Department of Neurology, Zonguldak Atatürk State Hospital, Zonguldak, Turkey
Department of Neurology, Faculty of Medicine, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
Turk J Med Sci. 2021 Jun 28;51(3):1406-1412. doi: 10.3906/sag-2004-66.
BACKGROUND/AIM: Although many headache patients report that the frequency and severity of attacks vary according to the season or weather in clinical practice, the relationship between the characteristics of the attacks and the weather is not very clear in episodic headaches. We aimed to compare the effects of weather variables (temperature, wind speed, wind direction, humidity, pressure, ultraviolet index, and sunshine duration) on episodic migraine (EM) and episodic tension-type headache (ETTH) attacks (incidence, duration, and severity).
Fifty patients with EM and fifty patients with ETTH diagnosed according to International Classification of Headache Disorders-II are included in the study. Patients were given one diary for headache follow-up. The evaluation form on the relationship between the duration, frequency, and severity of the pain and the findings obtained from the headache diaries were compared with the daily weather data, and the two headache groups were compared with each other in terms of the effect of meteorological data on the pain characteristics.
It is determined that mean wind velocity in EM attacks is significantly higher when compared to the tension-type headache (TTH) attacks and mean UV index is significantly higher in TTH attacks (p = 0.018 and 0.039). Mean UV index in TTH attack days was reported higher in women than men (p = 0.044). Mean sunshine duration in TTH attack days was reported longer in women than men (p = 0.050). When mean age gets higher in patients with migraine, mean temperature in the days of attack gets lower (r = –0.146 and p = 0.046).
During the treatment of migraine and TTH patients, recommendations and warnings about weather conditions can be made. This information can guide patients to regulate their daily living activities. The importance of considering the weather-headache relationship during the review of the current treatment in cases of unresponsiveness to treatment should be kept in mind.
背景/目的：尽管许多头痛患者在临床实践中报告说，发作的频率和严重程度会根据季节或天气而变化，但在发作性头痛中，发作的特征与天气之间的关系并不十分清楚。我们旨在比较天气变量（温度、风速、风向、湿度、压力、紫外线指数和日照时间）对发作性偏头痛（EM）和发作性紧张型头痛（ETTH）发作（发生率、持续时间和严重程度）的影响。
本研究纳入了 50 例根据国际头痛疾病分类第二版诊断为 EM 的患者和 50 例 ETTH 患者。患者被给予一份头痛随访日记。将疼痛的持续时间、频率和严重程度与头痛日记中获得的结果之间的关系评估表与每日天气数据进行比较，并比较气象数据对两种头痛组疼痛特征的影响。
确定 EM 发作时的平均风速明显高于紧张型头痛（TTH）发作，TTH 发作时的平均紫外线指数明显更高（p=0.018 和 0.039）。TTH 发作日女性的平均紫外线指数明显高于男性（p=0.044）。TTH 发作日女性的平均日照时间明显长于男性（p=0.050）。偏头痛患者的平均年龄越高，发作日的平均温度越低（r=-0.146，p=0.046）。
在治疗偏头痛和 TTH 患者时，可以针对天气条件提出建议和警告。这些信息可以指导患者调节日常生活活动。在治疗反应不佳的情况下，应牢记在审查当前治疗时考虑天气-头痛关系的重要性。
