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Lifestyle Factors and Migraine in Childhood

Abstract

Migraine is one of the most common pain symptoms in children. Indeed, a high percentage of adult migraine patients report to have suffered from recurrent headache during the childhood. In particular, children could experience the so-called childhood periodic syndromes (such as cyclic vomiting, abdominal migraine, and benign paroxysmal vertigo) that have been usually considered precursors of migraine or they could develop overt migraine headaches. However, typical cohort of migraine symptoms could be absent and children could not achieve all clinical features necessary for a migraine attack diagnosis according to classification criteria. Nevertheless, migraine is characterized also in childhood by a significant negative impact on the quality of life and a high risk of developing chronic and persistent headache in adulthood. Several studies have emphasized the role of different risk factors for migraine in children. Among these, obesity and overweight, particular food or the regular consumption of alcohol or caffeine, dysfunctional family situation, low level of physical activity, physical or emotional abuse, bullying by peers, unfair treatment in school, and insufficient leisure time seem to be strictly related to migraine onset or progression. Consequently, both identification and avoidance of triggers seem to be mandatory in children with migraine and could represent an alternative approach to the treatment of migraine abstaining from pharmacologic therapies.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.

    Kristjansdottir G, Wahlberg V. Sociodemographic differences in the prevalence of self-reported headache in Icelandic school-children. Headache. 1993;33:376–80.

  2. 2.

    Carlsson J. Prevalence of headache in schoolchildren: relation to family and school factors. Acta Paediatr. 1996;85:692–6.

  3. 3.

    Virtanen RM, Rautava AP, Metsähonkala L, Anttila P, Helenius H, Sillanpää M. Changes in headache prevalence between pre-school and pre-pubertal ages. Cephalalgia. 2002;22:179–85.

  4. 4.

    Abu-Arafeh I, Razak S, Sivaraman B, Graham C. Prevalence of headache and migraine in children and adolescents: a systematic review of population-based studies. Dev Med Child Neurol. 2010;52(12):1088–97.

  5. 5.

    Wyllie WG, Schlesinger B. The periodic group of disorders in childhood. Br J Child Dis. 1933;30:1–4.

  6. 6.

    Lagman-Bartolome AM, Lay C. Pediatric migraine variants: a review of epidemiology, diagnosis, treatment, and outcome. Curr Neurol Neurosci Rep. 2015;15(6):34.

  7. 7.

    Headache Classification Committee of the international Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629–808.

  8. 8.

    Patel NV, Bigal ME, Kolodner KB, Leotta C, Lafata JE, Lipton RB. Prevalence and impact of migraine and probable migraine in a health plan. Neurology. 2004;63(8):1432–8.

  9. 9.

    Kienbacher C, Wober C, Zesch HE, Hafferl-Gattermayer A, Posch M, Karwautz A, et al. Clinical features, classification and prognosis of migraine and tension-type headache in children and adolescents: a long-term follow-up study. Cephalalgia. 2006;26(7):820–30.

  10. 10.

    Wober-Bingol C, Wöber C, Wagner-Ennsgraber C, Zebenholzer K, Vesely C, Geldner J, et al. IHS criteria and gender: a study on migraine and tension-type headache in children and adolescents. Cephalalgia. 1996;16(2):107–12.

  11. 11.

    Wober-Bingol C. Epidemiology of migraine and headache in children and adolescence. Curr Pain Headache Rep. 2013;17:341.

  12. 12.

    Casucci G, Villani V, D’Onofrio F, Russo A. Migraine and lifestyle in childhood. Neurol Sci. 2015;36 Suppl 1:97–100.

  13. 13.

    Tzamaloukas AH, Murata GH, Hoffman RM, Schmidt DW, Hill JE, Leger A, et al. Classification of the degree of obesity by body mass index or by deviation from ideal weight. JPEN J Parenter Enteral Nutr. 2003;27(5):340–8.

  14. 14.

    World Health Organization. Obesity and overweight. From: http://who.int/mediacentre/factsheets/fs311/en/, Updated January 2015.

  15. 15.•

    Ravid S, Shahar E, Schiff A, Gordon S. Obesity in children with headaches: association with headache type, frequency, and disability. Headache. 2013;53(6):954–61. This study examined the association between obesity and different types of primary headaches.

  16. 16.

    Pinhas-Hamiel O, Frumin K, Gabis L, Mazor-Aronovich K, Modan-Moses D, Reichman B, et al. Headaches in overweight children and adolescents referred to a tertiary-care center in Israel. Obesity (Silver Spring). 2008;16(3):659–63.

  17. 17.

    Kinik ST, Alehan F, Erol I, Kanra AR. Obesity and paediatric migraine. Cephalalgia. 2010;30(1):105–9.

  18. 18.

    Hershey AD, Powers SW, Nelson TD, Kabbouche MA, Winner P, Yonker M, et al. American headache society pediatric adolescent section. Obesity in the pediatric headache population: a multicenter study. Headache. 2009;49(2):170–7.

  19. 19.

    Pakalnis A, Kring D. Chronic daily headache, medication overuse, and obesity in children and adolescents. J Child Neurol. 2012;27(5):577–80.

  20. 20.

    Scher AI, Lipton RB, Stewart W. Risk factors for chronic daily headache. Curr Pain Headache Rep. 2002;6:486–91.

  21. 21.

    Bigal ME, Lipton RB. Obesity is a risk factor for transformed migraine but not chronic tension-type headache. Neurology. 2006;67:252–7.

  22. 22.

    Recober A, Goadsby PJ. Calcitonin gene-related peptide: a molecular link between obesity and migraine? Drug News Perspect. 2010;23(2):112–7.

  23. 23.

    Verrotti A, Di Fonzo A, Agostinelli, Coppola G, Margiotta M, Parisi P. Obese children suffer more often from migraine. Acta Paediatr. 2012;101(9):e416–21.

  24. 24.

    Peterlin BL, Bigal ME, Tepper SJ, Urakaze M, Sheftell FD, Rapoport AM. Migraine and adiponectin: is there a connection? Cephalalgia. 2007;27(5):435–46.

  25. 25.

    Zelissen PM, Koppeschaar HP, Lips CJ, Hackeng WH. Calcitonin gene-related peptide in human obesity. Peptides. 1991;12(4):861–3.

  26. 26.

    Ray ST, Kumar R. Migraine and obesity: cause or effect? Headache. 2010;50(2):326–8.

  27. 27.

    Overath CH, Darabaneanu S, Evers MC. Does an aerobic endurance programme have an influence on information processing in migraineurs? J Headache Pain. 2014;15:11.

  28. 28.

    Stang PE, Yanagihar PA, Swanson JW, Beard CM, O’Fallon WM, Guess HA, et al. Incidence of migraine headache: a population-based study in Olmsted County, Minnesota. Neurology. 1992;42:1657–62.

  29. 29.

    Van den Bergh V, Amery WK, Waelkens J. Trigger factors in migraine: a study conducted by the Belgian Migraine Society. Headache. 1987;27:191–6.

  30. 30.

    Millichap JG, Yee M. The diet factor in pediatric and adolescent migraine. Pediatr Neurol. 2003;28:9–15.

  31. 31.

    Bic Z, Blix GG, Hopp HP, Leslie FM, Schell MJ. The influence of a low-fat diet on incidence and severity of migraine headaches. J Womens Health Gend Based Med. 1999;8:623–30.

  32. 32.

    Dalton K, Dalton M. Food intake before migraine attacks in children. J Roy Coll Gen Pract. 1979;29:662–5.

  33. 33.

    Martin VT, Behbehani MM. Headache. Toward a rational understanding of migraine trigger factors. Med Clin N Am. 2001;85:1–20.

  34. 34.

    Egger J, Carter CM, Wilson J, Turner MW, Soothill JF. Is migraine food allergy? A double-blind controlled trial of oligoantigenic diet treatment. Lancet. 1983;2:865–9.

  35. 35.

    Egger J, Carter CM, Soothill JF, Wilson J. Oligoantigenic diet treatment of children with epilepsy and migraine. J Pediatr. 1989;114:51–8.

  36. 36.

    Moffett AM, Swash M, Scott DF. Effect of chocolate in migraine: a double-blind study. J Neurol Neurosurg Psychiatry. 1974;37:445–8.

  37. 37.

    Marcus DA, Scharff L, Turk D, Gourley LM. A double-blind provocative study of chocolate as a trigger of headache. Cephalalgia. 1997;17:855–62.

  38. 38.

    McCabe BJ. Dietary tyramine and other pressor amines in MAOI regimens: a review. J Am Diet Assoc. 1986;86:1059–64.

  39. 39.

    Hanington E. Preliminary report on tyramine headache. BMJ. 1967;2:550–1.

  40. 40.

    National Center on Addiction and Substance Abuse. Report on teen tipplers. New York: Columbia University; 2002.

  41. 41.

    Millichap JG. Environmental poisons in our food. Chicago: PNB Publishers; 1993. p. 125–7.

  42. 42.

    Fenichel GM. Clinical pediatric neurology. A signs and symptoms approach. Philadelphia: WB Saunders Company; 1988. p. 85.

  43. 43.

    Dusseldorp M, Katan M. Headache caused by caffeine withdrawal among moderate coffee drinkers switched from ordinary to decaffeinated coffee: a 12-week double-blind trial. BMJ. 1990;300:1558–9.

  44. 44.

    Watemberg N, Matar M, Har-Gil M, Mahajnah M. The influence of excessive chewing gum use on headache frequency and severity among adolescents. Pediatr Neurol. 2014;50(1):69–72.

  45. 45.

    Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders, 2nd edition. Cephalalgia. 2004;24 Suppl 1:9–160.

  46. 46.

    Raskin NH, Knittle SC. Ice cream headache and orthostatic symptoms in patients with migraine. Headache. 1976;16:222–5.

  47. 47.

    Waldie KE, Thompson JM, Mia Y. Risk factors for migraine and tension-type headache in 11 year old children. J Headache Pain. 2014;15:60.

  48. 48.

    Neut D, Fily A, Cuvellier JC, Vallée L. The prevalence of triggers in paediatric migraine: a questionnaire study in 102 children and adolescents. J Headache Pain. 2012;13(1):61–5.

  49. 49.

    Crespo CJ, Smit E, Troiano RP, Macera CA, Andersen RE. Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med. 2001;155(3):360–5.

  50. 50.

    Toyran M, Ozmert E, Yurdakök K. Television viewing and its effect on physical health of schoolage children. Turk J Pediatr. 2002;44(3):194–203.

  51. 51.••

    Kröner-Herwig B, Gassmann J. Headache disorders in children and adolescents: their association with psychological, behavioral, and socio-environmental factors. Headache. 2012;52:1387–401. A cross-sectional study exploring the association between psychosocial variables and primary headache disorders in a group of children and adolescents.

  52. 52.

    Larsson B, Melin L. The psychological treatment of recurrent headache in adolescents: short-term outcome and its prediction. Headache. 1988;28:187–95.

  53. 53.

    Söderqvist F, Hardell L, Carlberg M, Hansson Mild K. Ownership and use of wireless telephones: a population-based study of Swedish children aged 7-14 years. BMC Public Health. 2007;11:7–105.

  54. 54.

    Chiu CT, Chang YH, Chen CC, Ko MC, Li CY. Mobile phone use and health symptoms in children. J Formos Med Assoc. 2015;114(7):598–604.

  55. 55.

    Nesbitt AD, Leschziner GD, Peatfield RC. Headache, drugs and sleep. Cephalalgia. 2014;34(10):756–66.

  56. 56.

    Miller VA, Palermo TM, Powers SW, Scher MS, Hershey AD. Migraine headaches and sleep disturbances in children. Headache. 2003;43(4):362–8.

  57. 57.

    Bruni O, Fabrizi P, Ottaviano S, Cortesi F, Giannotti F, Guidetti V. Prevalence of sleep disorders in childhood and adolescence with headache: a case-control study. Cephalalgia. 1997;17:492–8.

  58. 58.••

    Dosi C, Figura M, Ferri R, Bruni O. Sleep and headache. Semin Pediatr Neurol. 2015;22(2):105–12. This article is a very interesting review on pediatric headache and sleep diseases.

  59. 59.

    Bursztein C, Steinberg T, Sleep SA. Sleepiness, and behavior problems in children with headache. J Child Neurol. 2006;21:1012–9.

  60. 60.

    Bruni O, Russo PM, Violani C, Guidetti V. Sleep and migraine: an actigraphic study. Cephalalgia. 2004;24:134–9.

  61. 61.

    Balottin U, Termine C, Nicoli F, Quadrelli M, Ferrari-Ginevra O, Lanzi G. Idiopathic headache in children under six years of age: a follow-up study. Headache. 2005;45:705–15.

  62. 62.

    Bruni O, Alonso-Alconada D, Besag F, Biran V, Braam W, Cortese S, et al. Current role of melatonin in pediatric neurology: clinical recommendations. Eur J Paediatr Neurol. 2015;19(2):122–33.

  63. 63.

    Kunz D, Mahlberg R. A two-part, double-blind, placebo-controlled trial of exogenous melatonin in REM sleep behavior disorder. J Sleep Res. 2010;19(4):591–6.

  64. 64.

    Schürks M, Winter A, Berger K, Kurth T. Migraine and restless legs syndrome: a systematic review. Cephalalgia. 2014;34(10):777–94.

  65. 65.

    Sabayan B, Bagheri M, Borhani HA. Possible joint origin of restless leg syndrome (RLS) and migraine. Med Hypotheses. 2007;69(1):64–6.

  66. 66.

    Giroud M, d’Athis P, Guard O, Dumas R. Migraine somnambulism. A survey of 122 migraine patients. Rev Neurol (Paris). 1986;142(1):42–6.

  67. 67.

    Carra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012;56(2):387–413.

  68. 68.

    De Luca CG, Singh V, Bigal ME, Major PW, Flores-Mir C. Association between tension-type headache and migraine with sleep bruxism: a systematic review. Headache. 2014;54(9):1460–9.

  69. 69.

    Gonçalves DA, Bigal ME, Jales LC, Camparis CM, Speciali JG. Headache and symptoms of temporo-mandibular disorder: an epidemiological study. Headache. 2010;50(2):231–41.

  70. 70.

    Vendrame M, Kaleyias J, Valencia I, Valencia I, Legido A, Kothare SV. Polysomnographic findings in children with headaches. Pediatr Neurol. 2008;39(1):6–11.

  71. 71.

    Mark Connelly PD, Todd Miller BA, Gerry G, Bickel J. Electronic momentary assessment of weather changes as a trigger of headaches in children. Headache. 2010;50:779–89.

  72. 72.

    Antilla P, Sourander A, Metsähonkala L, Aromaa M, Helenius H, Sillanpää M. Psychiatric symptoms in children with primary headache. J Am Acad Child Adolesc Psychiatry. 2004;43:412–9.

  73. 73.••

    Ferracini GM, Dach F, Speciali JG. Quality of life and health-related disability in children with migraine. Headache. 2014;54:325–34. This is very interesting study aimed at determining the migraine impact on the health-related quality of life in children.

  74. 74.

    Arruda MA, Arruda R, Guidetti V, Bigal ME. Psychosocial adjustment of children with migraine and tension-type headache—a nationwide study. Headache. 2015;55(S1):39–50.

  75. 75.

    Saper JR. Headache disorders. John Wright: Bristol & Boston; 1983.

  76. 76.

    Karwautz A, Wöber C, Lang T, Böck A, Wagner-Ennsgraber C, Vesely C, et al. Psychosocial factors in children and adolescents with migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia. 1999;19(1):32–43.

  77. 77.

    Maratos J, Wilkinson M. Migraine in children: a medical and psychiatric study. Cephalalgia. 1982;2(4):179–87.

  78. 78.

    Larsson B. The role of psychosocial, health behavior and medical factors in adolescent headache. Dev Med Child Neurol. 1988;38:222–8.

  79. 79.

    Metsahonkala I, Sillanpaa, Tuominen J. Social environment and headache in 8 to 9-years-old children: a follow up study. Headache. 1998;38:222–8.

  80. 80.

    Messinger H, Spierings E, Vincent A, Lebbink J. Headache and family history. Cephalalgia. 1991;11:13–8.

  81. 81.

    Aromaa M, Rautava P, Helenius H, et al. Factors of early life as predictors of headache in children at school entry. Headache. 1998;38:23–30.

  82. 82.

    Fichtel A, Larsson B. Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents. Headache. 2002;42:766–75.

  83. 83.

    Powers SW, Gilman DK, Hershey AD. Headache and psychological functioning in children and adolescents. Headache. 2006;46:1404–15.

  84. 84.

    Van den Bree MB, Passchier J, Emmen HJ. Influence of quality of life and stress coping behaviour on headaches in adolescent male students: an explorative study. Headache. 1990;30:165–8.

  85. 85.

    Matarese CA, Mack KJ. Management considerations in the treatment of migraine in adolescents. Adolesc Health Med Ther. 2010;1:21–30.

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Correspondence to Gioacchino Tedeschi.

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Antonio Russo, Antonio Bruno, Francesca Trojsi, Alessandro Tessitore, and Gioacchino Tedeschi declare that they have no conflict of interest.

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This article is part of the Topical Collection on Childhood and Adolescent Headache

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Russo, A., Bruno, A., Trojsi, F. et al. Lifestyle Factors and Migraine in Childhood. Curr Pain Headache Rep 20, 9 (2016). https://doi.org/10.1007/s11916-016-0539-y

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Keywords

  • Adolescents
  • Pediatric
  • Lifestyle
  • Risk factors
  • Migraine
  • Headache