Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis

Introduction An association between weight status and migraine has been previously reported; however, this relationship has only been studied in adults, not in the paediatric population. Objective To evaluate the association between weight status and migraine in the paediatric population. Methods We...

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Autores principales: Quispe-Vicuña, Carlos, Soriano Moreno, David, De-Los-Rios-Pinto, Abraham, Díaz-Ledesma, Luz A., Fernandez-Guzman, Daniel, Pacheco-Barrios, Kevin, Alva Díaz, Carlos Alexander
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Publicado: Frontiers Media SA 2023
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author Quispe-Vicuña, Carlos
Soriano Moreno, David
De-Los-Rios-Pinto, Abraham
Díaz-Ledesma, Luz A.
Fernandez-Guzman, Daniel
Pacheco-Barrios, Kevin
Alva Díaz, Carlos Alexander
author_browse Alva Díaz, Carlos Alexander
De-Los-Rios-Pinto, Abraham
Díaz-Ledesma, Luz A.
Fernandez-Guzman, Daniel
Pacheco-Barrios, Kevin
Quispe-Vicuña, Carlos
Soriano Moreno, David
author_facet Quispe-Vicuña, Carlos
Soriano Moreno, David
De-Los-Rios-Pinto, Abraham
Díaz-Ledesma, Luz A.
Fernandez-Guzman, Daniel
Pacheco-Barrios, Kevin
Alva Díaz, Carlos Alexander
author_sort Quispe-Vicuña, Carlos
collection Producción científica
description Introduction An association between weight status and migraine has been previously reported; however, this relationship has only been studied in adults, not in the paediatric population. Objective To evaluate the association between weight status and migraine in the paediatric population. Methods We searched PubMed/Medline, Scopus, Web of Science, Ovid Medline, and Embase using a cut-off date of May 2023. We included observational studies that evaluated the association between weight status (underweight, overweight, obese, and excess weight) and migraine in the paediatric population (children and adolescents). Normal weight was the comparator. The outcome was migraine (all types, episodic and chronic). We performed meta-analyses using a random-effects model to estimate the pooled effects for each outcome. Sensitivity analysis was performed based on study design and risk of bias (using the Newcastle–Ottawa Scale). Certainty of evidence was assessed using the GRADE approach. Results Eight studies (6 cross-sectional, 1 case-control and 1 cohort) covering 16,556 patients were included. The overall certainty of evidence was very low for the association between overweight, obesity, and excess weight with migraine. In the sensitivity analysis, meta-analyses of studies with a low risk of bias found that the overweight population probably had an increased odds of migraine (OR: 1.70; 95% CI: 1.14 to 2.53; I2 = 32.3%, p = 0.224) and that excess weight may increase the odds of migraine (OR: 1.58; 95% CI: 1.06 to 2.35; I2 = 83.7%, p = 0.002). Additionally, cohort and case-control studies found that obesity probably increases the odds of migraine. No studies analysed the association between underweight and migraine. Conclusion The associations between overweight, obesity, excess weight and migraine were uncertain, but studies with better methodological quality reported increased odds. Future longitudinal studies with proper confounding control are needed to disentangle their causal relationship. Systematic review registration PROSPERO, identifier CRD42021271533.
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spelling oai:cris.upeu.edu.pe:20.500.15037/30342026-10-30T17:10:19ZAssociation between weight status and migraine in the paediatric population: a systematic review and meta-analysisQuispe-Vicuña, CarlosSoriano Moreno, DavidDe-Los-Rios-Pinto, AbrahamDíaz-Ledesma, Luz A.Fernandez-Guzman, DanielPacheco-Barrios, KevinAlva Díaz, Carlos AlexanderObesityOverweightbody mass indexThinnessMigraine DisordersIntroduction An association between weight status and migraine has been previously reported; however, this relationship has only been studied in adults, not in the paediatric population. Objective To evaluate the association between weight status and migraine in the paediatric population. Methods We searched PubMed/Medline, Scopus, Web of Science, Ovid Medline, and Embase using a cut-off date of May 2023. We included observational studies that evaluated the association between weight status (underweight, overweight, obese, and excess weight) and migraine in the paediatric population (children and adolescents). Normal weight was the comparator. The outcome was migraine (all types, episodic and chronic). We performed meta-analyses using a random-effects model to estimate the pooled effects for each outcome. Sensitivity analysis was performed based on study design and risk of bias (using the Newcastle–Ottawa Scale). Certainty of evidence was assessed using the GRADE approach. Results Eight studies (6 cross-sectional, 1 case-control and 1 cohort) covering 16,556 patients were included. The overall certainty of evidence was very low for the association between overweight, obesity, and excess weight with migraine. In the sensitivity analysis, meta-analyses of studies with a low risk of bias found that the overweight population probably had an increased odds of migraine (OR: 1.70; 95% CI: 1.14 to 2.53; I2 = 32.3%, p = 0.224) and that excess weight may increase the odds of migraine (OR: 1.58; 95% CI: 1.06 to 2.35; I2 = 83.7%, p = 0.002). Additionally, cohort and case-control studies found that obesity probably increases the odds of migraine. No studies analysed the association between underweight and migraine. Conclusion The associations between overweight, obesity, excess weight and migraine were uncertain, but studies with better methodological quality reported increased odds. Future longitudinal studies with proper confounding control are needed to disentangle their causal relationship. Systematic review registration PROSPERO, identifier CRD42021271533.Review10.3389/fneur.2023.12259352-s2.0-85177881608https://hdl.handle.net/20.500.15037/3034enFrontiers in NeurologyFrontiers in Neurology1664-2295Frontiers Media SA2023-11-142026-06-27T02:35:27Z2026-06-27T02:35:27Z
spellingShingle Obesity
Overweight
body mass index
Thinness
Migraine Disorders
Quispe-Vicuña, Carlos
Soriano Moreno, David
De-Los-Rios-Pinto, Abraham
Díaz-Ledesma, Luz A.
Fernandez-Guzman, Daniel
Pacheco-Barrios, Kevin
Alva Díaz, Carlos Alexander
Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis
title Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis
title_full Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis
title_fullStr Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis
title_full_unstemmed Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis
title_short Association between weight status and migraine in the paediatric population: a systematic review and meta-analysis
title_sort association between weight status and migraine in the paediatric population a systematic review and meta analysis
topic Obesity
Overweight
body mass index
Thinness
Migraine Disorders
topic_facet Obesity
Overweight
body mass index
Thinness
Migraine Disorders
url https://hdl.handle.net/20.500.15037/3034
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