Neurological Sciences

, Volume 34, Issue 7, pp 1157–1166 | Cite as

Epidemiology of headaches in Tehran urban area: a population-based cross-sectional study in district 8, year 2010

  • Saeed Shahbeigi
  • Seyed-Mohammad Fereshtehnejad
  • Navid Mohammadi
  • Mohammad Mahdi Golmakani
  • Sayeh Tadayyon
  • Ghazal Jalilzadeh
  • Hossein Pakdaman
Original Article


Many population-based studies have been performed to determine the prevalence of different types of headaches; however, none of them was performed in Tehran urban area as a huge and crowded metropolitan with multiple serious problematic crises. This study was performed to evaluate the prevalence rates of different types of headache among adult population of Tehran urban area in the year 2010. In this cross-sectional survey, a “face-to-face, in-door” structured interview was developed and used in district 8 of Tehran urban area as one representative region in the year 2010. A form concerning the prevalence of different types of headaches which also comprised the characteristics of the headaches and sociodemographic data was designed. After enrollment, participation rate of 91 % (3,655 out of 4,000) was achieved. Of 3,655 recruited individuals, 2,778 (76 %) people have experienced headache within last year. Tension-type headache and migraine were the most common types with the prevalence of 48.6 % (n = 1,777) and 18.2 % (n = 665), while, chronic daily, medication overuse headache and cluster headaches were presented in 7.0 % (n = 255), 4.9 % (n = 180) and 0.1 % (n = 3), respectively. The prevalence of primary headaches in a sample of Tehran adult population is considerable. This high prevalence of headaches necessitates further evaluation of possible risk factors derived from leaving in such a crowded metropolitan area.


Headache Epidemiology Prevalence Population-base 


  1. 1.
    Royal College of General Practitioners. Office of Population Censuses and Surveys, Department of Health (1995) Table 22: New and first ever episodes. In: Morbidity statistics from general practice Fourth national study, 1991–1992. HMSO, London, p 212Google Scholar
  2. 2.
    Patterson VH, Esmonde TF (1993) Comparison of the handling of neurological outpatient referrals by general physicians and a neurologist. J Neurol Neurosurg Psychiatry 56:830PubMedCrossRefGoogle Scholar
  3. 3.
    World Health Organization (2004) Headache disorders. Factsheet No. 277, March 2004. Accessed 28 June 2007Google Scholar
  4. 4.
    Stovner LJ, Andree C (2010) Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain 11(4):289–299PubMedCrossRefGoogle Scholar
  5. 5.
    Steiner TJ (2005) Lifting the burden: the global campaign to reduce the burden of headache worldwide. J Headache Pain 6:373–377PubMedCrossRefGoogle Scholar
  6. 6.
    Rasmussen BK (2001) Epidemiology of headache. Cephalalgia 21:774–777PubMedCrossRefGoogle Scholar
  7. 7.
    Naghavi M, Abolhassani F, Pourmalek F, Moradi Lakeh M, Jafari N, Vaseghi N, Mahdavi Hezaveh N, Kazemeini H (2009) The burden of disease and injury in Iran 2003. Population Health Metrics 7:9PubMedCrossRefGoogle Scholar
  8. 8.
    Bhattacharya AK (2005) Evaluation of headache. J Indian Acad Clin Med 6:17–22Google Scholar
  9. 9.
    Szyszkowicz M (2008) Ambient air pollution and daily emergency department visits for headache in Ottawa, Canada. Headache 48(7):1076–1081PubMedCrossRefGoogle Scholar
  10. 10.
    Longo BM, Yang W, Green JB, Crosby FL, Crosby VL (2010) Acute Health Effects Associated with Exposure to Volcanic Air Pollution (vog) from Increased Activity at Kilauea Volcano in 2008. J Toxicol Environ Health 73(20):1370–1381CrossRefGoogle Scholar
  11. 11.
    Martin PR, Reece J, Forsyth M (2006) Noise as a trigger for headaches: relationship between exposure and sensitivity. Headache 46(6):962–972PubMedCrossRefGoogle Scholar
  12. 12.
    Iran National Census 2006. Visited at Accessed on 15 December 2009
  13. 13.
    Börü UT, Koçer A, Lüleci A, Sur H, Tutkan H, Atli H (2005) Prevalence and characteristics of migraine in women of reproductive age in Istanbul, Turkey: a population based survey. Tohoku J Exp Med 206(1):51–59PubMedCrossRefGoogle Scholar
  14. 14.
    Ayatollahi SM, Moradi F, Ayatollahi SA (2002) Prevalences of migraine and tension-type headache in adolescent girls of Shiraz (southern Iran). Headache 42(4):287–290PubMedCrossRefGoogle Scholar
  15. 15.
    Headache Classification Committee of the International Headache Society (2004) The internacional classification of headache disorders. 2nd Ed. Cephalalgia 24:1–160Google Scholar
  16. 16.
    Lipton RB, Bigal ME, Steiner TJ, Silberstein SD, Olesen J (2004) Classification of primary headaches. Neurology 63:427–435PubMedCrossRefGoogle Scholar
  17. 17.
    Barea LM, Forcelini CM (2002) A epidemiologia das cefaléias primárias. In: Speciali JG, Silva WF (eds) cefaléias. Lemos Editorial, São Paulo, pp 51–61Google Scholar
  18. 18.
    Ayatollahi SMT, Sahebi L, Borhani Haghighi A (2009) Epidemiologic and clinical characteristics of migraine and tension-type headaches among hospitals staffs of Shiraz (Iran). Acta Medica Iranica 47(2):115–120Google Scholar
  19. 19.
    Yusefy M (1999) Prevalence of migraine among students of Zanjan University of Medical Science. J Zanjan Uni of Med Sci 8(30–31): 18–24. [Persian]Google Scholar
  20. 20.
    Ayatollahi SMT, Khosravi A (2006) Prevalence of migraine and tension-type headache in primary-school children in Shiraz. East Mediterr Health J 12(6):809–817PubMedGoogle Scholar
  21. 21.
    Queiroz LP, Barea LM, Blank N (2005) An epidemiological study of headache in Florianopolis, Brazil. Cephalalgia 26:122–127CrossRefGoogle Scholar
  22. 22.
    Takele GM, Haimanot RT, Martelletti P (2008) Prevalence and burden of primary headache in Akaki textile mill workers, Ethiopia. J Headache Pain 9:119–128PubMedCrossRefGoogle Scholar
  23. 23.
    Mitsikostas DD, Tsaklakidou D, Athanasiadis N, Thomas A (1996) The prevalence of headache in Greece: correlations to latitude and climatological factors. Headache 36(3):168–173PubMedCrossRefGoogle Scholar
  24. 24.
    Katsarava Z, Dzagnidze A, Kukava M, Mirvelashvili E, Djibuti M, Janelidze M et al (2009) Primary headache disorders in the Republic of Georgia: prevalence and risk factors. Neurology 73(21):1796–1803PubMedCrossRefGoogle Scholar
  25. 25.
    Boardman HF, Thomas E, Millson DS, Croft PR (2005) One-year follow-up of headache in an adult general population. Headache 45(4):337–345PubMedCrossRefGoogle Scholar
  26. 26.
    Nikiforow R (1981) Headache in a random sample of 200 persons: a clinical study of a population in northern Finland. Cephalalgia 1(2):99–107PubMedCrossRefGoogle Scholar
  27. 27.
    Russell MB, Kristiansen HA, Saltyte-Benth J, Kvaerner KJ (2008) A cross-sectional population-based survey of migraine and headache in 21,177 Norwegians: the Akershus sleep apnea project. J Headache Pain 9(6):339–347PubMedCrossRefGoogle Scholar
  28. 28.
    Ayatollahi SMT, Darab Zand T, Bozorgi F, Sheibani Monfared F (1998) Prevalence of migraine and tension type headache among Shiraz University of Medical Science. Kerman Uni Med Sci 6(3):141–148 (Persian)Google Scholar
  29. 29.
    Ayatollahi SMT, Khosravi A (2004) The study of clinical characteristics of Shiraz school children suffering from migraine and tension type headache (2002–2003). J Kermanshah Uni Med Sci 8(3):25–32 (Persian)Google Scholar
  30. 30.
    Hamzei Moghadam A, Ghaffari Nejad AR, Bahram Pour B (1997) Prevalence of migraine and depression and together relation among students of Kerman University of Medical Sciences. J Kerman Uni Med Sci 4(2):85–90 (Persian)Google Scholar
  31. 31.
    Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R (2005) Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol 20(3):243–249PubMedCrossRefGoogle Scholar
  32. 32.
    Radtke A, Lempert T, Gresty MA, Brookes GB, Bronstein AM, Neuhauser H (2002) Migraine and Meniere’s disease: is there a link? Neurology 59(11):1700–1704PubMedCrossRefGoogle Scholar
  33. 33.
    Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton RB, Scher AI, Steiner TJ, Zwart JA (2007) The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 27:193–210PubMedCrossRefGoogle Scholar
  34. 34.
    Cheung Raymond TF (2000) Prevalence of migraine, tension type headache and other headaches in Hong Kong. Headache 40:473–479CrossRefGoogle Scholar
  35. 35.
    Bank J, Marton S (2000) Hungarian migraine epidemiology. Headache 40:164–169PubMedCrossRefGoogle Scholar
  36. 36.
    Lampl C, Buzath A, Baumhackl U, Klingler D (2003) One-year prevalence of migraine in Austria: a nation-wide survey. Cephalalgia 23(4):280–286PubMedCrossRefGoogle Scholar
  37. 37.
    Hagen K, Zwart JA, Vatten L, Stovner LJ, Bovim G (2000) Prevalence of migraine and non-migrainous headache–head-HUNT, a large population-based study. Cephalalgia 20(10):900–906PubMedCrossRefGoogle Scholar
  38. 38.
    Launer LJ, Terwindt GM, Ferrari MD (1999) The prevalence and characteristics of migraine in a population-based cohort: the GEM study. Neurology 53(3):537–542PubMedCrossRefGoogle Scholar
  39. 39.
    Zivadinov R, Willheim K, Jurjevic A, Sepic-Grahovac D, Bucuk M, Zorzon M (2001) Prevalence of migraine in Croatia: a population-based survey. Headache 41(8):805–812PubMedCrossRefGoogle Scholar
  40. 40.
    Russell MB, Levi N, Saltyte-Benth J, Fenger K (2006) Tension-type headache in adolescents and adults: a population based study of 33,764 twins. Eur J Epidemiol 21(2):153–160PubMedCrossRefGoogle Scholar
  41. 41.
    Merikangas KR, Whitaker AE, Isler H, Angst J (1994) The Zurich Study: XXIII Epidemiology of headache syndromes in the Zurich cohort study of young adults. Eur Arch Psychiatry Clin Neurosci 244(3):145–152PubMedCrossRefGoogle Scholar
  42. 42.
    Lanteri-Minet M, Valade D, Geraud G, Chautard MH, Lucas C (2005) Migraine and probable migraine–results of FRAMIG 3, a French nationwide survey carried out according to the 2004 HIS classification. Cephalalgia 25(12):1146–1158PubMedCrossRefGoogle Scholar
  43. 43.
    Lipton RB, Stewart WF, Diamond S, Diamond ML, Reed M (2001) Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache 41:646–657PubMedCrossRefGoogle Scholar
  44. 44.
    Henry M, Auray JP, Gaudin AF, Dartigues JF, Duru G, Lantéri-Minet M, Lucas C, Pradalier A, Chazot G, El Hasnaoui A (2002) Prevalence and clinical characteristics of migraine in France. Neurology 59:232–237PubMedCrossRefGoogle Scholar
  45. 45.
    Rasmussen BK, Olesen J (1992) Migraine with aura and migraine without aura: an epidemiological study. Cephalalgia 12:221–228PubMedCrossRefGoogle Scholar
  46. 46.
    Bigal ME, Liberman JN, Lipton RB (2006) Age-dependent prevalence and clinical features of migraine. Neurology 67:246–251PubMedCrossRefGoogle Scholar
  47. 47.
    Radtke A, Neuhauser H (2009) Prevalence and burden of headache and migraine in Germany. Headache 49(1):79–89PubMedCrossRefGoogle Scholar
  48. 48.
    Rasmussen BK, Jensen R, Schroll M, Olesen J (1991) Epidemiology of headache in a general population-a prevalence study. J Clin Epidemiol 44(11):1147–1157PubMedCrossRefGoogle Scholar
  49. 49.
    Castillo J, Munoz P, Guitera V, Pascual J (1993) Epidemiology of chronic daily headache in the general population. Headache 39:190–196CrossRefGoogle Scholar
  50. 50.
    Wiendels NJ, van Haestregt A, Knuistingh Neven A, Spinhoven P, Zitman FG, Assendelft WJ, Ferrari MD (2006) Chronic frequent headache in the general population: comorbidity and quality of life. Cephalalgia 26(12):1443–1450PubMedCrossRefGoogle Scholar
  51. 51.
    Grande RB, Aaseth K, Gulbrandsen P, Lundqvist C, Russell MB (2008) Prevalence of primary chronic headache in a population-based sample of 30- to 44-year-old persons. The Akershus study of chronic headache. Neuroepidemiology 30(2):76–83PubMedCrossRefGoogle Scholar
  52. 52.
    Dyb G, Holmen TL, Zwart JA (2006) Analgesic overuse among adolescents with headache: the Head-HUNT-Youth Study. Neurology 66(2):198–201PubMedCrossRefGoogle Scholar
  53. 53.
    Colas R, Munoz P, Temprano R, Gomez C, Pascual J (2004) Chronic daily headache with analgesic overuse: epidemiology and impact on quality of life. Neurology 62(8):1338–1342PubMedCrossRefGoogle Scholar
  54. 54.
    Aaseth K, Grande RB, Kvaerner KJ, Gulbrandsen P, Lundqvist C, Russell MB (2008) Prevalence of secondary chronic headaches in a population-based sample of 30–44-year-old persons The Akershus study of chronic headache. Cephalalgia 28(7):705–713PubMedCrossRefGoogle Scholar
  55. 55.
    Katsarava Z, Diener HC (2008) Medication overuse headache in Germany. Cephalalgia 28(11):1221–1222PubMedCrossRefGoogle Scholar
  56. 56.
    Sjaastad O, Bakketeig LS (2003) Cluster headache prevalence Vaga study of headache epidemiology. Cephalalgia 23(7):528–533PubMedCrossRefGoogle Scholar
  57. 57.
    Torelli P, Beghi E, Manzoni GC (2005) Cluster headache prevalence in the Italian general population. Neurology 64(3):469–474PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Saeed Shahbeigi
    • 1
  • Seyed-Mohammad Fereshtehnejad
    • 2
    • 3
  • Navid Mohammadi
    • 4
  • Mohammad Mahdi Golmakani
    • 5
  • Sayeh Tadayyon
    • 6
  • Ghazal Jalilzadeh
    • 6
  • Hossein Pakdaman
    • 1
  1. 1.Department of Neurology, Jondishapour Neurology Research Center (JNRC)Shaheed Beheshti University of Medical SciencesTehranIran
  2. 2.Division of Clinical Geriatrics, Department of NeurobiologyCare Sciences and Society (NVS), Karolinska InstitutetStockholmSweden
  3. 3.Firoozgar Clinical Research Development Center (FCRDC), Tehran University of Medical SciencesTehranIran
  4. 4.Department of Community MedicineTehran University of Medical SciencesTehranIran
  5. 5.Health DeputyTehran MunicipalityTehranIran
  6. 6.Jondishapour Neurology Research Center (JNRC)TehranIran

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