Cephalalgia:先兆偏头痛与代谢综合征增高相关

2016-10-30 MedSci MedSci原创

背景:代谢综合征(MetS)与偏头痛相关是总所周知的。这项研究基于大型横断面调查评估MetS的风险,及有先兆偏头痛(MA)及无先兆(Mo)偏头痛临床特征。方法:在营养、环境与心血管健康(NESCaV)调查研究中包括751受试者。偏头痛的诊断是基于ef- ID偏头痛问卷,根据修改的成人治疗小组III标准定义MetS。记录社会人口统计学特征和危险因素。加权Logistic回归分析评估代谢综合征的风险。

背景:代谢综合征(MetS)与偏头痛相关是众所周知的。这项研究基于大型横断面调查评估MetS的风险,及有先兆偏头痛(MA)及无先兆(Mo)偏头痛临床特征。

方法:在营养、环境与心血管健康(NESCaV)调查研究中包括751受试者。偏头痛的诊断是基于ef- ID偏头痛问卷,根据修改的成人治疗小组III标准定义MetS。记录社会人口统计学特征和危险因素。加权Logistic回归分析评估代谢综合征的风险。

结果:校正分层(性别、年龄、地区)和其他因素(吸烟、久坐不动的生活方式,卒中,心肌梗塞和高血压家族史),与非偏头痛患者相比,MA与代谢综合征的风险较高相关(OR 3.45;95% CI:1.63-7.29),而MO与MetS风险较高不相关。考虑MetS的组成部分时,MA与低高密度脂蛋白胆固醇(OR 2.26;95% CI:1.08-4.74),高血糖(OR 2.77;95% CI:1.30-5.88)和腹部肥胖(OR 2.03;95% CI:1.07-3.86)相关。

结论:先兆偏头痛患者患代谢综合征的风险更高,这表明对这些患者可能受益于代谢综合征的系统筛选。

原始出处:

Streel S, Donneau AF, et al. Screening for the metabolic syndrome in subjects with migraine. Cephalalgia. 2016 Oct 4.

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    2016-11-01 liuxiaona

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