GÜLÇİN BENBİR ŞENEL, DERYA KARADENİZ, Baki GÖKSAN

The characteristics and subtypes of headache in relation to age and gender in a rural community in Eastern Turkey

Amaç: Baş ağrısı tüm yaş gruplarında sık görülen yaygın bir halk sağlığı problemi olmakla birlikte, yaşa, cinsiyete ve toplum özelliklerine göre farklılık göstermektedir. Bu hastane bazlı çalışmada, Türkiyenin kırsal bir bölümünde baş ağrısının özellikleri ve alt tipleri cinsiyete ve yaşa göre incelendi. Gereç ve Yöntem: Toplam 11549 hasta değerlendirildi ve 4951 hastada (%42.8) baş ağrısı saptandı. Bir yıllık baş ağrısı prevalansı çocuklarda %38.6, erişkinlerde %47.0 ve yaşlı nüfusta ise %23.3 olarak izlendi (p

Türkiye'nin doğu ve kırsal kesiminde yaşa ve cinsiyete göre baş ağrısı özellikleri ve alt tipleri

Objectives: Headache is a frequent and widespread symptom constituting a major health problem for all age groups, though vast differences are present according to age and gender, as well as population characteristics. In this hospital-based study, we investigated the characteristics and subtypes of headache in relation to age and gender in a rural community in the eastern part of Turkey. Methods: A total of 11549 subjects were evaluated, and 4951 patients (42.8%) reported headaches. The 1-year headache prevalence was 38.6% in children, 47.0% in adults, and 23.3% in the elderly (p<0.001). The female to male ratio was higher in adults (p<0.001) and elderly headache patients (p<0.001), but not in children (p=0.654). Results: The most common diagnosis was frequent episodic tension-type headache in all age groups. Headaches attributed to epileptic seizure and rhinosinusitis were about three times more common in children, while chronic tension-type headache was about three times more common in adults and the elderly. While 60% of patients with migraine were male among the group of children, about 80% of patients were females among the adults. Conclusion: The understanding of the epidemiology of headache and subtypes is important as it constitutes a major health problem due to its high prevalence in all age groups.

PDF

___

1. Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007;27(3):193-210.
2. Hämäläinen ML, Hoppu K, Santavuori P. Pain and disability in migraine or other recurrent headache as reported by children. Eur J Neurol 1996;3(6):528-32.
3. Annequin D, Tourniaire B, Massiou H. Migraine and headache in childhood and adolescence. Pediatr Clin North Am 2000;47(3):617-31.
4. Lipton RB, Stewart WF, Merikangas KR. Reliability in headache diagnosis. Cephalalgia 1993;13 Suppl 12:29-33.
5. Winner P, Martinez W, Mate L, Bello L. Classification of pediatric migraine: proposed revisions to the IHS criteria. Headache 1995;35(7):407-10.
6. Tanganelli P. Secondary headaches in the elderly. Neurol Sci 2010;31 Suppl 1:S73-6.
7. Solomon S, Cappa KG. The headache of temporal arteritis. J Am Geriatr Soc 1987;35(2):163-5.
8. Lisotto C, Mainardi F, Maggioni F, Zanchin G. Headache in Sturge-Weber syndrome: a case report and review of the literature. Cephalalgia 2004;24(11):1001-4.
9. Bugdayci R, Ozge A, Sasmaz T, Kurt AO, Kaleagasi H, Karakelle A, et al. Prevalence and factors affecting headache in Turkish schoolchildren. Pediatr Int 2005;47(3):316-22.
10. Ozge C, Atiş S, Ozge A, Nass Duce M, Saraçoğlu M, Saritaş E. Cough headache: frequency, characteristics and the relationship with the characteristics of cough. Eur J Pain 2005;9(4):383-8.
11. Ozge A, Buğdayci R, Saşmaz T, Kaleağasi H, Kurt O, Karakelle A, et al. The linear trend of headache prevalence and some headache features in school children. Agri 2007;19(2):20-32.
12. Karli N, Bican A, Zarifoğlu M. Course of adolescent headache: 4-year annual face-to-face follow-up study. J Headache Pain 2010;11(4):327-34.
13. Alp R, Alp SI, Palanci Y, Sur H, Boru UT, Ozge A, et al. Use of the International Classification of Headache Disorders, Second Edition, criteria in the diagnosis of primary headache in schoolchildren: epidemiology study from eastern Turkey. Cephalalgia 2010;30(7):868-77.
14. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004;24 Suppl 1:9- 160.
15. Fuh JL, Wang SJ, Lu SR, Liao YC, Chen SP, Yang CY. Headache disability among adolescents: a student population-based study. Headache 2010;50(2):210-8.
16. Heinrich M, Morris L, Kröner-Herwig B. Self-report of headache in children and adolescents in Germany: possibilities and confines of questionnaire data for headache classification. Cephalalgia 2009;29(8):864-72.
17. Lateef TM, Merikangas KR, He J, Kalaydjian A, Khoromi S, Knight E, et al. Headache in a national sample of American children: prevalence and comorbidity. J Child Neurol 2009;24(5):536-43.
18. Rueda-Sánchez M, Díaz-Martínez LA. Prevalence and associated factors for episodic and chronic daily headache in the Colombian population. Cephalalgia 2008;28(3):216-25.
19. Alzoubi KH, Mhaidat N, Azzam SA, Khader Y, Salem S, Issaifan H, et al. Prevalence of migraine and tension-type headache among adults in Jordan. J Headache Pain 2009;10(4):265- 70.
20. Vuković V, Plavec D, Pavelin S, Janculjak D, Ivanković M, Demarin V. Prevalence of migraine, probable migraine and tension-type headache in the Croatian population. Neuroepidemiology 2010;35(1):59-65.
21. Stovner LJ, Andree C. Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain 2010;11(4):289-99.
22. Junior AS, Krymchantowski A, Moreira P, Vasconcelos L, Gomez R, Teixeira A. Prevalence of headache in the entire population of a small city in Brazil. Headache 2009;49(6):895- 9.
23. Corrêa Tdos S, Santos KM, Galato D. Prevalence and management of headache in a selected area of Southern Santa Catarina. Arq Neuropsiquiatr 2010;68(2):216-23.
24. Torelli P, Abrignani G, Berzieri L, Castellini P, Ferrante T, Lambru G, et al. Population-based pace study: lifetime and pastyear prevalence of headache in adults. Neurol Sci 2010;31 Suppl 1:S145-7.
25. Katsarava Z, Dzagnidze A, Kukava M, Mirvelashvili E, Djibuti M, Janelidze M, et al. Prevalence of cluster headache in the Republic of Georgia: results of a population-based study and methodological considerations. Cephalalgia 2009;29(9):949- 52.
26. Koopman JS, Dieleman JP, Huygen FJ, de Mos M, Martin CG, Sturkenboom MC. Incidence of facial pain in the general population. Pain 2009;147(1-3):122-7.
27. Slater S, Crawford MJ, Kabbouche MA, LeCates SL, Cherney S, Vaughan P, et al. Effects of gender and age on paediatric headache. Cephalalgia 2009;29(9):969-73.