Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study
Excessive daytime sleepiness (EDS) is a prevalent sleep-related complaint across the general population and has been reported to be associated with headache. Tension-type headache (TTH) is the most commonly encountered headache and accounts for a significant amount of disease burden. However, the as...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2019-12-01
|
Series: | Frontiers in Neurology |
Subjects: | |
Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.01282/full |
id |
doaj-4a9ea0801ae14cb6bc3b3f4118da58e7 |
---|---|
record_format |
Article |
spelling |
doaj-4a9ea0801ae14cb6bc3b3f4118da58e72020-11-25T02:37:09ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-12-011010.3389/fneur.2019.01282477781Excessive Daytime Sleepiness in Tension-Type Headache: A Population StudyKyung Min Kim0Jiyoung Kim1Soo-Jin Cho2Won-Joo Kim3Kwang Ik Yang4Chang-Ho Yun5Min Kyung Chu6Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Neurology, Bio Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, South KoreaDepartment of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, South KoreaDepartment of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaSleep Disorders Center, Department of Neurology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, South KoreaDepartment of Neurology, Bundang Clinical Neuroscience Institute, Seoul National University Bundang Hospital, Seongnam, South KoreaDepartment of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaExcessive daytime sleepiness (EDS) is a prevalent sleep-related complaint across the general population and has been reported to be associated with headache. Tension-type headache (TTH) is the most commonly encountered headache and accounts for a significant amount of disease burden. However, the association between EDS and TTH is currently scarce. In the present study, we investigated the impact of EDS on the prevalence and clinical presentation of TTH. We utilized data from the Korean Headache-Sleep Study, a national survey that sought to identify headache and sleep characteristics in Korean adults. Participants with an Epworth sleepiness scale score greater or equal to 11 were considered as having EDS. Of the 2,695 participants enrolled, 570 (21.2%) and 313 (11.6%) had TTH and EDS, respectively. EDS was highly prevalent in individuals with chronic tension-type headache (CTTH) than in those without headache (35.7 vs. 9.4%, p < 0.001). The prevalence of EDS in episodic tension-type headache (ETTH) individuals with a headache frequency <1 per month (8.3%, p = 0.511) and ETTH individuals with a headache frequency of 1–14 per month (13.5%, p = 0.054) was not significantly different from that in individuals without headache (9.4%). TTH participants with EDS had a higher headache frequency per month (4.3 ± 8.1 vs. 1.7 ± 4.2, p = 0.013), more severe headache intensity (Visual Analog Scale, 5.0 [3.0–6.0] vs. 4.0 [3.0–6.0], p = 0.008), a higher impact of headache (Headache Impact Test-6 score, 47.1 ± 7.3 vs. 43.5 ± 7.6, p < 0.001), and a higher prevalence of depression (12.7 vs. 3.2%, p < 0.001) than TTH participants without EDS. Consequently, CTTH is associated with higher EDS prevalence compared to ETTH and without headache. Moreover, TTH with EDS had more severe TTH symptoms compared to TTH without EDS.https://www.frontiersin.org/article/10.3389/fneur.2019.01282/fullexcessive daytime sleepinesstension-type headacheheadachesleepepidemiology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kyung Min Kim Jiyoung Kim Soo-Jin Cho Won-Joo Kim Kwang Ik Yang Chang-Ho Yun Min Kyung Chu |
spellingShingle |
Kyung Min Kim Jiyoung Kim Soo-Jin Cho Won-Joo Kim Kwang Ik Yang Chang-Ho Yun Min Kyung Chu Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study Frontiers in Neurology excessive daytime sleepiness tension-type headache headache sleep epidemiology |
author_facet |
Kyung Min Kim Jiyoung Kim Soo-Jin Cho Won-Joo Kim Kwang Ik Yang Chang-Ho Yun Min Kyung Chu |
author_sort |
Kyung Min Kim |
title |
Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study |
title_short |
Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study |
title_full |
Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study |
title_fullStr |
Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study |
title_full_unstemmed |
Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study |
title_sort |
excessive daytime sleepiness in tension-type headache: a population study |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neurology |
issn |
1664-2295 |
publishDate |
2019-12-01 |
description |
Excessive daytime sleepiness (EDS) is a prevalent sleep-related complaint across the general population and has been reported to be associated with headache. Tension-type headache (TTH) is the most commonly encountered headache and accounts for a significant amount of disease burden. However, the association between EDS and TTH is currently scarce. In the present study, we investigated the impact of EDS on the prevalence and clinical presentation of TTH. We utilized data from the Korean Headache-Sleep Study, a national survey that sought to identify headache and sleep characteristics in Korean adults. Participants with an Epworth sleepiness scale score greater or equal to 11 were considered as having EDS. Of the 2,695 participants enrolled, 570 (21.2%) and 313 (11.6%) had TTH and EDS, respectively. EDS was highly prevalent in individuals with chronic tension-type headache (CTTH) than in those without headache (35.7 vs. 9.4%, p < 0.001). The prevalence of EDS in episodic tension-type headache (ETTH) individuals with a headache frequency <1 per month (8.3%, p = 0.511) and ETTH individuals with a headache frequency of 1–14 per month (13.5%, p = 0.054) was not significantly different from that in individuals without headache (9.4%). TTH participants with EDS had a higher headache frequency per month (4.3 ± 8.1 vs. 1.7 ± 4.2, p = 0.013), more severe headache intensity (Visual Analog Scale, 5.0 [3.0–6.0] vs. 4.0 [3.0–6.0], p = 0.008), a higher impact of headache (Headache Impact Test-6 score, 47.1 ± 7.3 vs. 43.5 ± 7.6, p < 0.001), and a higher prevalence of depression (12.7 vs. 3.2%, p < 0.001) than TTH participants without EDS. Consequently, CTTH is associated with higher EDS prevalence compared to ETTH and without headache. Moreover, TTH with EDS had more severe TTH symptoms compared to TTH without EDS. |
topic |
excessive daytime sleepiness tension-type headache headache sleep epidemiology |
url |
https://www.frontiersin.org/article/10.3389/fneur.2019.01282/full |
work_keys_str_mv |
AT kyungminkim excessivedaytimesleepinessintensiontypeheadacheapopulationstudy AT jiyoungkim excessivedaytimesleepinessintensiontypeheadacheapopulationstudy AT soojincho excessivedaytimesleepinessintensiontypeheadacheapopulationstudy AT wonjookim excessivedaytimesleepinessintensiontypeheadacheapopulationstudy AT kwangikyang excessivedaytimesleepinessintensiontypeheadacheapopulationstudy AT changhoyun excessivedaytimesleepinessintensiontypeheadacheapopulationstudy AT minkyungchu excessivedaytimesleepinessintensiontypeheadacheapopulationstudy |
_version_ |
1724796509482909696 |