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Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data

BACKGROUND: Researches to date on the association between headache and weather have yielded inconsistent results. Only a limited number of studies have examined the clinical significance of self-reported weather sensitivity. This study aimed to identify the difference in the association of headache...

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Autores principales: Yang, Albert C., Fuh, Jong-Ling, Huang, Norden E., Shia, Ben-Chang, Wang, Shuu-Jiun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446287/
https://www.ncbi.nlm.nih.gov/pubmed/26018293
http://dx.doi.org/10.1186/s10194-015-0533-5
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author Yang, Albert C.
Fuh, Jong-Ling
Huang, Norden E.
Shia, Ben-Chang
Wang, Shuu-Jiun
author_facet Yang, Albert C.
Fuh, Jong-Ling
Huang, Norden E.
Shia, Ben-Chang
Wang, Shuu-Jiun
author_sort Yang, Albert C.
collection PubMed
description BACKGROUND: Researches to date on the association between headache and weather have yielded inconsistent results. Only a limited number of studies have examined the clinical significance of self-reported weather sensitivity. This study aimed to identify the difference in the association of headache with temperature between migraine patients with and without temperature sensitivity. METHODS: 66 migraine patients (75.8 % female; mean age 43.3 ± 12.9 years) provided their 1-year headache diaries from 2007 to a headache clinic in Taipei, Taiwan. 34 patients (51.5 %) reported sensitivity to temperature change but 32 (48.5 %) did not. Time series of daily headache incidence was modeled and stratified by temperature sensitivity. Empirical mode decomposition was used to identify temporal weather patterns that were correlated to headache incidence, and regression analysis was used to examine the amount of variance in headache incidence that could be explained by temperature in different seasons. RESULTS: Among all migraine patients, temperature change accounted for 16.5 % of variance in headache incidence in winter and 9.6 % in summer. In winter, the explained variance increased to 29.2 % among patients with temperature sensitivity, but was not significant among those without temperature sensitivity. Overall, temperature change explained 27.0 % of the variance of the mild headache incidence but only 4.8 % of the incidence of moderate to severe headache during winter. CONCLUSIONS: This diary-based study provides evidence to link the perception of temperature sensitivity and headache incidence in migraine patients. Those who reported temperature sensitivity are more likely to have headache increase during the winter, particular for mild headaches.
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spelling pubmed-44462872015-06-01 Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data Yang, Albert C. Fuh, Jong-Ling Huang, Norden E. Shia, Ben-Chang Wang, Shuu-Jiun J Headache Pain Research Article BACKGROUND: Researches to date on the association between headache and weather have yielded inconsistent results. Only a limited number of studies have examined the clinical significance of self-reported weather sensitivity. This study aimed to identify the difference in the association of headache with temperature between migraine patients with and without temperature sensitivity. METHODS: 66 migraine patients (75.8 % female; mean age 43.3 ± 12.9 years) provided their 1-year headache diaries from 2007 to a headache clinic in Taipei, Taiwan. 34 patients (51.5 %) reported sensitivity to temperature change but 32 (48.5 %) did not. Time series of daily headache incidence was modeled and stratified by temperature sensitivity. Empirical mode decomposition was used to identify temporal weather patterns that were correlated to headache incidence, and regression analysis was used to examine the amount of variance in headache incidence that could be explained by temperature in different seasons. RESULTS: Among all migraine patients, temperature change accounted for 16.5 % of variance in headache incidence in winter and 9.6 % in summer. In winter, the explained variance increased to 29.2 % among patients with temperature sensitivity, but was not significant among those without temperature sensitivity. Overall, temperature change explained 27.0 % of the variance of the mild headache incidence but only 4.8 % of the incidence of moderate to severe headache during winter. CONCLUSIONS: This diary-based study provides evidence to link the perception of temperature sensitivity and headache incidence in migraine patients. Those who reported temperature sensitivity are more likely to have headache increase during the winter, particular for mild headaches. Springer Milan 2015-05-26 /pmc/articles/PMC4446287/ /pubmed/26018293 http://dx.doi.org/10.1186/s10194-015-0533-5 Text en © Yang et al.; licensee Springer. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Research Article
Yang, Albert C.
Fuh, Jong-Ling
Huang, Norden E.
Shia, Ben-Chang
Wang, Shuu-Jiun
Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
title Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
title_full Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
title_fullStr Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
title_full_unstemmed Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
title_short Patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
title_sort patients with migraine are right about their perception of temperature as a trigger: time series analysis of headache diary data
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446287/
https://www.ncbi.nlm.nih.gov/pubmed/26018293
http://dx.doi.org/10.1186/s10194-015-0533-5
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