Eating attitudes of migraine patients in Turkey: a prospective multi-center study

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...

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Published in:	BMC neurology Vol. 24; no. 1; pp. 180 - 8
Main Authors:	Ocal, Ruhsen, Karakurum-Goksel, Basak, Van, Mert, Coskun, Ozlem, Karaaslan, Cihad, Ucler, Serap, Gokcay, Figen, Celebisoy, Nese, Sirin, Hadiye, Kisabay Ak, Aysin, Saritas, Aysegul Seyma, Cerrahoglu Sirin, Tuba, Hasirci Bayir, Buse Rahime, Ekizoglu, Esme, Orhan, Elif Kocasoy, Bayram, Derya, Tanik, Nermin, Bicakci, Sebnem, Ozturk, Vesile, Inan, Levent Ertugrul, Metin, Kubra Mehel, Eren, Yasemin, Dora, Babur, Oguz-Akarsu, Emel, Karli, Necdet, Celik, Emel Ur, Atalar, Arife Cimen, Gozubatik Celik, Rabia Gokcen, Mutluay, Belgin, Aydinlar, Elif Ilgaz, Yalinay Dikmen, Pinar, Semercioglu, Sencer, Emre, Ufuk, Buldukoglu, Osman Cagin, Er, Busra, Kilboz, Bekir Burak, Ibis, Seray, Yagiz, Sibgetullah, Koklu, Huzeyfe, Kamaci, Ibrahim, Aliyeva, Gulshan, Ates, Basak Elcin, Kara, Muge Mercan, Altunc, Fatma Zehra, Kaya, Ilgin, Sisman, Cagla
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 29-05-2024 BioMed Central BMC
Subjects:	Adult Age Anxiety Anxiety - epidemiology Anxiety - psychology Case-Control Studies Depression Disease Eating behavior Eating disorder Eating disorders Environmental factors Feeding and Eating Disorders - epidemiology Feeding and Eating Disorders - psychology Feeding Behavior - physiology Feeding Behavior - psychology Female Food habits Food intake Headache Headaches Health aspects Humans Male Medical research Medicine, Experimental Mental depression Mental disorders Middle Aged Migraine Migraine Disorders - epidemiology Migraine Disorders - psychology Obsessive compulsive disorder Pain Pathogenesis Patients Physiological aspects Primary headache disorders Prospective Studies Statistical analysis Stress Turkey - epidemiology Young Adult Turkey Primary headache disorders Pain Migraine Depression Anxiety Eating disorder Trace amins
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Summary:	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. 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. 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). 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1471-2377 1471-2377
DOI:	10.1186/s12883-024-03672-6