Impacto da dor, estado antropométrico e fatores associados em pacientes com enxaqueca

Abstract

Introduction: Migraine is a chronic neurological disease which has various etiological factors. It is important to highlight the importance of studies involving patients with migraine, as it generates significant limitations in quality of life. Objectives: To evaluate the association among pain impact, anthropometric status and others factors in migraine patients. Methods: Quantitative and descriptive, cross-sectional and secondary-based study, developed in a Clinical School of Pharmacy of the city of Salvador-BA, with patients treated with migraine diagnosis, from April 2018 to March 2019, of 20 years old or more. Information was gathered about demographic, socioeconomic, anthropometric, lifestyle, clinical, pain impact [by Migraine Disability Assessment (MIDAS) and Headache Impact Test-6 questionnaires (HIT-6)] and pain intensity (visual pain scale). Logistic regression models were used to evaluate the factors associated with the pain impact with a value of p≤0.05. Results: Of the 40 patients evaluated, 87.5% were female, the average age detected was 40.35 ± 12.6 years. There was a prevalence of sedentary (87.5%), overweight (55%), high waist circumference (68.4%), intestinal constipation (35%) and lactose intolerance (28.2%); high impact on daily activities: 62.5% (HIT-6) and 69.6% (MIDAS). Higher body mass index (BMI) and waist circumference (WC) averages were identified in patients with substantial/severe pain impact (p = 0.03 and p = 0.06, respectively) compared to those with no/some impact. The chances of greater impact of pain through HIT-6 seem to be associated with overweight (p = 0.04), female sex (p = 0.62) and physical inactivity (p = 0.89). Conclusion: Anthropometric status was associated with the impact of migraine. Overweight and female sex are related to migraine occurrence, and together with physical inactivity seem to influence the pain impact.