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Obese children suffer more often from migraine

Authors


Pasquale Parisi, M.D., Ph.D., Department NESMOS, Faculty of Medicine and Psychology, Child Neurology, Headache Paediatric Center & Paediatric Sleep Disorders, “Sapienza University”, c/o Sant’Andrea Hospital, Via di Grottarosa, 1035-1039 Rome, Italy.
Tel: 0039-6-33775971 |
Fax: 0039-6-33775941 |
E-mails: pasquale.parisi@uniroma1.it; parpas@iol.it

Abstract

Aim:  To determine a possible relationship between migraine and body mass index.

Methods:  Migraine shows a wide spectrum of comorbidities, including cardiocerebral, vascular, psychiatric, metabolic, neurological as well as other pathologies. Recent researches suggest that obesity was significantly correlated with migraine frequency and disability in children, as well as in adult population studies. We reviewed data from the literature to clarify this possible relationship.

Results:  Translational and basic science research shows multiple areas of overlap between migraine pathophysiology and the central and peripheral pathways regulating feeding. Specifically, neurotransmittors such as serotonin, peptides such as orexin, and adipocytokines such as adiponectin and leptin have been suggested to have roles in both feeding and migraine. A relationship between migraine and body mass index exists, and therefore, interventions to modify body mass index may provide a useful treatment model for investigating whether modest weight loss reduces headache frequency and severity in obese migraineurs.

Conclusion:  The effect of obesity and weight change on headache outcomes may have important implications for clinical care.

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