Body Mass Index and Headaches: Findings from a National Sample of US Adults

Cephalalgia ◽  
2008 ◽  
Vol 28 (12) ◽  
pp. 1270-1276 ◽  
Author(s):  
ES Ford ◽  
C Li ◽  
WS Pearson ◽  
G Zhao ◽  
TW Strine ◽  
...  

The objective was to study the cross-sectional association between body mass index (BMI) and the prevalence of severe headaches or migraines in a national sample of US adults. We used data from 7601 men and women aged ≥ 20 years who participated in the National Health and Nutrition Examination Survey 1999-2002. The age-adjusted prevalence of severe headaches or migraines during the previous 3 months was 34.0, 18.9, 20.7 and 25.9± among participants with a BMI< 18.5, 18.5 to< 25, 25 to< 30 and ≥ 30 kg/m2, respectively. After adjusting for a variety of covariates in a logistic regression model, those with a BMI< 18.5 kg/m2 [odds ratio (OR) 2.01; 95± confidence interval (CI) 1.34, 3.02] or ≥ 30 kg/m2 (OR 1.37; 95± CI 1.09, 1.72) had a significantly elevated OR for having a headache compared with participants with a BMI of 18.5-< 25 kg/m2. BMI is associated with the prevalence of severe headaches or migraines in a non-linear manner.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jihan Kim ◽  
Sami Lee ◽  
Sung Soo Kim ◽  
Jong-Pyo Lee ◽  
Jong Sung Kim ◽  
...  

Abstract Background The present study examined the relationship between body mass index (BMI) and the risk for fragility fractures in postmenopausal Korean women. Methods Among subjects who participated in the 4th Korea National Health and Nutrition Examination Survey (2008–2009), 2114 women ≥ 40 years of age were included. BMI was based on standards set by the Korean Society for the Study of Obesity, as follows: < 18.5 kg/m2, underweight; 18.5 ≤ to < 25 kg/m2, normal weight; and ≥ 25 kg/m2, obese. Subjects were also divided into three groups according to the location of fragility fracture: spine, hip, or wrist. Results The mean (± SD) rate of fragility fracture was significantly different among the three groups: 5.9 ± 2.9% (underweight), 1.1 ± 0.3% (normal weight), and 3.0 ± 0.7% (obese) (p = 0.001). After correcting for age, family history, and treatment history of osteoporosis and rheumatoid arthritis, smoking and drinking status, and level of exercise, multivariable regression analysis revealed that the odds ratio for fragility fracture in the underweight group was 5.48 [95% confidence interval (CI) 1.80–16.73] and 3.33 (95% CI 1.61–6.87) in the obese group. After subdividing fragility fractures into vertebral and non-vertebral, the odds ratio for vertebral fracture in the underweight group was 5.49 (95% CI 1.31–23.09) times higher than that in the normal weight group; in the obese group, the non-vertebral fracture odds ratio was 3.87 (95% CI 1.45–10.33) times higher. Analysis of non-vertebral fractures in the obese group revealed an odds ratio for fracture 22.05 (95% CI 1.33–365.31) times higher for hip fracture and 3.85 (95% CI 1.35–10.93) times higher for wrist fracture. Conclusions Obesity and underweight increased the risk for fragility fractures in postmenopausal Korean women.


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