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Wiley InterScience

Cephalalgia

Cephalalgia

Volume 28 Issue 2, Pages 144 - 151

Published Online: 9 Jan 2008

© 2009 International Headache Society



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Comorbidity of headache and gastrointestinal complaints. The Head-HUNT Study
AH Aamodt, LJ Stovner, K Hagen & J-A Zwart
Norwegian National Headache Centre, Trondheim University Hospital, Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Norway
Correspondence to  Anne Hege Aamodt, MD, Norwegian National Headache Centre, Trondheim University Hospital, Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, N-7006 Trondheim, Norway. Tel. + 47 7257 6006, fax + 47 7257 5773, e-mail anne.hege.aamodt@ntnu.no
Copyright Blackwell Publishing Ltd Cephalalgia, 2007
KEYWORDS
Migraine • headache • gastrointestinal complaints • epidemiology • HUNT
Aamodt AH, Stovner LJ, Hagen K & Zwart J-A. Comorbidity of headache and gastrointestinal complaints. The Head-HUNT Study. Cephalalgia 2008; 28:144–151. London. ISSN 0333-1024

ABSTRACT

Associations between headache, including migraine, and gastrointestinal (GI) symptoms were studied in a large questionnaire-based cross-sectional study (the Head-HUNT Study). The headache questionnaire was completed by 43 782 individuals, who answered all the questions concerning nausea, reflux symptoms, diarrhoea and constipation. In the multivariate analyses, adjusting for age, sex, educational level, medication use, depression and anxiety, a higher prevalence of headache was found in individuals with much reflux [odds ratio (OR) 2.4, 95% confidence interval (CI) 2.2, 2.6], diarrhoea (OR 2.4, 95% CI 2.1, 2.8), constipation (OR 2.1, 95% CI 1.9, 2.4) and nausea (OR 3.2, 95% CI 2.6, 3.8) compared with those without such complaints. All the GI symptoms investigated seemed to be approximately as common among persons with non-migrainous headache as among migraine sufferers, but the association between headache and GI complaints increased markedly with increasing headache frequency. This may suggest that headache sufferers generally are predisposed to GI complaints.


Received 20 October 2006, accepted 12 July 2007

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1468-2982.2007.01486.x About DOI

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