Physical inactivity and headache disorders: cross-sectional analysis in the Brazilian longitudinal study of adult health (ELSA-Brasil)

Authors

  • Arao Oliveira Universidade de São Paulo
  • Juliane Mercante Universidade de São Paulo
  • Mario Peres Universidade de São Paulo
  • Maria Molina Universidade de São Paulo
  • Paulo Lotufo Universidade de São Paulo
  • Isabela Benseñor Universidade de São Paulo
  • Alessandra Goulart Universidade de São Paulo

DOI:

https://doi.org/10.48208/HeadacheMed.2020.Supplement.72

Keywords:

Inglês

Abstract

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 (definite 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 profile, 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 significant physical inactivity was observed in LTPA domain for definite migraine [OR: 1.32 (1.10-1.57)] and probable migraine [OR: 1.33 (1.17-1.50)]. Similar findings were replicated by sex. Physical inactivity (LTPA) was positively associated with definite 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 definite 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 definite 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-insufficiently 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.

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Published

30/11/2020

How to Cite

1.
Oliveira A, Mercante J, Peres M, Molina M, Lotufo P, Benseñor I, Goulart A. Physical inactivity and headache disorders: cross-sectional analysis in the Brazilian longitudinal study of adult health (ELSA-Brasil). HM [Internet]. 2020 Nov. 30 [cited 2021 Jun. 20];11(Supplement):72. Available from: https://headachemedicine.com.br/index.php/hm/article/view/159

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