Abstract
BackgroundThe COVID-19 lockdown has influenced people lifestyle, behaviour, physical activity (PA), and working habits as well as, possibly, migraine. The aim of the study was to assess the impact of lockdown on the burden of migraine attacks during COVID-19 lockdown.MethodsPatients were interviewed, and data about demographics, PA, daily behaviour, working habits, disability (HIT-6) and characteristics of migraine and drugs consumption were compared between the first month of the lockdown in Italy (March 2020), and a reference month prior the lockdown (January 2020).Results37 patients were analysed, classified as migraine without aura (MwoA) (n = 26) and migraine with aura (MwA) plus migraine with and without aura (MwA/MwoA) (n = 11). During the lockdown, a greater proportion of patients with insufficient PA (65% vs 31%; p = 0.012) were found. Reduced mean headache duration [3 h, (2–12) vs 2 h (1–8); p = 0.041] and HIT score [59 (51–63) vs 50 (44–57); p = 0.001] were found in MwoA patients during the lockdown, while no changes found in patients with MwA + MwA/MwoA.ConclusionsLockdown induced significant changes in PA and working habits of people with migraine and was found to be associated with improved migraine-related symptoms which might depend by different lifestyle habits.
Highlights
In December 2019 several cases of interstitial pneumonia caused by a novel coronavirus (SARS-CoV2) have been identified in Wuhan, Hubei region, China
We investigated some of the biological and behavioural changes occurring in daily life and health during the COVID-19 lockdown and their relationship to migraine patterns
The participants' demographic characteristics are presented in Table 1 for migraine without aura (MwoA) (n = 26) vs migraine with aura (MwA) + MwA/MwoA (n = 11)
Summary
In December 2019 several cases of interstitial pneumonia caused by a novel coronavirus (SARS-CoV2) have been identified in Wuhan, Hubei region, China. On March 9th, after a fast diffusion of the infection with a total of 9172 confirmed cases, Italy announced a lockdown measure that lasted until May 3rd (data from Italian Health Ministry daily official report, see http://www.salute.gov.it/portale/home.html). During this period, leaving home was granted only to those with essential jobs, to buy necessities or to access medical care for urgent health issues. Methods Patients were interviewed, and data about demographics, PA, daily behaviour, working habits, disability (HIT-6) and characteristics of migraine and drugs consumption were compared between the first month of the lockdown in Italy (March 2020), and a reference month prior the lockdown (January 2020). Conclusions Lockdown induced significant changes in PA and working habits of people with migraine and was found to be associated with improved migraine-related symptoms which might depend by different lifestyle habits
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