Time preference of headache attack and chronotype in migraine and tension-type headache

Hee Jin Im, Seol Hee Baek, Chang Ho Yun, Min Kyung Chu

Research output: Contribution to journalArticle

Abstract

Migraine attacks have a time preference of headache attack (TPHA). Chronotype is the propensity for an individual to sleep at a particular time during a 24-h period. However, limited evidence exists regarding the association between TPHA and chronotype in individuals with migraine or tension-type headache (TTH). The aim of the present study is to investigate TPHA and chronotype in individuals with migraine and TTH, which are two of the most common primary headaches. One hundred sixty-nine first-visit migraine and TTH participants were consecutively enrolled. Information on sleep onset time and wake up time on workdays and free days, and TPHA were investigated with a face-to-face interview using a questionnaire booklet. Chronotype was assessed, using the midpoint of sleep on free days, corrected for sleep extension on free days (MSFsc), by subtracting one-half of the average weekly sleep duration. Headache frequency per month, headache intensity, impact of headache, sleep quality, daytime sleepiness, insomnia severity, and mood status were also assessed. Time preference of headache attack was reported for 45.5% and 44.8% of participants with migraine and TTH, respectively. Migraineurs with TPHA had an earlier MSFsc than did migraineurs without TPHA (1:18 a.m. ± 282 min vs. 4:18 a.m. ± 186 min; p =.022). Among migraineurs with TPHA, a later MSFsc was associated with a later preferential time of attack (β = 1.3, 95% confidence interval [CI] = 0.6–2.1, p =.004). A later MSFsc was significantly correlated with a higher headache frequency per month among migraineurs with TPHA (β = 1.9, 95% CI = 0.3–3.4, p =.023), but was not significantly correlated among migraineurs without TPHA (β = 1.4, 95% CI −1.7–4.4, p =.332). Among TTH participants with TPHA, MSFsc was not significantly associated with a preferential time of attack (β = −0.2, 95% CI = −1.0 to 0.6, p =.611). Headache frequency was not associated with MSFsc among TTH participants with TPHA (β = 0.2, 95% CI = −1.2 to 1.6, p =.792) or among TTH participants without TPHA (β = 0.4, 95% CI = −0.5 to 1.3, p =.354). In conclusion, approximately one-half of participants with migraine and TTH reported having TPHA. Migraineurs with TPHA had an earlier chronotype than did migraineurs without TPHA. A later chronotype was associated with increased headache frequency and a later time of attack among migraineurs with TPHA. Among participants with TTH, TPHA and headache frequency were not significantly associated with chronotype.

Original languageEnglish
Pages (from-to)1528-1536
Number of pages9
JournalChronobiology International
Volume36
Issue number11
DOIs
StatePublished - 2 Nov 2019

Fingerprint

Tension-Type Headache
Migraine Disorders
Headache
Sleep
Confidence Intervals

Keywords

  • chronotype
  • circadian preference
  • Headache
  • migraine
  • tension-type headache

Cite this

Im, Hee Jin ; Baek, Seol Hee ; Yun, Chang Ho ; Chu, Min Kyung. / Time preference of headache attack and chronotype in migraine and tension-type headache. In: Chronobiology International. 2019 ; Vol. 36, No. 11. pp. 1528-1536.
@article{6c90da1269774f3e92ccd3a397ab8e61,
title = "Time preference of headache attack and chronotype in migraine and tension-type headache",
abstract = "Migraine attacks have a time preference of headache attack (TPHA). Chronotype is the propensity for an individual to sleep at a particular time during a 24-h period. However, limited evidence exists regarding the association between TPHA and chronotype in individuals with migraine or tension-type headache (TTH). The aim of the present study is to investigate TPHA and chronotype in individuals with migraine and TTH, which are two of the most common primary headaches. One hundred sixty-nine first-visit migraine and TTH participants were consecutively enrolled. Information on sleep onset time and wake up time on workdays and free days, and TPHA were investigated with a face-to-face interview using a questionnaire booklet. Chronotype was assessed, using the midpoint of sleep on free days, corrected for sleep extension on free days (MSFsc), by subtracting one-half of the average weekly sleep duration. Headache frequency per month, headache intensity, impact of headache, sleep quality, daytime sleepiness, insomnia severity, and mood status were also assessed. Time preference of headache attack was reported for 45.5{\%} and 44.8{\%} of participants with migraine and TTH, respectively. Migraineurs with TPHA had an earlier MSFsc than did migraineurs without TPHA (1:18 a.m. ± 282 min vs. 4:18 a.m. ± 186 min; p =.022). Among migraineurs with TPHA, a later MSFsc was associated with a later preferential time of attack (β = 1.3, 95{\%} confidence interval [CI] = 0.6–2.1, p =.004). A later MSFsc was significantly correlated with a higher headache frequency per month among migraineurs with TPHA (β = 1.9, 95{\%} CI = 0.3–3.4, p =.023), but was not significantly correlated among migraineurs without TPHA (β = 1.4, 95{\%} CI −1.7–4.4, p =.332). Among TTH participants with TPHA, MSFsc was not significantly associated with a preferential time of attack (β = −0.2, 95{\%} CI = −1.0 to 0.6, p =.611). Headache frequency was not associated with MSFsc among TTH participants with TPHA (β = 0.2, 95{\%} CI = −1.2 to 1.6, p =.792) or among TTH participants without TPHA (β = 0.4, 95{\%} CI = −0.5 to 1.3, p =.354). In conclusion, approximately one-half of participants with migraine and TTH reported having TPHA. Migraineurs with TPHA had an earlier chronotype than did migraineurs without TPHA. A later chronotype was associated with increased headache frequency and a later time of attack among migraineurs with TPHA. Among participants with TTH, TPHA and headache frequency were not significantly associated with chronotype.",
keywords = "chronotype, circadian preference, Headache, migraine, tension-type headache",
author = "Im, {Hee Jin} and Baek, {Seol Hee} and Yun, {Chang Ho} and Chu, {Min Kyung}",
year = "2019",
month = "11",
day = "2",
doi = "10.1080/07420528.2019.1658202",
language = "English",
volume = "36",
pages = "1528--1536",
journal = "Chronobiology International",
issn = "0742-0528",
publisher = "Marcel Dekker Inc.",
number = "11",

}

Time preference of headache attack and chronotype in migraine and tension-type headache. / Im, Hee Jin; Baek, Seol Hee; Yun, Chang Ho; Chu, Min Kyung.

In: Chronobiology International, Vol. 36, No. 11, 02.11.2019, p. 1528-1536.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Time preference of headache attack and chronotype in migraine and tension-type headache

AU - Im, Hee Jin

AU - Baek, Seol Hee

AU - Yun, Chang Ho

AU - Chu, Min Kyung

PY - 2019/11/2

Y1 - 2019/11/2

N2 - Migraine attacks have a time preference of headache attack (TPHA). Chronotype is the propensity for an individual to sleep at a particular time during a 24-h period. However, limited evidence exists regarding the association between TPHA and chronotype in individuals with migraine or tension-type headache (TTH). The aim of the present study is to investigate TPHA and chronotype in individuals with migraine and TTH, which are two of the most common primary headaches. One hundred sixty-nine first-visit migraine and TTH participants were consecutively enrolled. Information on sleep onset time and wake up time on workdays and free days, and TPHA were investigated with a face-to-face interview using a questionnaire booklet. Chronotype was assessed, using the midpoint of sleep on free days, corrected for sleep extension on free days (MSFsc), by subtracting one-half of the average weekly sleep duration. Headache frequency per month, headache intensity, impact of headache, sleep quality, daytime sleepiness, insomnia severity, and mood status were also assessed. Time preference of headache attack was reported for 45.5% and 44.8% of participants with migraine and TTH, respectively. Migraineurs with TPHA had an earlier MSFsc than did migraineurs without TPHA (1:18 a.m. ± 282 min vs. 4:18 a.m. ± 186 min; p =.022). Among migraineurs with TPHA, a later MSFsc was associated with a later preferential time of attack (β = 1.3, 95% confidence interval [CI] = 0.6–2.1, p =.004). A later MSFsc was significantly correlated with a higher headache frequency per month among migraineurs with TPHA (β = 1.9, 95% CI = 0.3–3.4, p =.023), but was not significantly correlated among migraineurs without TPHA (β = 1.4, 95% CI −1.7–4.4, p =.332). Among TTH participants with TPHA, MSFsc was not significantly associated with a preferential time of attack (β = −0.2, 95% CI = −1.0 to 0.6, p =.611). Headache frequency was not associated with MSFsc among TTH participants with TPHA (β = 0.2, 95% CI = −1.2 to 1.6, p =.792) or among TTH participants without TPHA (β = 0.4, 95% CI = −0.5 to 1.3, p =.354). In conclusion, approximately one-half of participants with migraine and TTH reported having TPHA. Migraineurs with TPHA had an earlier chronotype than did migraineurs without TPHA. A later chronotype was associated with increased headache frequency and a later time of attack among migraineurs with TPHA. Among participants with TTH, TPHA and headache frequency were not significantly associated with chronotype.

AB - Migraine attacks have a time preference of headache attack (TPHA). Chronotype is the propensity for an individual to sleep at a particular time during a 24-h period. However, limited evidence exists regarding the association between TPHA and chronotype in individuals with migraine or tension-type headache (TTH). The aim of the present study is to investigate TPHA and chronotype in individuals with migraine and TTH, which are two of the most common primary headaches. One hundred sixty-nine first-visit migraine and TTH participants were consecutively enrolled. Information on sleep onset time and wake up time on workdays and free days, and TPHA were investigated with a face-to-face interview using a questionnaire booklet. Chronotype was assessed, using the midpoint of sleep on free days, corrected for sleep extension on free days (MSFsc), by subtracting one-half of the average weekly sleep duration. Headache frequency per month, headache intensity, impact of headache, sleep quality, daytime sleepiness, insomnia severity, and mood status were also assessed. Time preference of headache attack was reported for 45.5% and 44.8% of participants with migraine and TTH, respectively. Migraineurs with TPHA had an earlier MSFsc than did migraineurs without TPHA (1:18 a.m. ± 282 min vs. 4:18 a.m. ± 186 min; p =.022). Among migraineurs with TPHA, a later MSFsc was associated with a later preferential time of attack (β = 1.3, 95% confidence interval [CI] = 0.6–2.1, p =.004). A later MSFsc was significantly correlated with a higher headache frequency per month among migraineurs with TPHA (β = 1.9, 95% CI = 0.3–3.4, p =.023), but was not significantly correlated among migraineurs without TPHA (β = 1.4, 95% CI −1.7–4.4, p =.332). Among TTH participants with TPHA, MSFsc was not significantly associated with a preferential time of attack (β = −0.2, 95% CI = −1.0 to 0.6, p =.611). Headache frequency was not associated with MSFsc among TTH participants with TPHA (β = 0.2, 95% CI = −1.2 to 1.6, p =.792) or among TTH participants without TPHA (β = 0.4, 95% CI = −0.5 to 1.3, p =.354). In conclusion, approximately one-half of participants with migraine and TTH reported having TPHA. Migraineurs with TPHA had an earlier chronotype than did migraineurs without TPHA. A later chronotype was associated with increased headache frequency and a later time of attack among migraineurs with TPHA. Among participants with TTH, TPHA and headache frequency were not significantly associated with chronotype.

KW - chronotype

KW - circadian preference

KW - Headache

KW - migraine

KW - tension-type headache

UR - http://www.scopus.com/inward/record.url?scp=85071378586&partnerID=8YFLogxK

U2 - 10.1080/07420528.2019.1658202

DO - 10.1080/07420528.2019.1658202

M3 - Article

C2 - 31456434

AN - SCOPUS:85071378586

VL - 36

SP - 1528

EP - 1536

JO - Chronobiology International

JF - Chronobiology International

SN - 0742-0528

IS - 11

ER -