Schumacher Leah M, Farris Samantha G, Thomas J Graham, Lipton Richard B, Pavlovic Jelena, Vgontzas Angeliki, Bond Dale S
Department of Kinesiology, College of Public Health, Temple University, 1800 N. Broad St., Philadelphia, PA 19121, USA.
Department of Psychology, Rutgers, The State University of New Jersey, 53 Avenue East, 211 Tillett Hall, Piscataway, NJ 08854, USA.
J Clin Med. 2023 Feb 22;12(5):1742. doi: 10.3390/jcm12051742.
Obesity and migraine are often comorbid. Poor sleep quality is also common among individuals with migraine and may be influenced by comorbidities such as obesity. However, understanding of migraine's relationship with sleep and the potential exacerbating effect of obesity remains limited. This study evaluated the associations of migraine characteristics and clinical features with sleep quality among women with comorbid migraine and overweight/obesity and assessed the interplay between obesity severity and migraine characteristics/clinical features in relation to sleep quality. Women seeking treatment for migraine and obesity ( = 127; NCT01197196) completed a validated questionnaire assessing sleep quality (Pittsburgh Sleep Quality Index-PSQI). Migraine headache characteristics and clinical features were assessed using smartphone-based daily diaries. Weight was measured in-clinic, and several potential confounders were assessed using rigorous methods. Nearly 70% of participants endorsed poor sleep quality. Greater monthly migraine days and the presence of phonophobia related to poorer sleep quality, and specifically poorer sleep efficiency, controlling for confounders. Obesity severity was neither independently associated nor interacted with migraine characteristics/features to predict sleep quality. Poor sleep quality is common among women with comorbid migraine and overweight/obesity, although obesity severity does not appear to uniquely relate to or exacerbate the association between migraine and sleep in this population. Results can guide research on mechanisms of the migraine-sleep link and inform clinical care.
肥胖与偏头痛常合并存在。睡眠质量差在偏头痛患者中也很常见,且可能受肥胖等合并症的影响。然而,对于偏头痛与睡眠的关系以及肥胖的潜在加剧作用的认识仍然有限。本研究评估了合并偏头痛和超重/肥胖的女性中偏头痛特征及临床特征与睡眠质量的相关性,并评估了肥胖严重程度与偏头痛特征/临床特征在睡眠质量方面的相互作用。寻求偏头痛和肥胖治疗的女性(n = 127;NCT01197196)完成了一份经过验证的评估睡眠质量的问卷(匹兹堡睡眠质量指数 - PSQI)。使用基于智能手机的每日日记评估偏头痛头痛特征及临床特征。在诊所测量体重,并采用严格方法评估了几个潜在混杂因素。近70%的参与者认可睡眠质量差。在控制混杂因素后,每月偏头痛天数较多以及存在恐声症与较差的睡眠质量相关,尤其是较差的睡眠效率。肥胖严重程度既不独立相关,也不与偏头痛特征/特征相互作用以预测睡眠质量。合并偏头痛和超重/肥胖的女性中睡眠质量差很常见,尽管在该人群中肥胖严重程度似乎并非独特地与偏头痛和睡眠之间的关联相关或加剧这种关联。研究结果可为偏头痛 - 睡眠关联机制的研究提供指导,并为临床护理提供参考。