Physical inactivity and headache disorders: Cross-sectional analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

Autor: Oliveira AB; Hospital Israelita Albert Einstein, Instituto do Cérebro, 37896Hospital Israelita Albert Einstein, São Paulo-SP, Brazil.; Universidade de São Paulo, Instituto de Psiquiatria, 28133Universidade de São Paulo, São Paulo-SP, Brazil.; Universidade de São Paulo, Hospital Universitário, Centro de Pesquisa Clínica e Epidemiológica, São Paulo-SP, Brazil., Mercante JPP; Hospital Israelita Albert Einstein, Instituto do Cérebro, 37896Hospital Israelita Albert Einstein, São Paulo-SP, Brazil.; Universidade de São Paulo, Instituto de Psiquiatria, 28133Universidade de São Paulo, São Paulo-SP, Brazil.; Universidade de São Paulo, Hospital Universitário, Centro de Pesquisa Clínica e Epidemiológica, São Paulo-SP, Brazil., Peres MFP; Hospital Israelita Albert Einstein, Instituto do Cérebro, 37896Hospital Israelita Albert Einstein, São Paulo-SP, Brazil.; Universidade de São Paulo, Instituto de Psiquiatria, 28133Universidade de São Paulo, São Paulo-SP, Brazil., Molina MDCB; Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil., Lotufo PA; Universidade de São Paulo, Hospital Universitário, Centro de Pesquisa Clínica e Epidemiológica, São Paulo-SP, Brazil., Benseñor IM; Universidade de São Paulo, Hospital Universitário, Centro de Pesquisa Clínica e Epidemiológica, São Paulo-SP, Brazil., Goulart AC; Universidade de São Paulo, Hospital Universitário, Centro de Pesquisa Clínica e Epidemiológica, São Paulo-SP, Brazil.
Jazyk: angličtina
Zdroj: Cephalalgia : an international journal of headache [Cephalalgia] 2021 Dec; Vol. 41 (14), pp. 1467-1485. Date of Electronic Publication: 2021 Aug 18.
DOI: 10.1177/03331024211029217
Abstrakt: Background: Physical inactivity has been linked to headache disorders but estimates based on the current World Health Organization physical activity guidelines are unknown.
Objective: To test the associations between headache disorders and physical inactivity in the ELSA-Brasil cohort.
Methods: In a cross-sectional analysis, linear (continuous variables) and logistic regression models (categorical variables) tested the associations of physical activity levels in the leisure time, commuting time, and combined leisure time physical activity + commuting time physical activity domains with headache disorders, adjusted for the effects of sociodemographic data, cardiovascular risk variables, psychiatric disorders, and migraine prophylaxis medication.
Results: Of 15,105 participants, 14,847 (54.4% women) provided data on physical activity levels and headache. Higher physical activity levels (continuous values) in the leisure time physical activity domain associated with lower migraine and tension-type headache occurrence and lower headache attack frequency, while in the commuting time physical activity domain it associated with more frequent headache attacks. Compared to people who met World Health Organization physical activity levels in the leisure time physical activity or combining leisure time physical activity + commuting time physical activity domains (i.e. ≥150 min.wk -1 of moderate and/or ≥75 min.wk -1 of vigorous physical activity), physical inactivity associated with higher migraine occurrence, while somewhat active (i.e. not meeting World Health Organization recommendations) associated with higher migraine and tension-type headache occurrence. Physical inactivity in the commuting time physical activity domain associated with higher tension-type headache in men and lower migraine in women. Physical inactivity within vigorous leisure time physical activity intensity, but not moderate leisure time physical activity, associated with higher migraine, mostly in women. Finally, physical inactivity associated with higher headache attack frequency regardless headache subtype.
Conclusion: Physical inactivity and unmet World Health Organization physical activity levels associate with primary headaches, with heterogeneous associations regarding headache subtype, sex, physical activity domain/intensity, and headache frequency in the ELSA-Brasil study.
Databáze: MEDLINE
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