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

Reva Mosleh, Georges Hatem, N. Navasardyan, R. Ajrouche, Salam Zein, S. Awada
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引用次数: 1

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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黎巴嫩大学生偏头痛的诱发与缓解因素:一项横断面研究
偏头痛在大学生中很常见,会直接影响他们的日常活动和学习,因为患有偏头痛的学生上课困难,缺课的时间比其他学生多。目的本研究旨在确定偏头痛的触发因素以及缓解大学生偏头痛发作相关头痛的因素。方法采用问卷调查的方法,对黎巴嫩公立大学不同院系的学生进行观察性横断面研究。结果饥饿(65.9%)、禁食(50.7%)和缺乏咖啡(22.7%)是引起大学生头痛的最常见的饮食因素。相比之下,气候变化(77.1%)、噪音和高音量(73.9%)以及炎热天气(60.2%)是最常见的环境诱因。在心理因素中,焦虑(53.4%)和哭泣(47.3%)被高度报道,且在女性中显著较高。疲劳(63.2%)、为考试而学习(59.5%)和颈部疼痛(46.8%)是报告中最常见的身体活动因素。据报道,睡眠不足(72%)和睡眠时间改变(42.7%)是引发头痛的主要睡眠习惯,在男性和女性之间没有统计学上的显著差异。睡眠(66.3%)、放松(53.4%)、避免偏头痛的诱发因素(42.9%)和洗热水澡(38.5%)是学生报告的缓解头痛的主要因素。这些因素与参与者的性别之间没有统计学上的显著关联。结论男性和女性偏头痛的诱发和缓解因素具有可比性。一些诱发因素,如哭泣、焦虑和疲劳,在女性中很重要,而在男性中,开车是更容易引发偏头痛的因素。生活方式干预可能为有效的缓解策略提供线索,并产生不同的医疗服务和大学课程的建立。
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