Association between asthma and migraine: A cross‐sectional study of over 110 000 adolescents

Background Epidemiological studies have reported an association between asthma and migraine, mainly in adults. Objective To examine the association between specialist‐diagnosed asthma and migraine among adolescents. Methods The electronic database of a recruitment center was retrospectively searched...

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Veröffentlicht in:The clinical respiratory journal 2018-10, Vol.12 (10), p.2491-2496
Hauptverfasser: Graif, Yael, Shohat, Tamy, Machluf, Yossy, Farkash, Rivka, Chaiter, Yoram
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container_end_page 2496
container_issue 10
container_start_page 2491
container_title The clinical respiratory journal
container_volume 12
creator Graif, Yael
Shohat, Tamy
Machluf, Yossy
Farkash, Rivka
Chaiter, Yoram
description Background Epidemiological studies have reported an association between asthma and migraine, mainly in adults. Objective To examine the association between specialist‐diagnosed asthma and migraine among adolescents. Methods The electronic database of a recruitment center was retrospectively searched for all 17‐year‐old draftees during the years 1987‐2010. Diagnoses of asthma and migraine were made by certified specialists. The prevalence of migraine was compared among draftees with and without asthma. Covariate data on socio‐demographics and associated medical conditions were recorded. Results A total of 113 671 adolescents were available for analysis. Asthma was diagnosed among 4.0% and migraine among 1.9%. Migraine was significantly more prevalent among adolescents with asthma [174 of the 4581 subjects (3.8%)] compared to those without asthma [1946 of the 109 090 (1.8%)] [OR = 2.17 (95% CI 1.86‐2.55; P 
doi_str_mv 10.1111/crj.12939
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Objective To examine the association between specialist‐diagnosed asthma and migraine among adolescents. Methods The electronic database of a recruitment center was retrospectively searched for all 17‐year‐old draftees during the years 1987‐2010. Diagnoses of asthma and migraine were made by certified specialists. The prevalence of migraine was compared among draftees with and without asthma. Covariate data on socio‐demographics and associated medical conditions were recorded. Results A total of 113 671 adolescents were available for analysis. Asthma was diagnosed among 4.0% and migraine among 1.9%. Migraine was significantly more prevalent among adolescents with asthma [174 of the 4581 subjects (3.8%)] compared to those without asthma [1946 of the 109 090 (1.8%)] [OR = 2.17 (95% CI 1.86‐2.55; P &lt; 0.001)]. Rates of migraine among subjects with and without allergic rhinitis were 6.3% and 1.7%, respectively [OR = 4.04 (95% CI 3.58‐4.56; P &lt; 0.001)]. On multivariate analysis, there was a significant association between migraine and both asthma [OR = 1.42 (95% CI 1.19‐1.68)] and allergic rhinitis [OR = 3.18 (95% CI 2.80‐3.63)]. Other factors significantly associated with migraine were female gender, urban area of residence, recent immigration to Israel, having three or fewer siblings, and abnormal body mass index. Conclusion Clinicians should be aware that asthma and allergic rhinitis are potential risk factors for migraine in adolescents. A combined finding of these conditions and recurrent headache is highly suggestive of migraine and warrants a different diagnosis and treatment approach from sinusitis.</description><identifier>ISSN: 1752-6981</identifier><identifier>EISSN: 1752-699X</identifier><identifier>DOI: 10.1111/crj.12939</identifier><identifier>PMID: 30004178</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; allergic rhinitis ; Asthma ; Asthma - diagnosis ; Asthma - epidemiology ; Asthma - immunology ; Comorbidity ; Cross-Sectional Studies ; Databases, Factual ; Ethnic Groups - statistics &amp; numerical data ; Female ; headache ; Humans ; Hypersensitivity - diagnosis ; Hypersensitivity - epidemiology ; Israel - epidemiology ; Logistic Models ; Male ; Migraine ; Migraine Disorders - diagnosis ; Migraine Disorders - epidemiology ; Migraine Disorders - immunology ; Multivariate Analysis ; Nose ; Prevalence ; Prognosis ; Retrospective Studies ; Risk Assessment ; risk factor ; Severity of Illness Index ; Sex Distribution ; sinusitis ; Socioeconomic Factors ; specialist ; Teenagers</subject><ispartof>The clinical respiratory journal, 2018-10, Vol.12 (10), p.2491-2496</ispartof><rights>2018 John Wiley &amp; Sons Ltd</rights><rights>2018 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3539-66e6045ae9211549e57323fc960a8cb4d698162fed7cce5bc40fd5680371172e3</citedby><cites>FETCH-LOGICAL-c3539-66e6045ae9211549e57323fc960a8cb4d698162fed7cce5bc40fd5680371172e3</cites><orcidid>0000-0001-8004-9477</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcrj.12939$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcrj.12939$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,11542,27903,27904,45553,45554,46030,46454</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fcrj.12939$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30004178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graif, Yael</creatorcontrib><creatorcontrib>Shohat, Tamy</creatorcontrib><creatorcontrib>Machluf, Yossy</creatorcontrib><creatorcontrib>Farkash, Rivka</creatorcontrib><creatorcontrib>Chaiter, Yoram</creatorcontrib><title>Association between asthma and migraine: A cross‐sectional study of over 110 000 adolescents</title><title>The clinical respiratory journal</title><addtitle>Clin Respir J</addtitle><description>Background Epidemiological studies have reported an association between asthma and migraine, mainly in adults. Objective To examine the association between specialist‐diagnosed asthma and migraine among adolescents. Methods The electronic database of a recruitment center was retrospectively searched for all 17‐year‐old draftees during the years 1987‐2010. Diagnoses of asthma and migraine were made by certified specialists. The prevalence of migraine was compared among draftees with and without asthma. Covariate data on socio‐demographics and associated medical conditions were recorded. Results A total of 113 671 adolescents were available for analysis. Asthma was diagnosed among 4.0% and migraine among 1.9%. Migraine was significantly more prevalent among adolescents with asthma [174 of the 4581 subjects (3.8%)] compared to those without asthma [1946 of the 109 090 (1.8%)] [OR = 2.17 (95% CI 1.86‐2.55; P &lt; 0.001)]. Rates of migraine among subjects with and without allergic rhinitis were 6.3% and 1.7%, respectively [OR = 4.04 (95% CI 3.58‐4.56; P &lt; 0.001)]. On multivariate analysis, there was a significant association between migraine and both asthma [OR = 1.42 (95% CI 1.19‐1.68)] and allergic rhinitis [OR = 3.18 (95% CI 2.80‐3.63)]. Other factors significantly associated with migraine were female gender, urban area of residence, recent immigration to Israel, having three or fewer siblings, and abnormal body mass index. Conclusion Clinicians should be aware that asthma and allergic rhinitis are potential risk factors for migraine in adolescents. A combined finding of these conditions and recurrent headache is highly suggestive of migraine and warrants a different diagnosis and treatment approach from sinusitis.</description><subject>Adolescent</subject><subject>allergic rhinitis</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - epidemiology</subject><subject>Asthma - immunology</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Databases, Factual</subject><subject>Ethnic Groups - statistics &amp; numerical data</subject><subject>Female</subject><subject>headache</subject><subject>Humans</subject><subject>Hypersensitivity - diagnosis</subject><subject>Hypersensitivity - epidemiology</subject><subject>Israel - epidemiology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Migraine</subject><subject>Migraine Disorders - diagnosis</subject><subject>Migraine Disorders - epidemiology</subject><subject>Migraine Disorders - immunology</subject><subject>Multivariate Analysis</subject><subject>Nose</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>risk factor</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>sinusitis</subject><subject>Socioeconomic Factors</subject><subject>specialist</subject><subject>Teenagers</subject><issn>1752-6981</issn><issn>1752-699X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKw0AUhgdRbK0ufAEZcKOLtHPJ5OKuFK8UBFFwZZhOTjQlydSZxNKdj-Az-iROmtqF4Nmcs_j4OP-P0DElQ-pmpMx8SFnM4x3Up6FgXhDHz7vbO6I9dGDtnBARhVzsox4nhPg0jProZWytVrmsc13hGdRLgApLW7-VEssqxWX-amRewQUeY2W0td-fXxZUi8sC27pJV1hnWH-AwZQS7MRYproAq6Cq7SHay2Rh4WizB-jp6vJxcuNN769vJ-Opp7jgsRcEEBBfSIgZpcKPQYSc8UzFAZGRmvlpGyJgGaShUiBmyidZKoKI8JDSkAEfoLPOuzD6vQFbJ2XuPigKWYFubMJISBj32_wDdPoHnevGuDSOoswPfEYFddR5R61DG8iShclLaVYJJUlbeuJKT9alO_ZkY2xmJaRb8rdlB4w6YJkXsPrflEwe7jrlD8osig4</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Graif, Yael</creator><creator>Shohat, Tamy</creator><creator>Machluf, Yossy</creator><creator>Farkash, Rivka</creator><creator>Chaiter, Yoram</creator><general>John Wiley &amp; Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8004-9477</orcidid></search><sort><creationdate>201810</creationdate><title>Association between asthma and migraine: A cross‐sectional study of over 110 000 adolescents</title><author>Graif, Yael ; Shohat, Tamy ; Machluf, Yossy ; Farkash, Rivka ; Chaiter, Yoram</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3539-66e6045ae9211549e57323fc960a8cb4d698162fed7cce5bc40fd5680371172e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>allergic rhinitis</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - epidemiology</topic><topic>Asthma - immunology</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Databases, Factual</topic><topic>Ethnic Groups - statistics &amp; numerical data</topic><topic>Female</topic><topic>headache</topic><topic>Humans</topic><topic>Hypersensitivity - diagnosis</topic><topic>Hypersensitivity - epidemiology</topic><topic>Israel - epidemiology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Migraine</topic><topic>Migraine Disorders - diagnosis</topic><topic>Migraine Disorders - epidemiology</topic><topic>Migraine Disorders - immunology</topic><topic>Multivariate Analysis</topic><topic>Nose</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>risk factor</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>sinusitis</topic><topic>Socioeconomic Factors</topic><topic>specialist</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graif, Yael</creatorcontrib><creatorcontrib>Shohat, Tamy</creatorcontrib><creatorcontrib>Machluf, Yossy</creatorcontrib><creatorcontrib>Farkash, Rivka</creatorcontrib><creatorcontrib>Chaiter, Yoram</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The clinical respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Graif, Yael</au><au>Shohat, Tamy</au><au>Machluf, Yossy</au><au>Farkash, Rivka</au><au>Chaiter, Yoram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between asthma and migraine: A cross‐sectional study of over 110 000 adolescents</atitle><jtitle>The clinical respiratory journal</jtitle><addtitle>Clin Respir J</addtitle><date>2018-10</date><risdate>2018</risdate><volume>12</volume><issue>10</issue><spage>2491</spage><epage>2496</epage><pages>2491-2496</pages><issn>1752-6981</issn><eissn>1752-699X</eissn><abstract>Background Epidemiological studies have reported an association between asthma and migraine, mainly in adults. Objective To examine the association between specialist‐diagnosed asthma and migraine among adolescents. Methods The electronic database of a recruitment center was retrospectively searched for all 17‐year‐old draftees during the years 1987‐2010. Diagnoses of asthma and migraine were made by certified specialists. The prevalence of migraine was compared among draftees with and without asthma. Covariate data on socio‐demographics and associated medical conditions were recorded. Results A total of 113 671 adolescents were available for analysis. Asthma was diagnosed among 4.0% and migraine among 1.9%. Migraine was significantly more prevalent among adolescents with asthma [174 of the 4581 subjects (3.8%)] compared to those without asthma [1946 of the 109 090 (1.8%)] [OR = 2.17 (95% CI 1.86‐2.55; P &lt; 0.001)]. Rates of migraine among subjects with and without allergic rhinitis were 6.3% and 1.7%, respectively [OR = 4.04 (95% CI 3.58‐4.56; P &lt; 0.001)]. On multivariate analysis, there was a significant association between migraine and both asthma [OR = 1.42 (95% CI 1.19‐1.68)] and allergic rhinitis [OR = 3.18 (95% CI 2.80‐3.63)]. Other factors significantly associated with migraine were female gender, urban area of residence, recent immigration to Israel, having three or fewer siblings, and abnormal body mass index. Conclusion Clinicians should be aware that asthma and allergic rhinitis are potential risk factors for migraine in adolescents. A combined finding of these conditions and recurrent headache is highly suggestive of migraine and warrants a different diagnosis and treatment approach from sinusitis.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>30004178</pmid><doi>10.1111/crj.12939</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8004-9477</orcidid></addata></record>
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subjects Adolescent
allergic rhinitis
Asthma
Asthma - diagnosis
Asthma - epidemiology
Asthma - immunology
Comorbidity
Cross-Sectional Studies
Databases, Factual
Ethnic Groups - statistics & numerical data
Female
headache
Humans
Hypersensitivity - diagnosis
Hypersensitivity - epidemiology
Israel - epidemiology
Logistic Models
Male
Migraine
Migraine Disorders - diagnosis
Migraine Disorders - epidemiology
Migraine Disorders - immunology
Multivariate Analysis
Nose
Prevalence
Prognosis
Retrospective Studies
Risk Assessment
risk factor
Severity of Illness Index
Sex Distribution
sinusitis
Socioeconomic Factors
specialist
Teenagers
title Association between asthma and migraine: A cross‐sectional study of over 110 000 adolescents
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