학술논문
Eating attitudes of migraine patients in Turkey: a prospective multi-center study
Document Type
article
Author
Ruhsen Ocal; Basak Karakurum-Goksel; Mert Van; Ozlem Coskun; Cihad Karaaslan; Serap Ucler; Figen Gokcay; Nese Celebisoy; Hadiye Sirin; Aysin Kisabay Ak; Aysegul Seyma Saritas; Tuba Cerrahoglu Sirin; Buse Rahime Hasirci Bayir; Esme Ekizoglu; Elif Kocasoy Orhan; Derya Bayram; Nermin Tanik; Sebnem Bicakci; Vesile Ozturk; Levent Ertugrul Inan; Kubra Mehel Metin; Yasemin Eren; Babur Dora; Emel Oguz-Akarsu; Necdet Karli; Emel Ur Celik; Arife Cimen Atalar; Rabia Gokcen Gozubatik Celik; Belgin Mutluay; Elif Ilgaz Aydinlar; Pinar Yalinay Dikmen; Sencer Semercioglu; Ufuk Emre; Osman Cagin Buldukoglu; Busra Er; Bekir Burak Kilboz; Seray Ibis; Sibgetullah Yagiz; Huzeyfe Koklu; Ibrahim Kamaci; Gulshan Aliyeva; Basak Elcin Ates; Muge Mercan Kara; Fatma Zehra Altunc; Ilgin Kaya; Cagla Sisman
Source
BMC Neurology, Vol 24, Iss 1, Pp 1-8 (2024)
Subject
Language
English
ISSN
1471-2377
Abstract
Abstract Background Migraine is a disease characterized by headache attacks. The disease is multifactorial in etiology and genetic and environmental factors play role in pathogenesis. Migraine can also be accompanied by psychiatric disorders like neurotism and obsessive compulsive disorder. Stress, hormonal changes and certain food intake can trigger attacks in migraine. Previous studies showed that eating attitudes and disorders are prevalant in patients with migraine. Eating disorders are psychiatric disorders related to abnormal eating habits. Both migraine and eating disorders are common in young women and personality profiles of these patient groups are also similar. A possible relationship which shows that migraine and eating habits are related can lead to a better understanding of disease pathogenesis and subsequently new therapeutic options on both entities. Association of migraine in relation to severity, depression and anxiety and eating habits and disorders were aimed to be investigated in this study. Methods The study was designed as a prospective, multi-center, case control study. Twenty-one centers from Turkey was involved in the study. The gathered data was collected and evaluated at a single designated center. From a pool of 1200 migraine patients and 958 healthy control group, two groups as patient group and study group was created with PS matching method in relation to age, body-mass index, marital status and employment status. Eating Attitudes Test-26 (EAT-26), Beck’s Depression Inventory (BDI) and Beck’s Anxiety Inventory (BAI) were applied to both study groups. The data gathered was compared between two groups. Results EAT-26 scores and the requirement for referral to a psychiatrist due to symptoms related to eating disorder were both statistically significantly higher in patient group compared to control group (p = 0.034 and p = 0.0001 respectively). Patients with migraine had higher scores in both BDI and BAI compared to control group (p = 0.0001 and p = 0.0001 respectively). Severity of pain or frequency of attacks were not found to be related to eating attitudes (r:0.09, p = 0.055). Conclusions Migraine patients were found to have higher EAT-26, BDI and BAI scores along with a higher rate of referral to a psychiatrist due to symptoms. Results of the study showed that eating habits are altered in migraine patients with higher risk of eating disorders. Depression and anxiety are also found to be common amongst migraine patients.