mmj Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 2148-8118 2618-6020 Muğla Sıtkı Koçman Üniversitesi ​Internal Diseases İç Hastalıkları Migren ve Gerilim Tipi Baş Ağrılı Hastalarda Yeme Bozuklukları Prevalansı The Prevalence of Eating Disorders in Migraine and Tension Type Headache Patients https://orcid.org/0000-0002-8186-8703 Gözübatık Çelik Rabia Gökçen Bakırköy Prof Dr Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi Nöroloji https://orcid.org/0000-0002-8099-3465 Bilgiç Onur Bagcılar Eğitim ve Araştırma Hastanesi Psikiyatri https://orcid.org/0000-0002-1311-3798 Goksan Yavuz Burcu Acıbadem Üniversitesi Tıp Fakültesi Psikiyatri https://orcid.org/0000-0003-1776-769X Göksan Baki Cerrahpaşa Tıp Fakültesi Nöroloji ABD https://orcid.org/0000-0001-5760-9077 Karahan Muazzez Gökçen Prof Dr mazhar Osman Ruh Saglığı ve Sinir Hastalıkları Eğitim Araştırma Hastanesi Nöroloji https://orcid.org/0000-0001-6306-1423 Altın Ozan Prof Mazhar OSman Ruh Saglığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi Psikiyatri 08 31 2020 7 2 86 91 12 13 2019 06 10 2020 Copyright © 2014, Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 2014 Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi

Psikiyatrik hastalıklar, obezite primer baş ağrıları ve yeme bozuklukları ortak klinik içerirler. Biz bu çalışmada primer baş ağrılarda yeme bozukluklarının prevelansını ve ilişkili olası patofizyolojik ilişkileri araştırmayı amaçladık. Çalışmaya 210 migren (aurasız) ve gerilim tipi baş ağrısı (GTBA) hastası dahil edildi. Baş ağrısı karakterleri, öz/soygeçmişleri, tedavileri kaydedildi.%53.8 (n=51) Migrenlide gece yeme sendromu (GYS) izlendi. Migrenlilerde hem NES klinik-tanısı hem de NES skoru GTBA’ya göre anlamlı yüksek saptandı. (p=0.001). GYS olanlarda olmayanlara göre BMI anlamlı daha yüksekti (32.87±4.81 vs 27.37±4.59; p=0.003). Migrenlilerde GYS tanısı olanlarda olmayanlara göre daha obezdi (p=0.001). BMI&BDI skorları ile GYS&BDI skorları kendi aralarında pozitif koreleydi (p≤0.005). Duygusal yeme puanı migrenlilerde GTBA’lara göre anlamlı daha yüksekti [(p<0.01);28.4±3.1 vs 19.7±1.4]. Dışsal yeme puanı GBTA’da migrenlilere göre anlamlı daha yüksekti [(p=0.002); 30.1±2.9 vs 20.7±0.8]. Çalışmamız, primer baş ağrılarında yeme bozukluklarının incelendiği ilk araştırmadır. Gece yeme sendromu migrenlilerde sorgulanmalıdır. Bu komorbidite, migrenin başlangıç tedavi seçiminde etkili olabilir.

Psychiatric disorders obesity, primary headache and eating disorders share the same clinical context. In this study, we aimed to investigate the prevalence of the eating disorders and the possible common pathophysiological association in patients with primary headache.210 migraine (without aura) and tension type headache (TTH) (frequent episodic tension type headache) patients were included. The characteristics of the headaches, resume/family histories, information about the medications were recorded. The prevalence of night eating syndrome (NES) was found to be 53.8% (n=51) in migraine group. Both the frequency of the diagnosis of NES and (add) NES questionnaire score with the diagnosis of migraine participants were demonstrated significantly higher than TTH group (p=0.001). The mean BMI was significantly higher in the patients with NES than those without NES (32.87±4.81 vs 27.37±4.59; p= 0.003). In migraine group, migraine with NES patients were more obese than without NES (p=0.001). There was a positive correlation between BMI&BDI score and NES&BDI score (p≤0.005). The mean emotional eating score of DEBQ was significantly higher in migraine group compared to TTH group [(p<0.01);28.4±3.1 vs 19.7±1.4]. The mean external eating score was significantly higher in TTH than that of migraine group [(p=0.002); 30.1±2.9 vs 20.7±0.8]. This was the first study, where we investigated the prevalence of eating behaviors in patients with primary headache. The diagnosis of night eating syndrome should be questioned in migraine patients. This comorbidity may be led to determine an effective and first therapeutic choice for migraine therapy.

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