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Open Access 01-06-2011 | Original

Association between blood pressure measures and recurrent headache in adolescents: cross-sectional data from the HUNT-Youth study

Authors: Erling Tronvik, John-Anker Zwart, Knut Hagen, Grete Dyb, Turid Lingaas Holmen, Lars Jacob Stovner

Published in: The Journal of Headache and Pain | Issue 3/2011

Abstract

The relationship between blood pressure and headache in youth has not been explored and the objective of the present study was to provide data on this association in an adolescent population. Cross-sectional data from a large population-based survey, the Young-HUNT study, on 5,847 adolescents were used to evaluate the association between blood pressure (systolic, diastolic, mean arterial and pulse pressure) and recurrent headache, including migraine and tension-type headache. Increasing pulse pressure was inversely related to recurrent headache prevalence, and both tension-type headache and migraine. For systolic blood pressure such an inverse relationship was present for recurrent headache and tension-type headache prevalence. For migraine, the results were not significant, although there was a tendency in the same direction (p = 0.05). High-pulse pressure has previously been found to be inversely related to the prevalence of migraine and tension-type headache in an adult population. This inverse relationship has now been demonstrated to be present among adolescents also, supporting the results from a previous study in adults, that blood pressure regulation may be linked to the pathophysiology of headache.

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Agostoni E, Aliprandi A (2008) Migraine and hypertension. Neurol Sci 29(Suppl 1):S37–S39. doi:10.1007/s10072-008-0883-8, 18545893, 10.1007/s10072-008-0883-8CrossRefPubMed

Walker CH (1959) Migraine and its relationship to hypertension. Br Med J 2(5164):1430–1433, 13842493, 10.1136/bmj.2.5164.1430, 1:STN:280:DyaF3c3htlaksg%3D%3DPubMedCentralCrossRefPubMed

Badran RH, Weir RJ, McGuiness JB (1970) Hypertension and headache. Scott Med J 15(2):48–51, 5416084, 1:STN:280:DyaE3c7is1Wruw%3D%3DPubMed

Buring JE, Hebert P, Romero J, Kittross A, Cook N, Manson J, Peto R, Hennekens C (1995) Migraine and subsequent risk of stroke in the physicians’ health study. Arch Neurol 52(2):129–134, 7848119, 1:STN:280:DyaK2M7ltVynuw%3D%3DCrossRefPubMed

Rasmussen BK, Olesen J (1992) Symptomatic and nonsymptomatic headaches in a general population. Neurology 42(6):1225–1231, 1603351, 1:STN:280:DyaK383ptlGntQ%3D%3DCrossRefPubMed

Headache Classification Subcommittee of the International Headache S (2004) The international classification of headache disorders. 2nd edn, Cephalalgia 24 (Suppl 24):1–160

Tronvik E, Stovner LJ, Hagen K, Holmen J, Zwart JA (2008) High pulse pressure protects against headache: prospective and cross-sectional data (HUNT study). Neurology 70(16):1329–1336, 18413586, 10.1212/01.wnl.0000309222.79376.57, 1:STN:280:DC%2BD1c3ltlGmsQ%3D%3DCrossRefPubMed

Tzourio C, Gagniere B, El Amrani M, Alperovitch A, Bousser MG (2003) Relationship between migraine, blood pressure and carotid thickness. A population-based study in the elderly. Cephalalgia 23(9):914–920, 14616934, 10.1046/j.1468-2982.2003.00613.x, 1:STN:280:DC%2BD3srjs12itQ%3D%3DCrossRefPubMed

Gudmundsson LS, Thorgeirsson G, Sigfusson N, Sigvaldason H, Johannsson M (2006) Migraine patients have lower systolic but higher diastolic blood pressure compared with controls in a population-based study of 21,537 subjects. The Reykjavik study. Cephalalgia 26(4):436–444, 16556245, 10.1111/j.1468-2982.2005.01057.x, 1:STN:280:DC%2BD287mslagug%3D%3DCrossRefPubMed

10.

Hagen K, Stovner LJ, Vatten L, Holmen J, Zwart JA, Bovim G (2002) Blood pressure and risk of headache: a prospective study of 22,685 adults in Norway. J Neurol Neurosurg Psychiatry 72(4):463–466, 11909904, 1:STN:280:DC%2BD383itlGitw%3D%3DPubMedCentralPubMed

11.

Kernick D, Reinhold D (2008) Children and adolescents with headache: what do they need? J Headache Pain doi:10.1007/s10194-008-0042-x

12.

Zwart JA, Dyb G, Holmen TL, Stovner LJ, Sand T (2004) The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trondelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study. Cephalalgia 24(5):373–379, 15096226, 10.1111/j.1468-2982.2004.00680.xCrossRefPubMed

13.

Dyb G, Holmen TL, Zwart JA (2006) Analgesic overuse among adolescents with headache: the Head-HUNT-Youth Study. Neurology 66(2):198–201, 16434653, 10.1212/01.wnl.0000193630.03650.19CrossRefPubMed

14.

Headache Classification Commitee of the International Headache Society (1988) Classification and diagnostic criteria for headache disorders, cranial neuralgia and facial pain. Cephalalgia 8 (suppl 7):1–96

15.

Zwart JA, Dyb G, Stovner LJ, Sand T, Holmen TL (2003) The validity of ‘recognition-based’ headache diagnoses in adolescents. Data from the Nord-Trondelag Health Study 1995–1997, Head-HUNT-Youth. Cephalalgia 23(3):223–229, 12662191, 10.1046/j.1468-2982.2003.00498.xCrossRefPubMed

16.

Sesso HD, Stampfer MJ, Rosner B, Hennekens CH, Gaziano JM, Manson JE, Glynn RJ (2000) Systolic and diastolic blood pressure, pulse pressure, and mean arterial pressure as predictors of cardiovascular disease risk in men. Hypertension 36(5):801–807, 11082146, 1:STN:280:DC%2BD3M%2FlvFKmtQ%3D%3DCrossRefPubMed

17.

Fasting MH, Nilsen TI, Holmen TL, Vik T (2008) Life style related to blood pressure and body weight in adolescence: cross sectional data from the Young-HUNT study, Norway. BMC Public Health 8:111. doi:10.1186/1471-2458-8-111, 18400086, 10.1186/1471-2458-8-111PubMedCentralCrossRefPubMed

18.

Wiehe M, Fuchs SC, Moreira LB, Moraes RS, Fuchs FD (2002) Migraine is more frequent in individuals with optimal and normal blood pressure: a population-based study. J Hypertens 20(7):1303–1306, 12131526, 10.1097/00004872-200207000-00016, 1:CAS:528:DC%2BD38Xlt1Kmt7w%3DCrossRefPubMed

19.

Fuchs FD, Gus M, Moreira LB, Moreira WD, Goncalves SC, Nunes G (2003) Headache is not more frequent among patients with moderate to severe hypertension. J Hum Hypertens 17(11):787–790, 14578919, 10.1038/sj.jhh.1001621, 1:STN:280:DC%2BD3srgtFCrtQ%3D%3DCrossRefPubMed

20.

Hagen K, Zwart JA, Holmen J, Svebak S, Bovim G, Stovner LJ (2005) Does hypertension protect against chronic musculoskeletal complaints? The Nord-Trondelag Health Study. Arch Intern Med 165(8):916–922, 15851644, 10.1001/archinte.165.8.916CrossRefPubMed

21.

Ghione S (1996) Hypertension-associated hypalgesia. Evidence in experimental animals and humans, pathophysiological mechanisms, and potential clinical consequences. Hypertension 28(3):494–504, 8794839, 1:STN:280:DyaK28zoslejtg%3D%3DCrossRefPubMed

22.

Guasti L, Zanotta D, Mainardi LT, Petrozzino MR, Grimoldi P, Garganico D, Diolisi A, Gaudio G, Klersy C, Grandi AM, Simoni C, Cerutti S (2002) Hypertension-related hypoalgesia, autonomic function and spontaneous baroreflex sensitivity. Auton Neurosci 99(2):127–133, 12241087, 10.1016/S1566-0702(02)00052-8CrossRefPubMed

23.

Fendrich K, Vennemann M, Pfaffenrath V, Evers S, May A, Berger K, Hoffmann W (2007) Headache prevalence among adolescents–the German DMKG headache study. Cephalalgia 27(4):347–354. doi: 101111/j1468-2982200701289x, 17376112, 1:STN:280:DC%2BD2s7ns1ensA%3D%3DCrossRefPubMed

24.

Kroner-Herwig B, Heinrich M, Morris L (2007) Headache in German children and adolescents: a population-based epidemiological study. Cephalalgia 27(6):519–527. doi: 101111/j1468-2982200701319x, 17598791, 1:STN:280:DC%2BD2szot1equw%3D%3DCrossRefPubMed

25.

van der Wouden JC, van der Pas P, Bruijnzeels MA, Brienen JA, van Suijlekom-Smit LW (1999) Headache in children in Dutch general practice. Cephalalgia 19(3):147–150, 10234461, 10.1046/j.1468-2982.1999.1903147.xCrossRefPubMed

26.

Russell MB, Levi N, Saltyte-Benth J, Fenger K (2006) Tension-type headache in adolescents and adults: a population based study of 33, 764 twins. Eur J Epidemiol 21(2):153–160. doi:10.1007/s10654-005-6031-3, 16518684, 10.1007/s10654-005-6031-3CrossRefPubMed

27.

Anttila P (2006) Tension-type headache in childhood and adolescence. Lancet Neurol 5(3):268–274, 16488382, 10.1016/S1474-4422(06)70376-3CrossRefPubMed

28.

Stovner LJ, Zwart JA, Hagen K, Terwindt G, Pascual J (2006) Epidemiology of headache in Europe. Eur J Neurol 13(4):333–345, 16643310, 10.1111/j.1468-1331.2006.01184.x, 1:STN:280:DC%2BD283jslSmtw%3D%3DCrossRefPubMed

29.

Hagen K, Zwart JA, Aamodt AH, Nilsen KB, Brathen G, Helde G, Stjern M, Tronvik EA, Stovner LJ (2008) A face-to-face interview of participants in HUNT 3: the impact of the screening question on headache prevalence. J Headache Pain 9(5):289–294. doi:10.1007/s10194-008-0062-6, 18690490, 10.1007/s10194-008-0062-6PubMedCentralCrossRefPubMed

30.

Hagen K, Stovner L, Zwart JA (2007) Potentials and pitfalls in analytical headache epidemiological studies—lessons to be learned from the Head-HUNT Study. Cephalalgia 27(5):403–413, 17448178, 10.1111/j.1468-2982.2007.01302.x, 1:STN:280:DC%2BD2s3ktVKnug%3D%3DCrossRefPubMed

31.

Dworkin BR, Filewich RJ, Miller NE, Craigmyle N, Pickering TG (1979) Baroreceptor activation reduces reactivity to noxious stimulation: implications for hypertension. Science 205(4412):1299–1301, 472749, 10.1126/science.472749, 1:STN:280:DyaE1M3kvVOrtQ%3D%3DCrossRefPubMed

32.

Murphy AZ, Ennis M, Rizvi TA, Behbehani MM, Shipley MT (1995) Fos expression induced by changes in arterial pressure is localized in distinct, longitudinally organized columns of neurons in the rat midbrain periaqueductal gray. J Comp Neurol 360(2):286–300, 8522648, 10.1002/cne.903600207, 1:CAS:528:DyaK2MXovFelsL0%3DCrossRefPubMed

Title: Association between blood pressure measures and recurrent headache in adolescents: cross-sectional data from the HUNT-Youth study
Authors: Erling Tronvik
John-Anker Zwart
Knut Hagen
Grete Dyb
Turid Lingaas Holmen
Lars Jacob Stovner
Publication date: 01-06-2011
Publisher: Springer Milan
Published in: The Journal of Headache and Pain / Issue 3/2011
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI: https://doi.org/10.1007/s10194-011-0304-x

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Association between blood pressure measures and recurrent headache in adolescents: cross-sectional data from the HUNT-Youth study

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

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