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Obesity and Headache

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Comorbidities in Headache Disorders

Part of the book series: Headache ((HEAD))

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Abstract

Obesity and headache are both highly prevalent conditions associated with substantial personal and societal impact. Population studies have consistently identified an association between obesity and headache in general and specifically in migraine. Age and sex substantially modify this risk, with obese individuals <50 years of age and women having the greatest risk. While the causal relationship is not known, obesity and migraine share overlapping central and peripheral mechanisms that may contribute to this relationship. In addition, factors such as medications which modulate weight and lifestyle behaviors of migraineurs supply additional complexity to the obesity-migraine relationship. Currently there are no substantial data supporting a specific diet for overweight and obese migraineurs; and only limited research suggests bariatric surgery in obese episodic migraineurs that may be associated with reduced headache frequency and severity. Overall, clinicians treating migraine patients should take particular care in their choices of medications prescribed to their patients, given that many migraine drugs can modulate weight, and promote healthy lifestyle choices in regard to diet and exercise.

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Chai, C.N., Peterlin, B.L., Scher, A.I., Sacco, S. (2017). Obesity and Headache. In: Giamberardino, M., Martelletti, P. (eds) Comorbidities in Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-319-41454-6_7

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