Association of altered serum glucose and lipid profiles with headaches in young women: clinical, cross-sectional study
DOI:
https://doi.org/10.48208/HeadacheMed.2023.38Keywords:
Headache, Migraine, Blood Glucose, Cholesterol, Vitamin DAbstract
Introduction
Headaches, including migraines and tension headaches, affect millions of people globally. Migraines are the most common neurological disorder, with around 14.4% of the world's population affected. It is suggested that dysregulation of biochemical markers and individual metabolic differences may contribute to headaches.
Objective
We evaluated the frequency of headaches or migraines with changes in lipid, glucose and vitamin D serum levels in young women.
Methods
Clinical, cross-sectional study with 139 young women, aged at least 18 years, based on the third edition of the International Classification of Headache Disorders (ICHD-3). The individuals were divided into two groups: one without headache and another with headache. Anthropometric analyzes (BMI, WC, BP and DBP) and blood samples were collected for analysis of vitamin D, glycemia and lipid profile.
Results
Mean age was 22 (±4.6) years. We observed associations between headache and the following factors: high glucose levels (97 mg/dL, p=0.028), total cholesterol (180.4 mg/dL, p=0.002), HDL (44.2 mg/dL, p=0.017), and LDL (121.6 mg/dL, p=0.005). Longer duration of headache attacks was associated with increased levels of glucose (97.9 mg/dL, p=0.028), total cholesterol (186.8 mg/dL, p=0.05), diastolic blood pressure (74 mmHg, p=0.038), and BMI (24.6 kg/m2, p=0.024). High glucose levels were found to be directly related to the presence of migraine, particularly those with aura (105 mg/dL, p=0.034). However, there was no significant difference in vitamin D levels (p=0.640).
Conclusion
Elevated levels of blood glucose and total plasma cholesterol and its fractions seems to be associated can increase with bouts of headache attacks, especially migraine, prolonging the duration of pain.
Downloads
References
Facts About Migraine | National Headache Foundation. https://headaches.org/. Accessed April 5, 2023. https://headaches.org/facts-about-migraine/
Diener HC, Tassorelli C, Dodick DW, et al. Guidelines of the International Headache Society for controlled trials of acute treatment of migraine attacks in adults: Fourth edition. Cephalalgia. 2019;39(6):687-710. doi:10.1177/0333102419828967 DOI: https://doi.org/10.1177/0333102419828967
Goadsby PJ, Holland PR. Pathophysiology of Migraine. Neurol Clin. 2019;37(4):651-671. doi:10.1016/j.ncl.2019.07.008 DOI: https://doi.org/10.1016/j.ncl.2019.07.008
Goadsby PJ. Primary headache disorders. Neurol Clin Pract. 2019;9(3):233-240. doi:10.1212/CPJ.0000000000000654 DOI: https://doi.org/10.1212/CPJ.0000000000000654
Zhang DG, Amin FM, Guo S, Vestergaard MB, Hougaard A, Ashina M. Plasma Glucose Levels Increase During Spontaneous Attacks of Migraine With and Without Aura. Headache J Head Face Pain. 2020;60(4):655-664. doi:10.1111/head.13760 DOI: https://doi.org/10.1111/head.13760
Nowaczewska M, Wiciński M, Osiński S, Kaźmierczak H. The Role of Vitamin D in Primary Headache–from Potential Mechanism to Treatment. Nutrients. 2020;12(1):243. doi:10.3390/nu12010243
Amrein K, Scherkl M, Hoffmann M, et al. Vitamin D deficiency 2.0: an update on the current status worldwide. Eur J Clin Nutr. Published online January 20, 2020. doi:10.1038/s41430-020-0558-y DOI: https://doi.org/10.1038/s41430-020-0558-y
Song TJ, Chu MK, Sohn JH, Ahn HY, Lee SH, Cho SJ. Effect of Vitamin D Deficiency on the Frequency of Headaches in Migraine. J Clin Neurol. 2018;14(3):366. doi:10.3988/jcn.2018.14.3.366 DOI: https://doi.org/10.3988/jcn.2018.14.3.366
Bousser MG. Estrogens, Migraine, and Stroke. Stroke. 2004;35(11_suppl_1):2652-2656. doi:10.1161/01.STR.0000143223.25843.36 DOI: https://doi.org/10.1161/01.STR.0000143223.25843.36
Pavlović JM, Allshouse AA, Santoro NF, et al. Sex hormones in women with and without migraine. Neurology. 2016;87(1):49-56. doi:10.1212/WNL.0000000000002798 DOI: https://doi.org/10.1212/WNL.0000000000002798
Pavlovic JM, Akcali D, Bolay H, Bernstein C, Maleki N. Sex-related influences in migraine. J Neurosci Res. 2017;95(1-2):587-593. doi:10.1002/jnr.23903 DOI: https://doi.org/10.1002/jnr.23903
Lee MJ, Peng KP. Other primary headaches: Distinct clinical features and uncertain pathophysiology. Cephalalgia. 2023;43(3):033310242211478. doi:10.1177/03331024221147870 DOI: https://doi.org/10.1177/03331024221147870
Sutherland HG, Albury CL, Griffiths LR. Advances in genetics of migraine. J Headache Pain. 2019;20(1):72. doi:10.1186/s10194-019-1017-9 DOI: https://doi.org/10.1186/s10194-019-1017-9
Amin FM, Aristeidou S, Baraldi C, et al. The association between migraine and physical exercise. J Headache Pain. 2018;19(1):83. doi:10.1186/s10194-018-0902-y DOI: https://doi.org/10.1186/s10194-018-0902-y
Laird E, Ward M, McSorley E, Strain JJ, Wallace J. Vitamin D and Bone Health; Potential Mechanisms. Nutrients. 2010;2(7):693-724. doi:10.3390/nu2070693 DOI: https://doi.org/10.3390/nu2070693
Elamin MB, Abu Elnour NO, Elamin KB, et al. Vitamin D and Cardiovascular Outcomes: A Systematic Review and Meta-Analysis. J Clin Endocrinol Metab. 2011;96(7):1931-1942. doi:10.1210/jc.2011-0398 DOI: https://doi.org/10.1210/jc.2011-0398
Charoenngam N, Holick MF. Immunologic Effects of Vitamin D on Human Health and Disease. Nutrients. 2020;12(7):2097. doi:10.3390/nu12072097 DOI: https://doi.org/10.3390/nu12072097
Michos ED, Cainzos-Achirica M, Heravi AS, Appel LJ. Vitamin D, Calcium Supplements, and Implications for Cardiovascular Health. J Am Coll Cardiol. 2021;77(4):437-449. doi:10.1016/j.jacc.2020.09.617 DOI: https://doi.org/10.1016/j.jacc.2020.09.617
Nowaczewska M, Wiciński M, Osiński S, Kaźmierczak H. The Role of Vitamin D in Primary Headache–from Potential Mechanism to Treatment. Nutrients. 2020;12(1):243. doi:10.3390/nu12010243 DOI: https://doi.org/10.3390/nu12010243
Mohammadi M, Ayoobi F, Khalili P, Soltani N, La Vecchia C, Vakilian A. Relation of hypertension with episodic primary headaches and chronic primary headaches in population of Rafsanjan cohort study. Sci Rep. 2021;11(1):24071. doi:10.1038/s41598-021-03377-7 DOI: https://doi.org/10.1038/s41598-021-03377-7
Özcan RK, Özmen SG. The Association Between Migraine, Metabolic Syndrome, Insulin Resistance, and Obesity in Women: A Case-Control Study. Şişli Etfal Hastan Tıp Bül. 2019;53(4):395-402. doi:10.14744/SEMB.2018.09582 DOI: https://doi.org/10.14744/SEMB.2018.09582
Simon MS, Hastert TA, Barac A, et al. Cardiometabolic risk factors and survival after cancer in the Women’s Health Initiative. Cancer. 2021;127(4):598-608. doi:10.1002/cncr.33295 DOI: https://doi.org/10.1002/cncr.33295
Mosca L, Banka CL, Benjamin EJ, et al. Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women: 2007 Update. Circulation. 2007;115(11):1481-1501. doi:10.1161/CIRCULATIONAHA.107.181546 DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.181546
Fagherazzi G, El Fatouhi D, Fournier A, et al. Associations Between Migraine and Type 2 Diabetes in Women: Findings From the E3N Cohort Study. JAMA Neurol. 2019;76(3):257. doi:10.1001/jamaneurol.2018.3960 DOI: https://doi.org/10.1001/jamaneurol.2018.3960
Kristoffersen ES, Børte S, Hagen K, Zwart JA, Winsvold BS. Migraine, obesity and body fat distribution – a population-based study. J Headache Pain. 2020;21(1):97. doi:10.1186/s10194-020-01163-w
Islam MR, Nyholt DR. Glucose-Related Traits and Risk of Migraine—A Potential Mechanism and Treatment Consideration. Genes. 2022;13(5):730. doi:10.3390/genes13050730 DOI: https://doi.org/10.3390/genes13050730
Janoska M, Chorążka K, Domitrz I. Migraine frequency and its association with dyslipidemia in women. Neurol Neurochir Pol. 2015;49(2):95-98. doi:10.1016/j.pjnns.2015.02.001 DOI: https://doi.org/10.1016/j.pjnns.2015.02.001
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. doi:10.1177/0333102413485658 DOI: https://doi.org/10.1177/0333102413485658
Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA J Am Med Assoc. 2001;285(19):2486-2497. doi:10.1001/jama.285.19.2486 DOI: https://doi.org/10.1001/jama.285.19.2486
Leino A, Turpeinen U, Koskinen P. Automated Measurement of 25-OH Vitamin D3 on the Roche Modular E170 Analyzer. Clin Chem. 2008;54(12):2059-2062. doi:10.1373/clinchem.2008.111732 DOI: https://doi.org/10.1373/clinchem.2008.111732
Orsatti CL, Nahás EAP, Nahas-Neto J, Orsatti FL, Linhares IM, Witkin SS. Mannose-binding lectin gene polymorphism and risk factors for cardiovascular disease in postmenopausal women. Mol Immunol. 2014;61(1):23-27. doi:10.1016/j.molimm.2014.05.003 DOI: https://doi.org/10.1016/j.molimm.2014.05.003
Rist PM, Tzourio C, Kurth T. Associations Between Lipid Levels and Migraine: Cross- sectional Analysis in the EVA Study. Cephalalgia. 2011;31(14):1459-1465. doi:10.1177/0333102411421682. DOI: https://doi.org/10.1177/0333102411421682
Del Moro L, Rota E, Pirovano E, Rainero I. Migraine, Brain Glucose Metabolism and the “Neuroenergetic” Hypothesis: A Scoping Review. J Pain. 2022;23(8):1294-1317. doi:10.1016/j.jpain.2022.02.006 DOI: https://doi.org/10.1016/j.jpain.2022.02.006
Kristoffersen ES, Børte S, Hagen K, Zwart JA, Winsvold BS. Migraine, obesity and body fat distribution – a population-based study. J Headache Pain. 2020;21(1):97. doi:10.1186/s10194-020-01163-w DOI: https://doi.org/10.1186/s10194-020-01163-w
Ross R, Neeland IJ, Yamashita S, et al. Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity. Nat Rev Endocrinol. 2020;16(3):177-189. doi:10.1038/s41574-019-0310-7 DOI: https://doi.org/10.1038/s41574-019-0310-7
Agbetou M, Adoukonou T. Lifestyle Modifications for Migraine Management. Front Neurol. 2022;13:719467. doi:10.3389/fneur.2022.719467 DOI: https://doi.org/10.3389/fneur.2022.719467
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Karen Valério Zola, Jóvyne Karollyna Kaleski Vicente da Silva , Jonas Bernardes Lima Filho, Bruna Ribeiro Andrade Ramos, Vinicius Coralino Dos Reis Pereira, Nilva Galli, Claudio Lera Orsatti (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.