1 Arquivos de Neuro-Psiquiatria 2005 Vol: 63(4):. DOI: 10.1590/S0004-282X2005000600005

Primary headaches in obese patients

BACKGROUND AND OBJECTIVE: Obesity is a major public health problem worldwide. Little is known about the prevalence and impact of headache disorders in obese patients. The objective of this study was to assess the prevalence of primary headaches in obese patients and controls. METHOD: Seventy-four consecutive obese patients from the obesity surgery service were studied, and compared to controls with body mass index less than 25. RESULTS: Fifty-six patients (75%) had a headache diagnosis, 49 migraine (66%), 7 tension-type headache (9%), 36 (48%) had incapacitating headaches. CONCLUSION: Primary headaches are more common and incapacitating in obese patients than controls, migraine is the most important diagnosis in this population. Headaches should be properly diagnosed and treated in obese patients.

  1. Filozof C, Gonzalez C, Sereday M, et al. Obesity prevalence and trends in Latin-American countries. Obes Rev2 , 99-106 (2001) .
  2. Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999- JAMA 2002 288, 1723-1727 (2000) .
  3. Ogden CL, Flegal KM, Carroll MD, et al. Prevalence and trends in overweight among US children and adolescents, 1999- JAMA 2002 288, 1728-1732 (2000) .
  4. Birmingham CL, Muller JL, Palepu A, et al. The cost of obesity in Canada. CMAJ160 , 483-488 (1999) .
  5. Kopelman PG. Obesity as a medical problem. Nature404 , 635-643 (2000) .
  6. Wang SJ, Silberstein SD, Patterson S, et al. Idiopathic intracranial hypertension without papilledema: a case-control study in a headache center. Neurology51 , 245-249 (1998) .
  7. Dodick DW, Eross EJ, Parish JM. Clinical, anatomical, and physiologic relationship between sleep and headache. Headache43 , 282-292 (2003) .
  8. Akpunonu BE, Ahrens J. Sexual headaches: case report, review, and treatment with calcium blocker. Headache31 , 141-145 (1991) .
  9. Loewinger LE, Young WB. Headache preventives: effect on weight. Neurology58[7 Suppl 3];A286 , (2002) .
  10. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain, Second edition. Cephalalgia. 2004(Suppl 1) , 1-160 .
  11. Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatologycriteria for the classification of fibromyalgia: report of the Multicenter Criteria Committee. Arthritis Rheum 1990 33, 160-172 (1990) .
  12. Queiroz LP, Blank N, Barea, LM. A population-based study of chronic headache in Florianopolis, Brazil. Cephalalgia23:598 , (2003) .
  13. Sand T, Hagen K, Schrader H. Sleep apnoea and chronic headache. Cephalalgia23 , 90-95 (2003) .
  14. Peres MF, Sanchez dR, Seabra ML, et al. Hypothalamic involvement in chronic migraine. J Neurol Neurosurg Psychiatry.71 , 747-751 (2001) .
  15. Small CJ, Parkinson JR, Bloom SR. Novel therapeutic targets for appetite regulation. Curr Opin Investig Drugs6 , 369-372 (2005) .