Skip to main content
Home
Zeitschriften
Zeitungen
Podcast
Gesundheitspolitik
Praxis
Allerlei
Jobs
Fachgebiete
Allgemeinmedizin Anästhesiologie & Intensivmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kinder & Jugendheilkunde Neurologie & Psychiatrie Orthopädie & Unfallchirurgie Pflege Urologie Zahnmedizin Apotheke
Subfächer Innere Medizin
Diabetologie Gastroenterologie Infektiologie Kardiologie Onkologie und Hämatologie Pneumologie Rheumatologie
Fortbildungen
Überblick Fortbildungen DFP-Literaturstudium-Artikel DFP-Webcast Fortbildungen DFP-Podcasts
Erweiterte Suche
Anmelden
nach oben
neuropsychiatrie

15.05.2023 | original article

Relationship of sleep quality, chronotype, and obstructive sleep apnea with migraine in the elderly population

verfasst von: Asieh Kouhi Fayegh, Hazwan Mat Din, Wan Aliaa Wan Sulaiman, Maryam Ravanipour, Hamidon Basri, Mohd Hazmi Bin Mohamed, Vasudevan Ramachandran, Liyana Najwa Inche Mat

Erschienen in: neuropsychiatrie

Einloggen, um Zugang zu erhalten

Summary

Purpose

Disturbances of sleep have frequently been reported in individuals with migraine. On top of this, an elderly patient with migraine also suffers from sleep disturbances due to changes in physiologic and mental health associated with aging. This study aimed to compare several sleep factors, namely sleep quality, chronotype, and obstructive sleep apnea (OSA) risk, between elderly people with and without migraine.

Methods

This was a multicenter cross-sectional study conducted in 10 neurologic clinics located in Tehran, Iran, over 2 years. The sample size was calculated as 189, including 63 migraine and 126 non-migraine patients.

Results

A significant difference was observed in the mean score of the global Pittsburgh Sleep Quality Index (PSQI) between migraine and non-migraine groups (p-value = 0.002), and in the individual components of the PSQI. However, there were no significant differences in the frequency of different types of chronotype (p-value = 0.125, T = 1.541) or OSA risk between the two groups (p-value = 0.568, T = −0.573). The binary logistic regression model showed that the relationship between global PSQI and migraine was significant (p = 0.002).

Conclusion

Sleep quality is a problem for elderly migraine sufferers. Meanwhile, certain factors such as chronotype and OSA have no significant relationship with migraine among community-dwelling seniors. Further studies are required to enhance our understanding of this observation.
Literatur
1.
Steiner TJ, Stovner LJ, Birbeck GL. Migraine: the seventh disabler. Headache. 2013;53(2):227–9.PubMedCrossRef
2.
Olesen J, Bes A, Kunkel R, Lance JW, Nappi G, Pfaffenrath V, et al. The international classification of headache disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629–808.CrossRef
3.
Woldeamanuel YW, Cowan RP. Migraine affects 1 in 10 people worldwide featuring recent rise: a systematic review and meta-analysis of community-based studies involving 6 million participants. J Neurol Sci. 2017;372:307–15.PubMedCrossRef
4.
Farhadi Z, Alidoost S, Behzadifar M, Mohammadibakhsh R, Khodadadi N, Sepehrian R, et al. The prevalence of migraine in Iran: a systematic review and meta-analysis. Iran Red Crescent Med J. 2016;18(10):e40061.PubMedCrossRefPubMedCentral
5.
Kaniecki RG, Levin AD. Headache in the elderly. 1st ed. Handbook of clinical neurology, Vol. 167. Elsevier; 2019. pp. 511–28.
6.
Andrés-Jensen L, Larsen HB, Johansen C, Frandsen TL, Schmiegelow K, Wahlberg A. Everyday life challenges among adolescent and young adult survivors of childhood acute lymphoblastic leukemia: an in-depth qualitative study. Psychooncology. 2020;29(10):1630–7.PubMedCrossRef
7.
Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Curr Probl Pediatr Adolesc Health Care. 2017;47(2):29–42.PubMedCrossRef
8.
9.
Vgontzas A, Pavlović JM. Sleep disorders and migraine: review of literature and potential pathophysiology mechanisms. Headache. 2018;58(7):1030–9.PubMedCrossRefPubMedCentral
10.
Buse DC, Greisman JD, Baigi K, Lipton RB. Migraine progression: a systematic review. Headache. 2019;59(3):306–38.PubMedCrossRef
11.
Jalilian R, Ghajarzadeh M, Fateh R, Togha M, Sahraian MA, Azimi A. Comparison of sleep quality in women with migraine moreover, multiple sclerosis. Acta Med Iran. 2014;52(9):690–3.PubMed
12.
Kim SJ, Han KT, Jang SY, Yoo KB, Kim SJ. The association between migraine and types of sleep disorder. Int J Environ Res Public Health. 2018;15(12):2648.PubMedCrossRefPubMedCentral
13.
Schramm S, Tenhagen I, Schmidt B, Holle-Lee D, Naegel S, Katsarava Z, et al. Prevalence and risk factors of migraine and non-migraine headache in older people—results of the Heinz Nixdorf recall study. Cephalalgia. 2021;41:649–64.PubMedCrossRef
14.
Ferini-Strambi L, Galbiati A, Combi R. Sleep disorder-related headaches. Neurol Sci. 2019;40:107–13.PubMedCrossRef
15.
Burish MJ, Chen Z, Yoo SH. Emerging relevance of circadian rhythms in headaches and neuropathic pain. Acta Physiol. 2019;225:0–2.CrossRef
16.
Gariépy G, Doré I, Whitehead RD, Elgar FJ. More than just sleeping in: a late timing of sleep is associated with health problems and unhealthy behaviours in adolescents. Sleep Med. 2019;56:66–72.PubMedCrossRef
17.
van Oosterhout WPJ, van Someren EJW, Schoonman GG, Louter MA, Lammers GJ, Ferrari MD, et al. Chronotypes and circadian timing in migraine. Cephalalgia. 2018;38:617–25.PubMedCrossRef
18.
19.
Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177:1006–14.PubMedCrossRefPubMedCentral
20.
Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev. 2017;34:70–81.PubMedCrossRef
21.
Yin J, Chen S, Lin C, Sung Y, Chou C, Chung C, et al. Increased risk of sleep apnoea among primary headache disorders : a nationwide population-based longitudinal study. 2019. pp. 1–6.
22.
Kristiansen HA, Kværner KJ, Akre H, Øverland B, Russell MB. Migraine and sleep apnea in the general population. J Headache Pain. 2011;12:55–61.PubMedCrossRef
23.
Yin JH, Chen SY, Lin CC, Sung YF, Chou CH, Chung CH, et al. Increased risk of sleep apnoea among primary headache disorders: a nationwide population-based longitudinal study. Postgrad Med J. 2019;95:72–7.PubMedCrossRef
24.
Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, (beta version). Cephalalgia. 2013;33(9):629–808.CrossRef
25.
Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.PubMedCrossRef
26.
Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh sleep quality index (PSQI-P). Sleep Breath. 2012;16:79–82.PubMedCrossRef
27.
Park BK. The Pittsburg sleep quality index (PSQI) and associated factors in middle-school students: a cross-sectional study. Child Health Nurs Res. 2020;26(1):55.PubMedCrossRefPubMedCentral
28.
Horne JA, Ostberg O. A self assessment questionnaire to determine moningness eveningness in human circadian rhythms. Int J Chronobiol. 1976;4:97–110.PubMed
29.
Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, Khajehdehi A, Shapiro CM. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812–21.PubMedCrossRef
30.
Sadeghniiat-Haghighi K, Montazeri A, Khajeh-Mehrizi A, Ghajarzadeh M, Alemohammad ZB, Aminian O, Sedaghat M. The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population. Qual Life Res. 2015;24:2025–30.PubMedCrossRef
31.
Stanyer EC, Creeney H, Nesbitt AD, Holland PR, Hoffmann J. Subjective sleep quality and sleep architecture in patients with migraine: a meta-analysis. Neurology. 2021;97(16):e1620–31.PubMedCrossRefPubMedCentral
32.
Song TJ, Yun CH, Cho SJ, Kim WJ, Yang KI, Chu MK. Short sleep duration and poor sleep quality among migraineurs: a population-based study. Cephalalgia. 2018;38(5):855–64.PubMedCrossRef
33.
Lin YK, Lin GY, Lee JT, Lee MS, Tsai CK, Hsu YW, et al. Associations between sleep quality and migraine frequency. Medicine. 2016;95:1–7.
34.
Lampl C, Thomas H, Stovner LJ, Tassorelli C, Katsarava Z, Laínez JM, et al. Interictal burden attributable to episodic headache: findings from the Eurolight project. J Headache Pain. 2016;17:1–10.CrossRef
35.
Stanyer EC, Creeney H, Nesbitt AD, Holland PR, Hoffmann J. Subjective sleep quality and sleep architecture in patients with migraine: a meta-analysis. Neurology. 2021;97:E1620–E31.PubMedCrossRefPubMedCentral
36.
Wang Y, Xie J, Yang F, Wu S, Wang H, Zhang X, et al. Comorbidity of poor sleep and primary headaches among nursing staff in north China. J Headache Pain. 2015;16:88.PubMedCrossRefPubMedCentral
37.
Sadeghniiat K, Rajabzadeh A, Ghajarzadeh M, Ghafarpour M. Sleep quality and depression among patients with migraine. Acta Med Iran. 2013;51:784–8.PubMed
38.
39.
Parashar R, Bhalla P, Rai NK, Pakhare A, Babbar R. Migraine: is it related to hormonal disturbances or stress? Int J Womens Health. 2014;6:921–5.PubMedCrossRefPubMedCentral
40.
Putra EK, Machfoed MH. Correlation of sleep quality and anxiety with pain intensity in primary headache patients. Medico-Legal Update. 2020;20:843–7.
41.
Cevoli S, Nicodemo M, Grimaldi D, Leonardi L, Montagna P, Cortelli P, Pierangeli G. Chronotypes in menstrual migraine: a case–control study. Neurol Sci. 2010;31:163–4.CrossRef
42.
Rafique N, Al-Asoom LI, Latif R, Alsunni AA, Salem AM, Alkhalifa ZH, et al. Prevalence of migraine and its relationship with psychological stress and sleep quality in female university students in Saudi Arabia. J Pain Res. 2020;13:2423–30.PubMedCrossRefPubMedCentral
43.
44.
Sullivan DP, Martin PR. Sleep and headaches: relationships between migraine and non-migraine headaches and sleep duration, sleep quality, chronotype, and obstructive sleep apnoea risk. Aust J Psychol. 2017;69(3):210–7.CrossRef
45.
Gori S, Morelli N, Maestri M, Fabbrini M, Bonanni E, Murri L. Sleep quality, chronotypes and preferential timing of attacks in migraine without aura. J Headache Pain. 2005;6:258–60.PubMedCrossRefPubMedCentral
46.
Im H‑J, et al. Time preference of headache attack and chronotype in migraine and tension-type headache. Chronobiol Int. 2019;36:1528–36.PubMedCrossRef
47.
Harnod T, Wang YC, Kao CH. Association of migraine and sleep-related breathing disorder: a population-based cohort study. Medicine. 2015;94:1–6.CrossRef
48.
Buse DC, Rains JC, Pavlovic JM, Fanning KM, Reed ML, Manack Adams A, Lipton RB. Sleep disorders among people with migraine: results from the chronic migraine epidemiology and outcomes (CaMEO) study. Headache. 2019;59(1):32–45.PubMedCrossRef
49.
Grazzi L, Toppo C, D’amico D, Leonardi M, Martelletti P, Raggi A, et al. Non-pharmacological approaches to headaches: non-invasive neuromodulation, nutraceuticals, and behavioral approaches. Int J Environ Res Public Health. 2021;18:1–17.CrossRef
Metadaten
Titel
Relationship of sleep quality, chronotype, and obstructive sleep apnea with migraine in the elderly population
verfasst von
Asieh Kouhi Fayegh
Hazwan Mat Din
Wan Aliaa Wan Sulaiman
Maryam Ravanipour
Hamidon Basri
Mohd Hazmi Bin Mohamed
Vasudevan Ramachandran
Liyana Najwa Inche Mat
Publikationsdatum
15.05.2023
Verlag
Springer Vienna
Erschienen in
neuropsychiatrie
Print ISSN: 0948-6259
Elektronische ISSN: 2194-1327
DOI
https://doi.org/10.1007/s40211-023-00467-y