School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
School of Public Health, Sun Yat-Sen University, Guangzhou, China.
J Headache Pain. 2024 Feb 20;25(1):24. doi: 10.1186/s10194-024-01729-y.
Prior research has shown that individual lifestyles were associated with migraine. Yet, few studies focused on combined lifestyles, particularly in Chinese populations. This cross-sectional study aimed to investigate the relationships of a combined lifestyle index with migraine in Hong Kong Chinese women.
Baseline data from a cohort study named Migraine Exposures and Cardiovascular Health in Hong Kong Chinese Women (MECH-HK) were used for analysis. In total 3510 women aged 55.2 ± 9.1 years were included. The combined lifestyle index comprised eight lifestyle factors: smoking, physical activity, sleep, stress, fatigue, diet, body mass index, and alcohol. Each component was attributed a point of 0 (unhealthy) or 1 (healthy). The overall index was the sum of these points, ranging from 0 (the least healthy) to 8 points (the healthiest). Migraine was diagnosed by the International Classification of Headache Disorders 3rd edition. Additionally, for women with migraine, the data on migraine attack frequency (attacks/month) was collected.
A total of 357 women with migraine (10.2%) were identified. The prevalence of migraine for the 0-3-point, 4-point, 5-point, 6-point, and 7-8-point groups were 18.0% (162/899), 10.9% (86/788), 6.6% (51/776), 6.0% (38/636), and 4.9% (20/411), respectively. In the most-adjusted model, compared to the 0-3-point group, the odds ratios and 95% confidence intervals for the 4-point, 5-point, 6-point, and 7-8-point groups were 0.57 (0.43-0.75), 0.33 (0.24-0.46), 0.30 (0.21-0.44), and 0.25 (0.15-0.41), respectively (all p < 0.001). For each component, migraine was significantly associated with sleep, stress, fatigue, and diet; but was unrelated to smoking, physical activity, body mass index, and alcohol. Among women with migraine, per point increase in the combined lifestyle index was associated with a reduced migraine attack frequency (β = - 0.55; 95% confidence interval = - 0.82, - 0.28; p < 0.001).
A combined lifestyle index was inversely associated with migraine and migraine attack frequency in Hong Kong Chinese women. Adhering to a healthy lifestyle pattern might be beneficial to the prevention of migraine attacks. Conversely, it is also plausible that women with migraine might have a less healthy lifestyle pattern compared to those without headaches.
先前的研究表明，个体生活方式与偏头痛有关。然而，很少有研究关注综合生活方式，尤其是在中国人群中。本横断面研究旨在探讨综合生活方式指数与香港华裔女性偏头痛之间的关系。
使用一项名为香港华裔女性偏头痛暴露与心血管健康（MECH-HK）的队列研究的基线数据进行分析。共纳入 3510 名年龄为 55.2±9.1 岁的女性。综合生活方式指数包括 8 种生活方式因素：吸烟、体力活动、睡眠、压力、疲劳、饮食、体重指数和酒精。每个组成部分都被赋予 0（不健康）或 1（健康）分。总指数是这些分数的总和，范围从 0（最不健康）到 8 分（最健康）。偏头痛通过国际头痛疾病分类第 3 版进行诊断。此外，对于患有偏头痛的女性，还收集了偏头痛发作频率（每月发作次数）的数据。
共确定 357 名偏头痛女性（10.2%）。0-3 分、4 分、5 分、6 分和 7-8 分组的偏头痛患病率分别为 18.0%（162/899）、10.9%（86/788）、6.6%（51/776）、6.0%（38/636）和 4.9%（20/411）。在最调整的模型中，与 0-3 分组相比，4 分、5 分、6 分和 7-8 分组的优势比和 95%置信区间分别为 0.57（0.43-0.75）、0.33（0.24-0.46）、0.30（0.21-0.44）和 0.25（0.15-0.41）（均 P<0.001）。对于每个组成部分，偏头痛与睡眠、压力、疲劳和饮食显著相关；但与吸烟、体力活动、体重指数和酒精无关。在患有偏头痛的女性中，综合生活方式指数每增加 1 分，偏头痛发作频率就会降低（β=-0.55；95%置信区间=-0.82，-0.28；P<0.001）。
综合生活方式指数与香港华裔女性偏头痛和偏头痛发作频率呈负相关。坚持健康的生活方式模式可能有助于预防偏头痛发作。相反，患有偏头痛的女性可能比没有头痛的女性生活方式更不健康。
