Headache Medicine
ISSN 2178-7468
e
-ISSN 2763-6178
v.11
Supplement
p. 72
October 2020.
72
ASAA
DOI: 10.48208/HeadacheMed.2020.Supplement.72
Oliveira, A.; Mercante, J.; Peres, M.; Molina, M.; Lotufo, P.; Benseñor, Goulart, A.
Headache Medicine
Physical inactivity and headache disorders: cross-sectional analysis in the
Brazilian longitudinal study of adult health (ELSA-Brasil)
Arao Oliveira, Juliane Mercante, Mario Peres, Maria Molina, Paulo Lotufo, Isabela Benseñor, Alessandra Goulart
Universidade de São Paulo
Background
Physical inactivity has been linked to headache disorders, but data regarding the current recommended leisure-time (LTPA) and commuting
physical activity (CPA) levels is unknown.
Objective
To test the associations between headache disorders (denite and probable migraine tension type headache-TTH) and physical inactivity
in these domains (LTPA and CPA) in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Methods
In a cross-sectional analysis, logistic regression models computed the odds ratio (OR) for the relationship between headache disorders
and physical activity (LTPA and CPA) in the following levels: “active” (Reference), “insuciently active”, and “inactive”. The full models were
controlled for the effects of sociodemographic data, cardiovascular risk prole, and use of headache medication (migraine prophylaxis)
Results
Of 15,0105 participants, 14,847 (45.6 % of men and 54.4 % women) responded the baseline interviews regarding physical activity
levels and headache disorders. Overall, most signicant physical inactivity was observed in LTPA domain for denite migraine [OR:
1.32 (1.10-1.57)] and probable migraine [OR: 1.33 (1.17-1.50)]. Similar ndings were replicated by sex. Physical inactivity (LTPA) was
positively associated with denite migraine in women [OR: 1.29 (1.04-1.59)], probable migraine in both men [OR: 1.40 (1.15-1.69)]
and women [OR: 1.29 (1.04-1.59)]. Physical inactivity in CPA domain was associated to increased OR for probable TTH in men [OR:
1.33 (1.01-1.75)], while CPA was inversely associated to denite migraine [OR: 0.79 (0.64-0.98)] and probable migraine [OR: 0.80
(0.67-0.96)] in women. Considering all headaches, unmet vigorous physical activity levels were associated to increased OR for denite
migraine [OR: 1.36 (1.13-1.65)] and probable migraine [OR: 1.37 (1.20-1.57)]. Finally, we found higher odds for daily headaches
among LTPA-inactive [OR: 1.73 (1.20-2.49)] and CPA-insufciently active [ OR: 1.36 (1.04-1.79)] participants.
Conclusion
Physical inactivity is associated with headache disorders in the ELSA-Brasil study, with distinct associations regarding headache subtype,
sex, physical activity domain and intensity, and headache frequency.