From the Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, (Drs. Bigal and Lipton); Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (Dr. Lipton); The Montefiore Headache Center, Bronx, NY (Drs. Bigal and Lipton); and The New England Center for Headache, Stamford, CT (Dr. Bigal).
Modifiable Risk Factors for Migraine Progression
Article first published online: 13 OCT 2006
Headache: The Journal of Head and Face Pain
Volume 46, Issue 9, pages 1334–1343, October 2006
How to Cite
Bigal, M. E. and Lipton, R. B. (2006), Modifiable Risk Factors for Migraine Progression. Headache: The Journal of Head and Face Pain, 46: 1334–1343. doi: 10.1111/j.1526-4610.2006.00577.x
- Issue published online: 13 OCT 2006
- Article first published online: 13 OCT 2006
- Accepted for publication July 7, 2006.
- modifiable risk factors;
- migraine progression
Migraine is a chronic-recurrent disorder that progresses in some individuals. Transformed migraine is the result of this progression. Since migraine does not progress in most patients, identifying the risk factors for progression has emerged as a very important public health priority. If risk factors can be identified, that might provide a foundation for more aggressive preventive intervention. Risk factors for progression may be divided into non-remediable (gender, age, race) and remediable categories. In this paper, we focus on several already identified remediable risk factors, including frequency of migraine attacks, obesity, acute medication overuse, caffeine overuse, stressful life events, depression, and sleep disorders. We present the evidence for each risk factor and discuss possible interventions to address them.