Evaluation of pediatric migraine triggers: a single-center study

Background Pediatric migraines are primarily treated with medications. However, recognizing the triggers related to patient behaviors and lifestyle is also important. Purpose This study aimed to evaluate the factors that trigger pediatric migraines. Methods This study included 102 pediatric patients...

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Main Authors: Hey-Joon Son, Joo-Ok Jin, Kon-Hee Lee
Format: Article
Language:English
Published: The Korean Pediatric Society 2025-02-01
Series:Clinical and Experimental Pediatrics
Subjects:
Online Access:http://www.e-cep.org/upload/pdf/cep-2024-00738.pdf
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author Hey-Joon Son
Joo-Ok Jin
Kon-Hee Lee
author_facet Hey-Joon Son
Joo-Ok Jin
Kon-Hee Lee
author_sort Hey-Joon Son
collection DOAJ
description Background Pediatric migraines are primarily treated with medications. However, recognizing the triggers related to patient behaviors and lifestyle is also important. Purpose This study aimed to evaluate the factors that trigger pediatric migraines. Methods This study included 102 pediatric patients with migraine diagnosed using the third edition of the International Classification of Headache Disorders who visited our pediatric headache clinic between November 2021 and October 2022. We reviewed the patients’ clinical features, imaging studies, screening tests for behaviors and emotions, and questionnaires regarding triggers. Statistical analyses were performed using the independent sample Student t test and linear-by-linear association test. Results The 102 patients (44 males, 58 females; mean age, 12.0±2.9 years) were classified into migraine without aura (n=58) and migraine with aura (n=44) groups. Sleep disturbances were the most frequent trigger (76.5%). Other triggers included academic stress (66.7%), motion sickness (62.7%), and fatigue (52.9%). Academic stress was the most significant trigger for pain severity in 44.1% of patients. Abnormal behavioral or psychiatric assessment results were associated with a higher number of triggers. Conclusion This study identified sleep disturbance and academic stress as common triggers of pediatric migraine, with academic stress being the most intense. Clinicians should understand these triggers and advise patients to avoid them by changing their lifestyles, if possible.
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spelling doaj-art-71a4c3c06c544c95b5eecc3d90fa65fc2025-02-07T07:38:39ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482025-02-0168216316910.3345/cep.2024.0073820125555745Evaluation of pediatric migraine triggers: a single-center studyHey-Joon Son0Joo-Ok Jin1Kon-Hee Lee2 Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Korean Red Cross Blood Services, The Korean Red Cross, Seoul, KoreaBackground Pediatric migraines are primarily treated with medications. However, recognizing the triggers related to patient behaviors and lifestyle is also important. Purpose This study aimed to evaluate the factors that trigger pediatric migraines. Methods This study included 102 pediatric patients with migraine diagnosed using the third edition of the International Classification of Headache Disorders who visited our pediatric headache clinic between November 2021 and October 2022. We reviewed the patients’ clinical features, imaging studies, screening tests for behaviors and emotions, and questionnaires regarding triggers. Statistical analyses were performed using the independent sample Student t test and linear-by-linear association test. Results The 102 patients (44 males, 58 females; mean age, 12.0±2.9 years) were classified into migraine without aura (n=58) and migraine with aura (n=44) groups. Sleep disturbances were the most frequent trigger (76.5%). Other triggers included academic stress (66.7%), motion sickness (62.7%), and fatigue (52.9%). Academic stress was the most significant trigger for pain severity in 44.1% of patients. Abnormal behavioral or psychiatric assessment results were associated with a higher number of triggers. Conclusion This study identified sleep disturbance and academic stress as common triggers of pediatric migraine, with academic stress being the most intense. Clinicians should understand these triggers and advise patients to avoid them by changing their lifestyles, if possible.http://www.e-cep.org/upload/pdf/cep-2024-00738.pdfheadachemigraine disorderschildadolescent
spellingShingle Hey-Joon Son
Joo-Ok Jin
Kon-Hee Lee
Evaluation of pediatric migraine triggers: a single-center study
Clinical and Experimental Pediatrics
headache
migraine disorders
child
adolescent
title Evaluation of pediatric migraine triggers: a single-center study
title_full Evaluation of pediatric migraine triggers: a single-center study
title_fullStr Evaluation of pediatric migraine triggers: a single-center study
title_full_unstemmed Evaluation of pediatric migraine triggers: a single-center study
title_short Evaluation of pediatric migraine triggers: a single-center study
title_sort evaluation of pediatric migraine triggers a single center study
topic headache
migraine disorders
child
adolescent
url http://www.e-cep.org/upload/pdf/cep-2024-00738.pdf
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AT joookjin evaluationofpediatricmigrainetriggersasinglecenterstudy
AT konheelee evaluationofpediatricmigrainetriggersasinglecenterstudy