MIGRAINE IN ADULTS WITH DIABETES; IS THERE AN ASSOCIATION? RESULTS OF A POPULATION-BASED STUDY

Migraine in adults with diabetes; is there an association? Results of a population-based study

Migraine in adults with diabetes; is there an association? Results of a population-based study

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Ana López-de-Andrés,1 José Luis del Barrio,1 Valentín Hernández-Barrera,1 Javier de Miguel-Díez,2 Isabel Jimenez-Trujillo,1 María Angeles Martinez-Huedo,3 Rodrigo Jimenez-García1 1Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain; 2Respiratory Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain; 3Preventive Medicine and Public Health Department, Teaching Dog and Cat Healthcare and Research Unit, University Hospital La Paz, Madrid, Spain Aims: To investigate the association between migraine and diabetes mellitus while controlling for several socio-demographic characteristics, comorbidities, and lifestyle variables.We also aimed to identify which of these variables are associated with migraine among diabetics.Patients and methods: We conducted a cross-sectional study using data taken from the European Health Interview Surveys for Spain conducted in 2009/10 (n=22,188) and 2014 (n=22,842).We selected those subjects ≥40 years of age.

Diabetes status was self-reported.One non-diabetic control was matched by the year of survey, age, and sex for each diabetic case.The presence of migraine was Buttons/Pins defined as the affirmative answer to both of the following questions: “Have you suffered migraine or frequent headaches over the last 12 months?” and “Has your physician confirmed the diagnosis?”.Independent variables included demographic and socio-economic characteristics, health status variables, lifestyle, and pain characteristics.

Results: The prevalence of migraine was significantly higher among those suffering from diabetes (14.9% vs.13.0%; p=0.

021).The multivariable analysis showed that diabetes was not associated with a higher risk of migraine (adjusted OR 1.06; 95%CI 0.89–1.

25).Among diabetic subjects, female sex, suffering concomitant mental disorders, respiratory disorders, neck pain, and low back pain were variables associated with suffering from migraine.Conclusion: We found no significant differences in the prevalence of migraine between ­diabetics and non-diabetic age- and sex-matched controls after controlling for possible confounders.Keywords: diabetes, headache, survey, self-rated health, comorbidities, pain medication.

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