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关节炎与偏头痛之间的关联:一项纳入2649名成年人的美国全国代表性研究。

Association between Arthritis and Migraine: A US Nationally Representative Study Including 2649 Adults.

作者信息

Jacob Louis, Shin Jae Il, López-Sánchez Guillermo F, Haro Josep Maria, Koyanagi Ai, Kim Jong Yeob, Kim Jae Han, Oh Hans, Smith Lee

机构信息

Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, 08830 Barcelona, Spain.

Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France.

出版信息

J Clin Med. 2021 Jan 18;10(2):342. doi: 10.3390/jcm10020342.

Abstract

This study aimed to investigate the cross-sectional association between arthritis and migraine in a large representative sample of the US adult population. The study used data from adults who participated in the RAND American Life Panel (ALP). Arthritis (excluding rheumatoid arthritis) and migraine were self-reported. Control variables included sex, age, ethnicity, marital status, education, employment, annual family income, stroke, epilepsy, coronary artery disease, asthma, depression, anxiety, bipolar disorder, and alcohol dependence. The association between arthritis and migraine was investigated using multivariable logistic regression models, while sex and age interaction analyses were also conducted. This study included 2649 adults (51.7% women; mean (SD) age 50.6 (15.9 years). The prevalence of migraine was 10.7% in the sample. After adjusting for several potential confounders, there was a significant association between arthritis and migraine (OR = 1.83, 95% CI = 1.20-2.81). Further sensitivity analyses revealed that the association was significant in women, adults aged ≤45 years, and those aged >65 years. The mere fact that arthritis and migraine may coexist is problematic, as this could lead to an important medical and economic burden. Therefore, strategies should be implemented to reduce the cooccurrence of these two chronic conditions.

摘要

本研究旨在调查美国成年人群体的一个大型代表性样本中关节炎与偏头痛之间的横断面关联。该研究使用了参与兰德美国生活面板(ALP)的成年人的数据。关节炎(不包括类风湿性关节炎)和偏头痛均通过自我报告获得。控制变量包括性别、年龄、种族、婚姻状况、教育程度、就业情况、家庭年收入、中风、癫痫、冠状动脉疾病、哮喘、抑郁症、焦虑症、双相情感障碍和酒精依赖。使用多变量逻辑回归模型研究关节炎与偏头痛之间的关联,同时也进行了性别和年龄的交互分析。本研究纳入了2649名成年人(女性占51.7%;平均(标准差)年龄为50.6(15.9岁))。样本中偏头痛的患病率为10.7%。在对几个潜在混杂因素进行调整后,关节炎与偏头痛之间存在显著关联(比值比=1.83,95%置信区间=1.20 - 2.81)。进一步的敏感性分析表明,这种关联在女性、年龄≤45岁的成年人以及年龄>65岁的成年人中具有显著性。关节炎和偏头痛可能同时存在这一事实本身就存在问题,因为这可能导致重大的医疗和经济负担。因此,应实施相关策略以减少这两种慢性病的同时发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c13/7831134/5ade81821b29/jcm-10-00342-g001.jpg

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