童在身体、社会经济和学校功能方面的生活质量较低。
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