Katsuki Masahito, Matsumori Yasuhiko, Kawahara Junko, Yamagishi Chinami, Koh Akihito, Kawamura Shin, Kashiwagi Kenta, Kito Tomohiro, Oguri Masato, Mizuno Shoji, Nakamura Kentaro, Hayakawa Katsushi, Ohta Osamu, Kubota Noa, Nakamura Hina, Aoyama Jun, Yamazaki Isamu, Mizusawa Satoshi, Ueki Yasuhide, Ikeda Takashi, Yamagishi Fuminori
Department of Neurosurgery, Itoigawa General Hospital, Itoigawa, Niigata 941-0006, Japan.
Sendai Headache and Neurology Clinic, Sendai, Miyagi 982-0014, Japan.
Clin Neurol Neurosurg. 2023 Mar;226:107610. doi: 10.1016/j.clineuro.2023.107610. Epub 2023 Jan 20.
We investigated the prevalence of headache, migraine, and medication-overuse headache (MOH) among children and adolescents through a school-based online questionnaire. We also investigated the triggers for migraine among them and the effect of the COVID-19 pandemic on headache frequency.
Children and adolescents aged 6-17 y.o. completed an online questionnaire. Migraine, MOH was defined as The International Classification of Headache Disorders Third edition. Factor and clustering analyses were performed for migraine triggers. The effect of the coronavirus disease 2019 (COVID-19) pandemic on headache frequency was also asked.
Of the 2489 respondents, the prevalence of headache, migraine, and MOH were 36.44%, 9.48%, and 0.44%, respectively. Up to 70% of the respondents with headaches complained of the disturbance to daily life, but about 30% consulted doctors. The migraine triggers were grouped into 5 factors by factor analysis. The sensitivities of the migraineurs against the factors were divided into 3 clusters. Cluster 1 had stronger sensitivity for several triggers. Cluster 2 was sensitive to weather, smartphones, and video games. Cluster 3 had less sensitivity for triggers. Cluster 2 less consulted doctors even though the burden of migraine was enormous. During the COVID-19 pandemic, 10.25% of respondents increased headache attacks, while 3.97% decreased.
This is the first detailed study on headache prevalence in Japanese students from elementary school to high school in one region. The burden of headaches is large among children and adolescents, and the unmet needs of its clinical practice should be corrected.
我们通过一项基于学校的在线问卷调查，调查了儿童和青少年中头痛、偏头痛及药物过量使用性头痛（MOH）的患病率。我们还调查了他们偏头痛的诱发因素以及2019冠状病毒病（COVID-19）大流行对头痛频率的影响。
6至17岁的儿童和青少年完成了一份在线问卷。偏头痛、药物过量使用性头痛的定义依据《国际头痛疾病分类》第三版。对偏头痛诱发因素进行了因子分析和聚类分析。还询问了2019冠状病毒病（COVID-19）大流行对头痛频率的影响。
在2489名受访者中，头痛、偏头痛和药物过量使用性头痛的患病率分别为36.44%、9.48%和0.44%。高达70%的头痛受访者抱怨日常生活受到干扰，但约30%的人咨询过医生。通过因子分析，偏头痛诱发因素被分为5个因子。偏头痛患者对这些因子的敏感性分为3个聚类。聚类1对几种诱发因素的敏感性更强。聚类2对天气、智能手机和电子游戏敏感。聚类3对诱发因素的敏感性较低。尽管偏头痛负担巨大，但聚类2咨询医生的次数较少。在COVID-19大流行期间，10.25%的受访者头痛发作增加，而3.97%的受访者头痛发作减少。
这是对一个地区从小学到高中的日本学生头痛患病率的首次详细研究。儿童和青少年的头痛负担很大，其临床实践中未满足的需求应得到纠正。
