Triggering and relieving factors of migraine among university students: A cross-sectional study in Lebanon

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2022.31

Keywords:

Migraine, University students, Headache, Triggers, Relieving factors

Abstract

Introduction

Migraine is common among university students and can directly affect their daily activities and learning since students with migraine have difficulties attending classes and missed more school days than other students.

Objectives

This study aimed to identify triggering factors of migraine along with factors that relieve headaches associated with migraine episodes among university students.

Methods

An observational cross-sectional study targeted students from different faculties of the public university campus in Lebanon using a survey for data collection.

Results

Feeling hungry (65.9%), fasting (50.7%), and coffee deprivation (22.7%) were the most commonly reported dietary factors inducing headaches among university students. In comparison, climate changes (77.1%), noise and high volumes (73.9%), and hot weather (60.2%) were the most common environmental triggers. Among the psychological factors, anxiety (53.4%) and crying (47.3%) were highly reported and were significantly higher among women. Fatigue (63.2%), studying for exams (59.5%), and neck pain (46.8%) were the most common physical activity-reported factors. Lack of sleep (72%) and changes in sleeping hours (42.7%) were the primarily reported sleeping habits that can trigger headaches, with no statistically significant differences between men and women.  Sleeping (66.3%), relaxing (53.4%), avoiding migraine’s trigger factors (42.9%), and having a warm bath (38.5%) were the most reported relieving factors of headache among students. No statistically significant association was noted between any of the factors and the sex of the participants.

Conclusion

The triggering and relieving factors of migraine were comparable between men and women. Some triggering factors such as crying, anxiety, and fatigue were found significant among women, while driving was a higher migraine trigger among men. Lifestyle interventions may provide clues on effective relieving strategies and yield the establishment of different medical services and university programs.

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References

Goadsby PJ, Lantéri-Minet M, Michel MC, et al. 21st century headache: mapping new territory. The Journal of Headache and Pain 2021; 22: 1-4. DOI: https://doi.org/10.1186/s10194-021-01233-7

Stovner L, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007; 27: 193-210. DOI: https://doi.org/10.1111/j.1468-2982.2007.01288.x

Saylor D and Steiner TJ. The global burden of headache. In: Seminars in neurology 2018, pp.182-190. Thieme Medical Publishers. DOI: https://doi.org/10.1055/s-0038-1646946

Ashina M, Katsarava Z, Do TP, et al. Migraine: epidemiology and systems of care. The Lancet 2021; 397: 1485-1495. DOI: https://doi.org/10.1016/S0140-6736(20)32160-7

Steiner TJ, Stovner LJ, Katsarava Z, et al. The impact of headache in Europe: principal results of the Eurolight project. The journal of headache and pain 2014; 15: 1-11. DOI: https://doi.org/10.1186/1129-2377-15-31

Marmura MJ. Triggers, protectors, and predictors in episodic migraine. Current pain and headache reports 2018; 22: 1-9. DOI: https://doi.org/10.1007/s11916-018-0734-0

Karsan N, Bose P, Newman J, et al. Are some patient-perceived migraine triggers simply early manifestations of the attack? Journal of Neurology 2021; 268: 1885-1893. DOI: https://doi.org/10.1007/s00415-020-10344-1

Gazerani P. Migraine and mood in children. Behavioral Sciences 2021; 11: 52. DOI: https://doi.org/10.3390/bs11040052

Menon B and Remadevi N. Migraine in Nursing Students—A Study from a Tertiary Care Center in South India. Journal of Neurosciences in Rural Practice 2021; 12: 129-132. DOI: https://doi.org/10.1055/s-0040-1721556

Peris F, Donoghue S, Torres F, et al. Towards improved migraine management: Determining potential trigger factors in individual patients. Cephalalgia 2017; 37: 452-463. DOI: https://doi.org/10.1177/0333102416649761

Ashina M, Buse DC, Ashina H, et al. Migraine: integrated approaches to clinical management and emerging treatments. The Lancet 2021; 397: 1505-1518. DOI: https://doi.org/10.1016/S0140-6736(20)32342-4

Eigenbrodt AK, Ashina H, Khan S, et al. Diagnosis and management of migraine in ten steps. Nature Reviews Neurology 2021; 17: 501-514. DOI: https://doi.org/10.1038/s41582-021-00509-5

Roberts RA, Watford KE, Picou EM, et al. Effects of Lifestyle Modification on Vestibular Migraine. Otology & Neurotology 2021; 42: e1537-e1543. DOI: https://doi.org/10.1097/MAO.0000000000003297

Evans WE, Raynor HA, Howie W, et al. Associations between lifestyle intervention‐related changes in dietary targets and migraine headaches among women in the Women's Health and Migraine (WHAM) randomized controlled trial. Obesity Science & Practice 2020; 6: 119-125. DOI: https://doi.org/10.1002/osp4.376

Hsu YY, Chen CJ, Wu SH, et al. Cold intervention for relieving migraine symptoms: A systematic review and meta‐analysis. Journal of Clinical Nursing 2022. DOI: https://doi.org/10.1111/jocn.16368

Bagherzadi A, Emani R, Ghavami H, et al. Comparing the effect of heat and cold therapy on the intensity of nitrate-induced migraine type headache in cardiac inpatients: A randomized controlled trial. Agri: Agri (Algoloji) Dernegi'nin Yayin Organidir= The Journal of the Turkish Society of Algology 2021; 33: 148-154.

Rosenberg L, Butler N and Seng EK. Health behaviors in episodic migraine: why behavior change matters. Current Pain and Headache Reports 2018; 22: 1-6. DOI: https://doi.org/10.1007/s11916-018-0721-5

ปกรณ์ เดวชโ, พิทักษ์ ภทรพตพ, กานต์ พธตเพ, et al. Prevalence, Factors and Impact of Migraine Headache in Medical Students of Naresuan University. Health Science Clinical Research 2021; 36: 35-46.

Souza‐e‐Silva HR and Rocha‐Filho PA. Headaches and academic performance in university students: A cross‐sectional study. Headache: The Journal of Head and Face Pain 2011; 51: 1493-1502. DOI: https://doi.org/10.1111/j.1526-4610.2011.02012.x

Chahine S, Wanna S and Salameh P. Migraine attacks among Lebanese university medical students: A cross sectional study on prevalence and correlations. Journal of Clinical Neuroscience 2022; 100: 1-6. DOI: https://doi.org/10.1016/j.jocn.2022.03.039

Hatem G, Mosleh R, Goossens M, et al. Prevalence and risk factors of migraine headache among university students: A cross-sectional study in Lebanon. Headache Medicine 2022; 13: 213-221. DOI: https://doi.org/10.48208/HeadacheMed.2022.23

Xie YJ, Lin M, Wong YT, et al. Migraine Attacks and Relevant Trigger Factors in Undergraduate Nursing Students in Hong Kong: A Cross-Sectional Study. Journal of Pain Research 2022; 15: 701. DOI: https://doi.org/10.2147/JPR.S337465

Al Ghadeer HA, AlSalman SA, Albaqshi FM, et al. Quality of Life and Disability Among Migraine Patients: A Single-Center Study in AlAhsa, Saudi Arabia. Cureus 2021; 13. DOI: https://doi.org/10.7759/cureus.19210

Al-Hashel JY, Ahmed SF, Alroughani R, et al. Migraine among medical students in Kuwait University. The journal of headache and pain 2014; 15: 1-6. DOI: https://doi.org/10.1186/1129-2377-15-26

Lipton RB, Dodick D, Sadovsky R, et al. A self-administered screener for migraine in primary care: the ID migraine™ validation study. Neurology 2003; 61: 375-382. DOI: https://doi.org/10.1212/01.WNL.0000078940.53438.83

Rafi A, Islam S, Hasan MT, et al. Prevalence and impact of migraine among university students in Bangladesh: findings from a cross-sectional survey. BMC neurology 2022; 22: 1-11. DOI: https://doi.org/10.1186/s12883-022-02594-5

Birkie M, Endris M and Asnakew S. Determinants of migraine headache among regular undergraduate students, of Wollo University, Dessie, Ethiopia: cross–sectional study. BMC neurology 2021; 21: 1-12. DOI: https://doi.org/10.1186/s12883-021-02466-4

Aljaafari D, Aldossary N, Almuaigel MF, et al. Migraine Prevalence, Characteristics, Triggers, and Coping Strategies Among Medical Students in Saudi Arabia. The Primary Care Companion for CNS Disorders 2021; 23: 37178. DOI: https://doi.org/10.4088/PCC.20m02859

Ragab AH, Kishk NA, Hassan A, et al. Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study. Headache: The Journal of Head and Face Pain 2021; 61: 1493-1498. DOI: https://doi.org/10.1111/head.14231

Al-Shimmery EK. Precipitating and relieving factors of migraine headache in 200 iraqi kurdish patients. Oman medical journal 2010; 25: 212. DOI: https://doi.org/10.5001/omj.2010.59

Tai M-LS, Yet SXE, Lim TC, et al. Geographical differences in trigger factors of tension-type headaches and migraines. Current pain and headache reports 2019; 23: 1-6. DOI: https://doi.org/10.1007/s11916-019-0760-6

Haque B, Rahman KM, Hoque A, et al. Precipitating and relieving factors of migraine versus tension type headache. BMC neurology 2012; 12: 1-4. DOI: https://doi.org/10.1186/1471-2377-12-82

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Published

2022-12-28

How to Cite

1.
Mosleh R, Hatem G, Navasardyan N, Ajrouche R, Zein S, Awada S. Triggering and relieving factors of migraine among university students: A cross-sectional study in Lebanon. Headache Med [Internet]. 2022 Dec. 28 [cited 2024 Dec. 26];13(4):257-64. Available from: https://headachemedicine.com.br/index.php/hm/article/view/723

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