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The Journal of Headache and Pain

, 14:75

First Online: 06 September 2013Received: 20 June 2013Accepted: 03 September 2013


BackgroundStudies suggest a higher prevalence of unfavourable cardiovascular risk factors amongst migraineurs, but results have been conflicting. The aim of this study was to investigate traditional and newly recognized risk factors as well as other surrogate markers of cardiovascular risk in obese and normal weight women with migraine.

MethodsFifty-nine adult female probands participated in this case–control study. The sample was divided into normal weight and obese migraineurs and age- and body mass index-matched control groups. The following cardiovascular risk factors were analyzed: serum levels of lipids, fasting glucose, and insulin; insulin resistance; blood pressure; smoking categorized as current, past or never; Framingham 10-year risk of general cardiovascular disease score; C-reactive protein; family history of cardiovascular disease; physical activity; sleep disturbances; depression; and bioelectrical impedance phase angle. The means of continuous variables were compared using Student’s t- test for independent samples or the Mann–Whitney U- test for 2 groups and ANOVA or the Kruskal-Wallis test for 4 groups depending on the distribution of data.

ResultsAll migraineurs were sedentary irrespective of nutritional status. Migraineurs had higher depression scores and shorter sleep duration, and obese migraineurs, in particular, had worse sleep quality scores. Insulin resistance and insulinaemia were associated with obesity, and obese migraineurs had lower HDL-c than normal weight controls and migraineurs. Also, the Framingham risk score was higher in obese migraineurs.

ConclusionThese findings suggest that female migraineurs experience marked inactivity, depression, and some sleep disturbance, that higher insulin resistance and insulinaemia are related to obesity, and that obesity and migraine probably exert overlapping effects on HDL-c levels and Framingham 10-year cardiovascular risk.

KeywordsMigraine Cardiovascular disease Cardiovascular risk C-reactive protein Depression Sleep disturbance AbbreviationsBDIBeck depression inventory

BIABioelectrical impedance analysis

BMIBody mass index

BPBlood pressure

CRPC-reactive protein


CVDCardiovascular disease

HCPAHospital de clínicas de porto alegre

HDL-cHDL cholesterol

HOMA-IRHomeostasis model assessment – insulin resistance

IPAQInternational physical activity questionnaire


MIDASMigraine disability assessment test

PAPhase angle

PSQIPittsburgh sleep quality index


WHOWorld health organization


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Autor: Fernanda Camboim Rockett - Alexandre da Silveira Perla - Ingrid D Schweigert Perry - Márcia L Fagundes Chaves


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