College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdullah Specialist Children's Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
ScientificWorldJournal. 2020 Jun 16;2020:4790254. doi: 10.1155/2020/4790254. eCollection 2020.
Recurring migraine disorders are a common medical problem, standing among the top causes of disability and sufferings. This study aimed to evaluate epidemiological evidence to report updated estimates on prevalence, risk factors, and associated comorbidities of migraine headache in the Arab countries. . A systematic review was conducted at the College of Public Health and Health Informatics, Riyadh, Saudi Arabia.
A systematic search in electronic databases, such as PubMed and Embase, as well as manual searches with cross-referencing was performed from 1990 up to 2019. Overall, 23 included papers were rated independently by two reviewers. Studies were eligible for inclusion only if they investigated migraine headache epidemiology in any Arab country and were published in English.
Migraine prevalence among the general population ranged between 2.6% and 32%. The estimated prevalence of migraine headache among medical university students ranged between 12.2% and 27.9% and between 7.1% and 13.7% in schoolchildren (6 to 18 years). Females were found more likely to have migraine than males. The duration of migraine attacks became shorter with increasing age, while chronic (daily) migraine showed increasing prevalence with age. The most commonly reported comorbidities with migraine included anxiety, hypertension, irritable bowel syndrome, and depression. Most common headache-triggering factors included stress, fatigue, sleep disturbances, prolonged exposure to excessive sunlight or heat, and hunger.
The prevalence and risk factors of migraine headache in Arab countries are comparable to reports from western countries. Longitudinal studies are still needed to investigate the prognosis and predictors of chronicity in the arab countries.
反复发作的偏头痛是一种常见的医学问题，是导致残疾和痛苦的主要原因之一。本研究旨在评估流行病学证据，报告阿拉伯国家偏头痛的患病率、危险因素和相关合并症的最新估计值。
在沙特阿拉伯利雅得公共卫生与健康信息学院进行了系统检索，检索了电子数据库，如 PubMed 和 Embase，并进行了手动检索和交叉引用。共有 23 篇纳入的论文由两名评审员独立进行评分。只有在任何阿拉伯国家调查偏头痛流行病学且发表英文的研究才符合纳入标准。
普通人群偏头痛的患病率在 2.6%至 32%之间。医学生偏头痛的估计患病率在 12.2%至 27.9%之间，学龄儿童（6 至 18 岁）为 7.1%至 13.7%。女性比男性更容易患偏头痛。偏头痛发作的持续时间随着年龄的增长而缩短，而慢性（每日）偏头痛的患病率随着年龄的增长而增加。偏头痛最常见的合并症包括焦虑、高血压、肠易激综合征和抑郁。最常见的头痛诱发因素包括压力、疲劳、睡眠障碍、长时间暴露在过度的阳光或热量下以及饥饿。
阿拉伯国家偏头痛的患病率和危险因素与西方国家的报告相当。仍需要进行纵向研究，以调查阿拉伯国家偏头痛慢性化的预后和预测因素。
