The impact of headache and chronic musculoskeletal complaints on the risk of insomnia: longitudinal data from the Nord-Trøndelag health study

The Journal of Headache and Pain

Research Article

Trond Sand¹  Siv Steinsmo Ødegård¹  Morten Engstrøm¹  Knut Hagen²  John-Anker Zwart³ 

[1] Department of Neuroscience; Faculty of medicine, Norwegian University of Science and Technology, MTFS, N-7489, Trondheim, Norway;Department of Neuroscience; Faculty of medicine, Norwegian University of Science and Technology, MTFS, N-7489, Trondheim, Norway;Norwegian National Headache Centre, Section of Neurology, St. Olavs Hospital, N-7006, Trondheim, Norway;FORMI and Department of Neurology, Oslo University Hospital and Faculty of Medicine, University of Oslo, N-0450, Oslo, Norway;

关键词: Prospective;    Headache;    Chronic musculoskeletal complaints;    Risk factor;    Insomnia;   

DOI  :  10.1186/1129-2377-14-24

 received in 2013-01-04, accepted in 2013-03-06,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundA strong relationship between insomnia and painful disorders has been found, but it is still unclear whether chronic pain leads to insomnia. There is a need of large-scale prospective studies to evaluate if there is a causal relationship between painful disorders and insomnia.MethodsAll inhabitants aged ≥ 20 years in Nord-Trøndelag County of Norway were invited to participate in two surveys (n = 92,566 and 93,860, respectively). 27,185 subjects participated in both surveys, and 19,271 of these were insomnia-free at baseline (population at risk). Using logistic regression, we evaluated the influence of headache, CMSCs and coexisting headache and CMSCs on the subsequent risk of insomnia.ResultsCompared to subjects without headache and CMSCs, there was an increased risk of insomnia among those with headache, most pronounced among those with headache ≥ 7 days / month (OR = 2.2, 95% CI = 1.9 – 2.6). Similarly, an increased risk among those with CMSCs was found, most evident for those with widespread CMSCs (OR = 2.0, 95% CI = 1.8 – 2.2). Having coexistent CMSCs and headache (OR = 2.0, 95% CI = 1.8 – 2.2) predisposed more strongly to insomnia than having headache (OR = 1.5, 95% CI = 1.3 – 1.6) and CMSCs (OR = 1.6, 95% CI = 1.4 – 1.7) alone.ConclusionIn this prospective study headache and CMSCs were risk factors for insomnia 11 years later.

【 授权许可】

CC BY   
© Ødegård et al.; licensee Springer. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.