Association Between Migraine Related Headache and Hypoglycemia due to Breakfast Skipping among Undergraduate University Students
Association Between Migraine Related Headache and Hypoglycemia
Keywords:Migraine, Hypoglycemia, Breakfast Skipping, MIDAS Scoring
Headache or migraine has emerged as a common health issue among university students. However, breakfast skipping habit is one of the common bad dietary practice among the students that is directly linked with the hypoglycemia. Whereas, hypoglycemia is one of the neglected complication that causes a person to suffer from headache/migraine related headache. Objective: To assess the link of breakfast skipping with hypoglycemia and headache/migraine among undergraduate students. Methods: A cross-sectional study was done in University of Lahore, Lahore from December 2021 to April 2022. The data were collected from 100 students by using convenient sampling method, using a self-formulated questionnaire, MIDAS tool and a glucometer. Results: Almost 69% students were suffering from headache/migraine while 46% students were suffering from hypoglycemia (p-value = 0.040). Approximately 36% students marked family history for headache/migraine. Breakfast skipping frequency among undergraduate students was 84% out of which 71% students were experiencing fatigue and lethargy (p-value = 0.039). Almost 75% students experienced hypoglycemia due to breakfast skipping and 85% students experienced headache/migraine due to hypoglycemia (p-value = 0.019). Conclusions: There is a significant link found between headache/migraine, hypoglycemia and breakfast skipping habit among undergraduate university students.
Jawed S, Ali W, Yaqoob U, Shah S, Uddin SM, Haq A. Effect of migraine headache on productivity of patients according to migraine disability assessment score: a cross-sectional study. Pain and Therapy. 2019 Dec; 8: 233-8. doi: 10.1007/s40122-019-0130-4. DOI: https://doi.org/10.1007/s40122-019-0130-4
Rafique N, Al-Asoom LI, Latif R, Alsunni AA, Salem AM, Alkhalifa ZH, et al. Prevalence of migraine and its relationship with psychological stress and sleep quality in female university students in Saudi Arabia. Journal of Pain Research. 2020 Oct: 13; 2423-30. doi: 10.2147/JPR.S270847. DOI: https://doi.org/10.2147/JPR.S270847
Rafi A, Islam S, Hasan MT, Hossain G. Prevalence and impact of migraine among university students in Bangladesh: findings from a cross-sectional survey. BMC Neurology. 2022 Feb; 22(1): 68. doi: 10.1186/s12883-022-02594-5. DOI: https://doi.org/10.1186/s12883-022-02594-5
Birkie M, Endris M, Asnakew S. Determinants of migraine headache among regular undergraduate students, of Wollo University, Dessie, Ethiopia: cross–sectional study. BMC Neurology. 2021 Dec; 21(1): 1-2. doi: 10.1186/s12883-021-02466-4. DOI: https://doi.org/10.1186/s12883-021-02466-4
Gazerani P. A bidirectional view of migraine and diet relationship. Neuropsychiatric Disease and Treatment. 2021 Feb; 17: 435-51. doi: 10.2147/NDT.S282565. DOI: https://doi.org/10.2147/NDT.S282565
Shafiee G, Mohajeri-Tehrani M, Pajouhi M, Larijani B. The importance of hypoglycemia in diabetic patients. Journal of Diabetes & Metabolic Disorders. 2012 Dec; 11: 1-7. doi: 10.1186/2251-6581-11-17. DOI: https://doi.org/10.1186/2251-6581-11-17
Kalra S, Mukherjee JJ, Venkataraman S, Bantwal G, Shaikh S, Saboo B, et al. Hypoglycemia: The neglected complication. Indian Journal of Endocrinology and Metabolism. 2013 Sep; 17(5): 819. doi: 10.4103/2230-8210.117219. DOI: https://doi.org/10.4103/2230-8210.117219
Morales J and Schneider D. Hypoglycemia. The American Journal of Medicine. 2014 Oct; 127(10): S17-24. doi: 10.1016/j.amjmed.2014.07.004. DOI: https://doi.org/10.1016/j.amjmed.2014.07.004
Seligman HK, Davis TC, Schillinger D, Wolf MS. Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes. Journal of Health Care for the Poor and Underserved. 2010 Nov; 21(4): 1227. doi: 10.1353/hpu.2010.0921. DOI: https://doi.org/10.1353/hpu.2010.0921
Rani R, Dharaiya CN, Singh B. Importance of not skipping breakfast: A review. International Journal of Food Science & Technology. 2021 Jan; 56(1): 28-38. doi: 10.1111/ijfs.14742. DOI: https://doi.org/10.1111/ijfs.14742
de Souza MR, Neves ME, de Moura Souza A, Muraro AP, Pereira RA, Ferreira MG, et al. Skipping breakfast is associated with the presence of cardiometabolic risk factors in adolescents: Study of Cardiovascular Risks in Adolescents–ERICA. British Journal of Nutrition. 2021 Jul; 126(2): 276-84. doi: 10.1017/S0007114520003992. DOI: https://doi.org/10.1017/S0007114520003992
Pereira MA, Erickson E, McKee P, Schrankler K, Raatz SK, Lytle LA, et al. Breakfast frequency and quality may affect glycemia and appetite in adults and children. The Journal of Nutrition. 2011 Jan; 141(1): 163-8. doi: 10.3945/jn.109.114405. DOI: https://doi.org/10.3945/jn.109.114405
Ibraheem NM, Ibraheem MM, Mohammed MK, Ammar L, Helal NN, Abdulqader UJ, et al. Evaluation of skipping breakfast and school meal in relation to headache among Secondary school students in Tikrit City. Systematic Reviews in Pharmacy. 2020 Dec; 11(12): 2127-2133.
Slavin M and Ailani J. A clinical approach to addressing diet with migraine patients. Current Neurology and Neuroscience Reports. 2017 Feb; 17: 1-8. doi: 10.1007/s11910-017-0721-6. DOI: https://doi.org/10.1007/s11910-017-0721-6
Finocchi C and Sivori G. Food as trigger and aggravating factor of migraine. Neurological Sciences. 2012 May; 33: 77-80. doi: 10.1007/s10072-012-1046-5. DOI: https://doi.org/10.1007/s10072-012-1046-5
Borkum JM. The migraine attack as a homeostatic, neuroprotective response to brain oxidative stress: preliminary evidence for a theory. Headache: The Journal of Head and Face Pain. 2018 Jan; 58(1): 118-35. doi: 10.1111/head.13214. DOI: https://doi.org/10.1111/head.13214
Shahrakai MR, Mirshekari H, Ghanbari AT, Shahraki AR, Shahraki E. Prevalence of migraine among medical students in Zahedan Faculty of Medicine (Southeast of Iran). Basic and Clinical Neuroscience. 2011 Apr; 2(2): 20.
Amin Z, Sultana P, Sultana R, Rahman SM, Swaraz A. Assessment of glycemic status and BMI of resident and non-resident female students of Jessore University of science and technology, Bangladesh. International Journal of Research in Medical Sciences. 2016 Feb; 4(2): 415-20. doi: 10.18203/2320-6012.ijrms20160288. DOI: https://doi.org/10.18203/2320-6012.ijrms20160288
Falavigna A, Teles AR, Velho MC, Vedana VM, Silva RC, Mazzocchin T, et al. Prevalence and impact of headache in undergraduate students in Southern Brazil. Arquivos De Neuro-Psiquiatria. 2010 Dec; 68: 873-7. doi: 10.1590/s0004-282x2010000600008. DOI: https://doi.org/10.1590/S0004-282X2010000600008
Jayalakshmi N. A Study to Assess the Effects of Skipping Breakfast and Its Consequences (Physical, Mental, Social) Among College Going Students in Pune City. ZENITH International Journal of Multidisciplinary Research. 2016 May; 6(5): 91-8.
Fareed Q and Waseer WA. Assessment of Breakfast Skipping Habit and Its Associated Factors among Students of ANMC. International Journal of Education and Social Science. 2017 Jan; 4(5): 42-56.
Lee YC, Chien KL, Chen HH. Lifestyle risk factors associated with fatigue in graduate students. Journal of the Formosan Medical Association. 2007 Jan; 106(7): 565-72. doi: 10.1016/S0929-6646(07)60007-2. DOI: https://doi.org/10.1016/S0929-6646(07)60007-2
Wahab KW and Ugheoke AJ. Migraine: prevalence and associated disability among Nigerian undergraduates. Canadian Journal of
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