Migraine and cognitive function: Baseline findings from the Brazilian Longitudinal Study of Adult Health: ELSA-Brasil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBAENA, Cristina Pellegrino
dc.contributor.authorGOULART, Alessandra Carvalho
dc.contributor.authorSANTOS, Itamar de Souza
dc.contributor.authorSUEMOTO, Claudia Kimie
dc.contributor.authorLOTUFO, Paulo Andrade
dc.contributor.authorBENSENOR, Isabela Judith
dc.date.accessioned2018-09-13T15:22:28Z
dc.date.available2018-09-13T15:22:28Z
dc.date.issued2018
dc.description.abstractBackground The association between migraine and cognitive performance is unclear. We analyzed whether migraine is associated with cognitive performance among participants of the Brazilian Longitudinal Study of Adult Health, ELSA-Brasil. Methods Cross-sectional analysis, including participants with complete information about migraine and aura at baseline. Headache status (no headaches, non-migraine headaches, migraine without aura and migraine with aura), based on the International Headache Society classification, was used as the dependent variable in the multilinear regression models, using the category no headache as reference. Cognitive performance was measured with the Consortium to Establish a Registry for Alzheimer's Disease word list memory test (CERAD-WLMT), the semantic fluency test (SFT), and the Trail Making Test version B (TMTB). Z-scores for each cognitive test and a composite global score were created and analyzed as dependent variables. Multivariate models were adjusted for age, gender, education, race, coronary heart disease, heart failure, hypertension, diabetes, dyslipidemia, body mass index, smoking, alcohol use, physical activity, depression, and anxiety. In women, the models were further adjusted for hormone replacement therapy. Results We analyzed 4208 participants. Of these, 19% presented migraine without aura and 10.3% presented migraine with aura. All migraine headaches were associated with poor cognitive performance (linear coefficient ; 95% CI) at TMTB -0.083 (-0.160; -0.008) and poorer global z-score -0.077 (-0.152; -0.002). Also, migraine without aura was associated with poor cognitive performance at TMTB -0.084 (-0.160, -0.008 and global z-score -0.077 (-0.152; -0.002). Conclusion In participants of the ELSA-study, all migraine headaches and migraine without aura were significantly and independently associated with poorer cognitive performance.
dc.description.indexMEDLINE
dc.description.sponsorshipBrazilian Ministry of Health (Science and Technology Department)
dc.description.sponsorshipBrazilian Ministry of Science and Technology
dc.description.sponsorshipCNPq National Research Council [01 06 0010.00 RS, 01 06 0212.00 BA, 01 06 0300.00 ES, 0106 0278.00 MG, 01 06 0115.00 SP, 01 06 0071.00 RJ]
dc.identifier.citationCEPHALALGIA, v.38, n.9, p.1525-1534, 2018
dc.identifier.doi10.1177/0333102417737784
dc.identifier.eissn1468-2982
dc.identifier.issn0333-1024
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/27968
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS LTD
dc.relation.ispartofCephalalgia
dc.rightsrestrictedAccess
dc.rights.holderCopyright SAGE PUBLICATIONS LTD
dc.subjectHeadache
dc.subjectmigraine headaches
dc.subjectcognition
dc.subjectcognitive performance
dc.subjectexecutive function
dc.subject.otheralzheimers-disease
dc.subject.otherrisk
dc.subject.otherabnormalities
dc.subject.otherquestionnaire
dc.subject.otherimpairment
dc.subject.otherprevalence
dc.subject.otherprevention
dc.subject.othercerad
dc.subject.wosClinical Neurology
dc.subject.wosNeurosciences
dc.titleMigraine and cognitive function: Baseline findings from the Brazilian Longitudinal Study of Adult Health: ELSA-Brasil
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalBAENA, Cristina Pellegrino:Univ Sao Paulo, Ctr Clin & Epidemiol Res, Sao Paulo, Brazil; Pontificia Univ Catolica Parana, Sch Med, Curitiba, Parana, Brazil
hcfmusp.citation.scopus28
hcfmusp.contributor.author-fmusphcALESSANDRA CARVALHO GOULART
hcfmusp.contributor.author-fmusphcITAMAR DE SOUZA SANTOS
hcfmusp.contributor.author-fmusphcCLAUDIA KIMIE SUEMOTO
hcfmusp.contributor.author-fmusphcPAULO ANDRADE LOTUFO
hcfmusp.contributor.author-fmusphcISABELA JUDITH MARTINS BENSEñOR
hcfmusp.description.beginpage1525
hcfmusp.description.endpage1534
hcfmusp.description.issue9
hcfmusp.description.volume38
hcfmusp.origemWOS
hcfmusp.origem.pubmed29058954
hcfmusp.origem.scopus2-s2.0-85043462645
hcfmusp.origem.wosWOS:000440685000002
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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