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The role of purity and frequency in the classification of perimenstrual headache
BACKGROUND: Among all menstruation-associated headaches, only menstrual migraine has classification criteria in the International Classification of Headache Disorders 3rd edition (ICHD-3). Other menstruation-associated headaches are not generally described. The ICHD-3 classifies menstrual migraine a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10242800/ https://www.ncbi.nlm.nih.gov/pubmed/37280531 http://dx.doi.org/10.1186/s12883-023-03268-6 |
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author | Na, Weinan Liu, Hua Liu, Yang Wang, Xiaolin Yu, Shengyuan |
author_facet | Na, Weinan Liu, Hua Liu, Yang Wang, Xiaolin Yu, Shengyuan |
author_sort | Na, Weinan |
collection | PubMed |
description | BACKGROUND: Among all menstruation-associated headaches, only menstrual migraine has classification criteria in the International Classification of Headache Disorders 3rd edition (ICHD-3). Other menstruation-associated headaches are not generally described. The ICHD-3 classifies menstrual migraine according to headache type, timing(on days -2 to +3 of menstruation), frequency (whether headache occurs in at least two out of three menstrual cycles), and purity(whether headache occurs at other times of the menstrual cycle), and provides a reference for research on menstruation-associated headache. However, the role of frequency and purity in the classification of menstruation- associated headache is not clear Moreover, the potential risk factors for high-frequency and pure headaches have not been explored. METHODS: The study was a secondary analysis of an epidemiological survey on menstrual migraine among nurses. Among nurses who had a headache on days -2 to +3 of menstruation, headache frequency, purity, and type were described. High-frequency vs. low-frequency and pure vs. impure headache were compared according to headache features, demographics, occupation-related factors, menstruation-related factors, and lifestyle factors. RESULTS: Of all respondents, 254(18.3%) nurses who had headaches on days -2 to +3 of menstruation were included in the study. In the 254 nurses with perimenstrual headache, the proportions of migraine, tension type headache (TTH), high-frequency headache, and pure headache were 24.4%, 26.4%, 39.0%, and 42.1%, respectively. High-frequency and impure perimenstrual headache was more severe and similar to migraine. High-frequency headache was associated with more perimenstrual extremity swelling and generalized pain. Other variables were not significantly different between the groups. CONCLUSIONS: Headache except for menstrual migraine accounts for a certain proportion of menstruation-associated headache and should not be ignored in research. Headache frequency and purity are related to headache type and should be equally considered in the classification of menstruation- associated headache. Perimenstrual extremity swelling and generalized pain are potential indicators of high-frequency perimenstrual headache. TRIAL REGISTRATION: ChiCTR2200056429 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-023-03268-6. |
format | Online Article Text |
id | pubmed-10242800 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102428002023-06-07 The role of purity and frequency in the classification of perimenstrual headache Na, Weinan Liu, Hua Liu, Yang Wang, Xiaolin Yu, Shengyuan BMC Neurol Research BACKGROUND: Among all menstruation-associated headaches, only menstrual migraine has classification criteria in the International Classification of Headache Disorders 3rd edition (ICHD-3). Other menstruation-associated headaches are not generally described. The ICHD-3 classifies menstrual migraine according to headache type, timing(on days -2 to +3 of menstruation), frequency (whether headache occurs in at least two out of three menstrual cycles), and purity(whether headache occurs at other times of the menstrual cycle), and provides a reference for research on menstruation-associated headache. However, the role of frequency and purity in the classification of menstruation- associated headache is not clear Moreover, the potential risk factors for high-frequency and pure headaches have not been explored. METHODS: The study was a secondary analysis of an epidemiological survey on menstrual migraine among nurses. Among nurses who had a headache on days -2 to +3 of menstruation, headache frequency, purity, and type were described. High-frequency vs. low-frequency and pure vs. impure headache were compared according to headache features, demographics, occupation-related factors, menstruation-related factors, and lifestyle factors. RESULTS: Of all respondents, 254(18.3%) nurses who had headaches on days -2 to +3 of menstruation were included in the study. In the 254 nurses with perimenstrual headache, the proportions of migraine, tension type headache (TTH), high-frequency headache, and pure headache were 24.4%, 26.4%, 39.0%, and 42.1%, respectively. High-frequency and impure perimenstrual headache was more severe and similar to migraine. High-frequency headache was associated with more perimenstrual extremity swelling and generalized pain. Other variables were not significantly different between the groups. CONCLUSIONS: Headache except for menstrual migraine accounts for a certain proportion of menstruation-associated headache and should not be ignored in research. Headache frequency and purity are related to headache type and should be equally considered in the classification of menstruation- associated headache. Perimenstrual extremity swelling and generalized pain are potential indicators of high-frequency perimenstrual headache. TRIAL REGISTRATION: ChiCTR2200056429 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-023-03268-6. BioMed Central 2023-06-06 /pmc/articles/PMC10242800/ /pubmed/37280531 http://dx.doi.org/10.1186/s12883-023-03268-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Na, Weinan Liu, Hua Liu, Yang Wang, Xiaolin Yu, Shengyuan The role of purity and frequency in the classification of perimenstrual headache |
title | The role of purity and frequency in the classification of perimenstrual headache |
title_full | The role of purity and frequency in the classification of perimenstrual headache |
title_fullStr | The role of purity and frequency in the classification of perimenstrual headache |
title_full_unstemmed | The role of purity and frequency in the classification of perimenstrual headache |
title_short | The role of purity and frequency in the classification of perimenstrual headache |
title_sort | role of purity and frequency in the classification of perimenstrual headache |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10242800/ https://www.ncbi.nlm.nih.gov/pubmed/37280531 http://dx.doi.org/10.1186/s12883-023-03268-6 |
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