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美国约翰霍普金斯大学医学院研究人员发现,肥胖个体发作性偏头痛(EM)发生风险较高。论文2013年9月11日在线发表于《神经病学》(Neurology)。
研究人员以3862名黑人和白人成年受试者为研究对象,调查EM与肥胖的关系,以及年龄、种族和性别的影响。研究结果表明,与正常体重个体相比,肥胖个体发生EM的风险增加81%;随着肥胖的加重,发生EM的几率有显著增加趋势;此外,与正常体重受试者相比,年龄小于50岁、白人和女性肥胖受试者EM的发生风险增加。该结果表明,肥胖个体EM发生风险增加,并在年龄小于50岁、白种人和女性中有最强的关系。
(来源:Neurology,http://www.ncbi.nlm.nih.gov/pubmed/24027060)
Episodic migraine and obesity and the influence of age, race, and sex.
From the Departments of Neurology (B.L.P., J.R.R., R.F.G.) and Psychiatry & Behavioral Sciences (J.A.H.), Johns Hopkins University School of Medicine, Baltimore, MD; Department of Epidemiology (A.L.R.), Graduate School of Public Health, University of Pittsburgh, PA; Department of Epidemiology (M.A.W.), Harvard School of Public Health, Boston, MA; Genetic Epidemiology Research Branch (K.R.M., J.-P.H.), Intramural Research Program, National Institute of Mental Health, NIH, Department of Health and Human Services, Bethesda, MD; Brown Alpert Medical School (D.S.B.), Department of Psychiatry and Human Behavior/The Miriam Hospital, Weight Control and Diabetes Research Center, Providence, RI; and Intramural Research Program (A.B.Z.), National Institute on Aging, Biomedical Research Center, NIH, Baltimore, MD.
To evaluate the episodic migraine (EM)-obesity association and the influence of age, race, and sex on this relationship.
METHODS:We examined the EM-obesity association and the influence of age, race, and sex in 3,862 adult participants of both black and white race interviewed in the National Comorbidity Survey Replication. EM diagnostic criteria were based on the International Classification of Headache Disorders. Body mass index was classified as underweight (<18.5 kg/m2), normal (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), or obese (≥30 kg/m2). Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for EM were estimated using logistic regression. Models were stratified by age (<50/≥50 years), race (white/black), and sex (male/female).
RESULTS:A total of 188 participants fulfilled criteria for EM. In all participants, the adjusted odds of EM were 81% greater in individuals who were obese compared with those of normal weight (OR 1.81; 95% CI: 1.27-2.57; p = 0.001), with a significant trend of increasing odds of EM with increasing obesity status from normal weight to overweight to obese (p = 0.001). In addition, stratified analyses demonstrated that the odds of EM were greater in obese as compared with normal-weight individuals who were 1) younger than 50 years of age (OR 1.86; 95% CI: 1.20-2.89; p for trend = 0.008), 2) white (OR 2.06; 95% CI: 1.41-3.01; p for trend ≤0.001), or 3) female (OR 1.95; 95% CI: 1.38-2.76; p for trend ≤0.001).
CONCLUSION:The odds of EM are increased in those with obesity, with the strongest relationships among those younger than 50 years, white individuals, and women.
数据分析来源 http://www.pubmedplus.cn/
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