Prenatal exposure to tobacco and alcohol are associated with chronic daily headaches at childhood A population-based study

被引:18
作者
Arruda, Marco Antonio [1 ]
Guidetti, Vincenzo [2 ]
Galli, Federica [2 ]
Ajeje Pires de Albuquerque, Regina Celia [3 ]
Bigal, Marcelo Eduardo [4 ,5 ]
机构
[1] Glia Inst, Ribeirao Preto, SP, Brazil
[2] Univ Roma La Sapienza, Dept Child & Adolescent Neurol, Rome, Italy
[3] Sao Jose do Rio Preto Sch Med, Dept Pediat, Sao Jose Do Rio Preto, SP, Brazil
[4] Merck Res Labs, Whitehouse Stn, NJ USA
[5] Albert Einstein Coll Med, Dept Neurol, Bronx, NY 10467 USA
关键词
headache; migraine; childhood; prenatal exposure; tobacco; alcohol; MIGRAINE; ADOLESCENTS; SMOKING; PREVALENCE; SEROTONIN; GENETICS; UNIQUE; INCOME; AGE;
D O I
10.1590/S0004-282X2011000100007
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The influence of prenatal events on the development of headaches at childhood has not been investigated and is the scope of our study. Of 2,173 children identified as the target sample, consents and analyzable data were provided by 1,440 (77%). Parents responded to a standardized questionnaire with a validated headache module and specific questions about prenatal exposures. Odds of chronic daily headache (CDH) were significantly higher when maternal tabagism was reported. When active and passive smoking were reported, odds ratio (OR) of CDH were 2.29 [95% confidence intervals (CI)=1.6 vs. 3.6)]; for active tabagism, OR=4.2 (95% CI=2.1-8.5). Alcohol use more than doubled the chance of CDH (24% vs. 11%, OR=2.3, 95% CI=1.2-4.7). In multivariate analyses, adjustments did not substantially change the smoking/CDH association. Prenatal exposure to tobacco and alcohol are associated with increased rates of CDH onset in preadolescent children.
引用
收藏
页码:27 / 33
页数:7
相关论文
共 30 条
[1]   Headache prevalence related to smoking and alcohol use.: The Head-HUNT Study [J].
Aamodt, A. H. ;
Stovner, L. J. ;
Hagen, K. ;
Brathen, G. ;
Zwart, J. .
EUROPEAN JOURNAL OF NEUROLOGY, 2006, 13 (11) :1233-1238
[2]  
Arruda M, 2009, PROJETO ATENCAO BRAS
[3]  
Arruda MA, 2010, NEUROLOGY, V74, pA112
[4]   Migraine in adolescents - Association with socioeconomic status and family history [J].
Bigal, M. E. ;
Lipton, R. B. ;
Winner, P. ;
Reed, M. L. ;
Diamond, S. ;
Stewart, W. F. .
NEUROLOGY, 2007, 69 (01) :16-25
[5]   Modifiable risk factors for migraine progression [J].
Bigal, Marcelo E. ;
Lipton, Richard B. .
HEADACHE, 2006, 46 (09) :1334-1343
[6]   Primary chronic daily headache and its subtypes in adolescents and adults [J].
Bigal, ME ;
Lipton, RB ;
Tepper, SJ ;
Rapoport, AM ;
Sheftell, FD .
NEUROLOGY, 2004, 63 (05) :843-847
[7]  
Brent RL, 2004, PEDIATRICS, V113, P935
[8]   Income inequality and alcohol use: a multilevel analysis of drinking and drunkenness in adolescents in 34 countries [J].
Elgar, FJ ;
Roberts, C ;
Parry-Langdon, N ;
Boyce, W .
EUROPEAN JOURNAL OF PUBLIC HEALTH, 2005, 15 (03) :245-250
[9]   Behavioral and neural consequences of prenatal exposure to nicotine [J].
Ernst, M ;
Moolchan, ET ;
Robinson, ML .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2001, 40 (06) :630-641
[10]   Alcohol and Cluster Headaches [J].
Evans, Randolph W. ;
Schurks, Markus .
HEADACHE, 2009, 49 (01) :126-129