Istanbul Faculty of Medicine, Department of Neurology, Istanbul University, Istanbul, Turkey; Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey.
Cerrahpaş a Faculty of Medicine, Department of Neurology, Istanbul-Cerrahpaş a University, Istanbul, Turkey.
Pediatr Neurol. 2023 Dec;149:100-107. doi: 10.1016/j.pediatrneurol.2023.09.007. Epub 2023 Sep 21.
Headache among children and adolescents is an important health problem. In this school-based epidemiological study conducted in Istanbul, we aimed to reveal the frequency of headaches in this population, define the risk factors associated with headaches, and establish the effect of headaches on the quality of life in this population.
The child and adolescent versions of the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation structured questionnaire were conducted in 30 schools in Istanbul. The diagnosis was made based on the International Classification of Headache Disorders III-(ICHD-3) beta version. Risk factors associated with headaches were analyzed in a binary logistic regression model.
Among the 5944 students (boys = 3011 [50.7%], girls 2933 [49.3%]) who completed the survey and were enrolled in this study, 3354 (56.4%) reported a headache ever. The prevalence of headaches was significantly higher in girls (62.6% vs. 50.4%, P < 0.001). Migraine prevalence was found to be 5.2%, whereas tension-type headache (TTH) prevalence was 26.1%. Being a female, age, living on the European side, and headache history in the family were found to be associated with an increased risk of having a headache. Pupils with headaches reported that they missed an average of 0.5 ± 1.5 school days due to headaches.
TTH was found to be the most common headache syndrome in Istanbul metropolitan area. Considering the effect of headaches on school success and quality of life in childhood, it is clear that the correct diagnosis of headaches and careful handling of risk factors are crucial for this population.
儿童和青少年头痛是一个重要的健康问题。在伊斯坦布尔进行的这项基于学校的流行病学研究中，我们旨在揭示该人群头痛的频率，确定与头痛相关的危险因素，并确定该人群头痛对生活质量的影响。
在伊斯坦布尔的 30 所学校中进行了儿童和青少年版的头痛归因受限、残疾、社会障碍和受损参与结构问卷。根据国际头痛疾病分类第三版（ICHD-3β版）进行诊断。使用二元逻辑回归模型分析与头痛相关的危险因素。
在完成调查并纳入本研究的 5944 名学生（男生 3011 名[50.7%]，女生 2933 名[49.3%]）中，3354 名（56.4%）报告曾有过头痛。女生头痛的患病率明显更高（62.6%比 50.4%，P < 0.001）。偏头痛的患病率为 5.2%，而紧张型头痛（TTH）的患病率为 26.1%。研究发现，女性、年龄、居住在欧洲一侧以及家族中有头痛史与头痛风险增加相关。有头痛的学生报告说，他们因头痛平均缺课 0.5±1.5 天。
在伊斯坦布尔大都市区，TTH 是最常见的头痛综合征。考虑到头痛对儿童学业成绩和生活质量的影响，显然正确诊断头痛并仔细处理危险因素对该人群至关重要。
