Sexual Dysfunction in Women With Migraine and Overweight/Obesity

Relative Frequency and Association With Migraine Severity

Dale S. Bond, Jelena M. Pavlovic, Richard B. Lipton, J. Graham Thomas, Kathleen B. Digre, Julie Roth, Lucille Rathier, Kevin C. O'Leary, E. Whitney Evans, Rena R. Wing

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background/Objective: Previous studies suggest that migraine might be associated with female sexual dysfunction (FSD), although this association may be complicated by overweight/obesity. To disentangle relationships of migraine and obesity with FSD, we examined: (1) FSD rates in women who had migraine and obesity with a matched sample of women with obesity who were free of migraine and (2) associations between indices of migraine severity and FSD in a larger sample of participants with migraine and overweight/obesity, controlling for important confounders. Methods: Women with migraine and obesity seeking behavioral weight loss treatment to decrease headaches (n=37) and nonmigraine controls (n=37) with obesity seeking weight loss via bariatric surgery were matched on age (±5 years), body mass index (BMI; ±3 kg/m2), and reported sexual activity during the past month. Both groups completed the Female Sexual Function Index (FSFI), with a validated FSFI-total cutoff score used to define FSD. In participants with migraine and overweight/obesity (n=105), separate logistic regression models evaluated associations of migraine attack frequency, intensity, and duration with odds of having FSD, controlling for age, BMI, depression, and anxiety. Results: On average, participants and matched controls had severe obesity (BMI=42.4±3.8 kg/m2; range=35-49.9) and were 37.3±7.2 years of age (range=22-50). FSD rate did not differ between migraine participants and controls (56.8% vs. 54.1%, P=.82). In the larger sample of participants with migraine and overweight/obesity (38.2±7.8 years of age; BMI=34.8±6.4 [range=25-50 kg/m2]; 8.0±4.3 migraine days/month, maximum pain intensity=5.9±1.4 on 0-10 scale; average attack duration=18.3±9.7 hours), FSD was not associated with attack frequency (P=.31), pain intensity (P=.92), or attack duration (P=.35) but was associated with more severe anxiety symptoms (Ps<.017). Conclusions: Rates of sexual dysfunction did not differ in severely obese women with and without migraine. Moreover, indices of migraine severity were not associated with increased risk of FSD in women with overweight/obesity. Replication of present findings in wider populations of women with migraine and of both normal-weight and overweight/obese status are warranted.

Original languageEnglish (US)
JournalHeadache
DOIs
StateAccepted/In press - 2016

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Migraine Disorders
Obesity
Weight Loss
Anxiety
Logistic Models
Pain
Bariatric Surgery
Morbid Obesity
Sexual Behavior
Headache
Body Mass Index

Keywords

  • Depression
  • Female sexual dysfunction
  • Migraine
  • Obesity
  • Pain
  • Women

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Sexual Dysfunction in Women With Migraine and Overweight/Obesity : Relative Frequency and Association With Migraine Severity. / Bond, Dale S.; Pavlovic, Jelena M.; Lipton, Richard B.; Graham Thomas, J.; Digre, Kathleen B.; Roth, Julie; Rathier, Lucille; O'Leary, Kevin C.; Whitney Evans, E.; Wing, Rena R.

In: Headache, 2016.

Research output: Contribution to journalArticle

Bond, Dale S. ; Pavlovic, Jelena M. ; Lipton, Richard B. ; Graham Thomas, J. ; Digre, Kathleen B. ; Roth, Julie ; Rathier, Lucille ; O'Leary, Kevin C. ; Whitney Evans, E. ; Wing, Rena R. / Sexual Dysfunction in Women With Migraine and Overweight/Obesity : Relative Frequency and Association With Migraine Severity. In: Headache. 2016.
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title = "Sexual Dysfunction in Women With Migraine and Overweight/Obesity: Relative Frequency and Association With Migraine Severity",
abstract = "Background/Objective: Previous studies suggest that migraine might be associated with female sexual dysfunction (FSD), although this association may be complicated by overweight/obesity. To disentangle relationships of migraine and obesity with FSD, we examined: (1) FSD rates in women who had migraine and obesity with a matched sample of women with obesity who were free of migraine and (2) associations between indices of migraine severity and FSD in a larger sample of participants with migraine and overweight/obesity, controlling for important confounders. Methods: Women with migraine and obesity seeking behavioral weight loss treatment to decrease headaches (n=37) and nonmigraine controls (n=37) with obesity seeking weight loss via bariatric surgery were matched on age (±5 years), body mass index (BMI; ±3 kg/m2), and reported sexual activity during the past month. Both groups completed the Female Sexual Function Index (FSFI), with a validated FSFI-total cutoff score used to define FSD. In participants with migraine and overweight/obesity (n=105), separate logistic regression models evaluated associations of migraine attack frequency, intensity, and duration with odds of having FSD, controlling for age, BMI, depression, and anxiety. Results: On average, participants and matched controls had severe obesity (BMI=42.4±3.8 kg/m2; range=35-49.9) and were 37.3±7.2 years of age (range=22-50). FSD rate did not differ between migraine participants and controls (56.8{\%} vs. 54.1{\%}, P=.82). In the larger sample of participants with migraine and overweight/obesity (38.2±7.8 years of age; BMI=34.8±6.4 [range=25-50 kg/m2]; 8.0±4.3 migraine days/month, maximum pain intensity=5.9±1.4 on 0-10 scale; average attack duration=18.3±9.7 hours), FSD was not associated with attack frequency (P=.31), pain intensity (P=.92), or attack duration (P=.35) but was associated with more severe anxiety symptoms (Ps<.017). Conclusions: Rates of sexual dysfunction did not differ in severely obese women with and without migraine. Moreover, indices of migraine severity were not associated with increased risk of FSD in women with overweight/obesity. Replication of present findings in wider populations of women with migraine and of both normal-weight and overweight/obese status are warranted.",
keywords = "Depression, Female sexual dysfunction, Migraine, Obesity, Pain, Women",
author = "Bond, {Dale S.} and Pavlovic, {Jelena M.} and Lipton, {Richard B.} and {Graham Thomas}, J. and Digre, {Kathleen B.} and Julie Roth and Lucille Rathier and O'Leary, {Kevin C.} and {Whitney Evans}, E. and Wing, {Rena R.}",
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journal = "Headache",
issn = "0017-8748",
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T1 - Sexual Dysfunction in Women With Migraine and Overweight/Obesity

T2 - Relative Frequency and Association With Migraine Severity

AU - Bond, Dale S.

AU - Pavlovic, Jelena M.

AU - Lipton, Richard B.

AU - Graham Thomas, J.

AU - Digre, Kathleen B.

AU - Roth, Julie

AU - Rathier, Lucille

AU - O'Leary, Kevin C.

AU - Whitney Evans, E.

AU - Wing, Rena R.

PY - 2016

Y1 - 2016

N2 - Background/Objective: Previous studies suggest that migraine might be associated with female sexual dysfunction (FSD), although this association may be complicated by overweight/obesity. To disentangle relationships of migraine and obesity with FSD, we examined: (1) FSD rates in women who had migraine and obesity with a matched sample of women with obesity who were free of migraine and (2) associations between indices of migraine severity and FSD in a larger sample of participants with migraine and overweight/obesity, controlling for important confounders. Methods: Women with migraine and obesity seeking behavioral weight loss treatment to decrease headaches (n=37) and nonmigraine controls (n=37) with obesity seeking weight loss via bariatric surgery were matched on age (±5 years), body mass index (BMI; ±3 kg/m2), and reported sexual activity during the past month. Both groups completed the Female Sexual Function Index (FSFI), with a validated FSFI-total cutoff score used to define FSD. In participants with migraine and overweight/obesity (n=105), separate logistic regression models evaluated associations of migraine attack frequency, intensity, and duration with odds of having FSD, controlling for age, BMI, depression, and anxiety. Results: On average, participants and matched controls had severe obesity (BMI=42.4±3.8 kg/m2; range=35-49.9) and were 37.3±7.2 years of age (range=22-50). FSD rate did not differ between migraine participants and controls (56.8% vs. 54.1%, P=.82). In the larger sample of participants with migraine and overweight/obesity (38.2±7.8 years of age; BMI=34.8±6.4 [range=25-50 kg/m2]; 8.0±4.3 migraine days/month, maximum pain intensity=5.9±1.4 on 0-10 scale; average attack duration=18.3±9.7 hours), FSD was not associated with attack frequency (P=.31), pain intensity (P=.92), or attack duration (P=.35) but was associated with more severe anxiety symptoms (Ps<.017). Conclusions: Rates of sexual dysfunction did not differ in severely obese women with and without migraine. Moreover, indices of migraine severity were not associated with increased risk of FSD in women with overweight/obesity. Replication of present findings in wider populations of women with migraine and of both normal-weight and overweight/obese status are warranted.

AB - Background/Objective: Previous studies suggest that migraine might be associated with female sexual dysfunction (FSD), although this association may be complicated by overweight/obesity. To disentangle relationships of migraine and obesity with FSD, we examined: (1) FSD rates in women who had migraine and obesity with a matched sample of women with obesity who were free of migraine and (2) associations between indices of migraine severity and FSD in a larger sample of participants with migraine and overweight/obesity, controlling for important confounders. Methods: Women with migraine and obesity seeking behavioral weight loss treatment to decrease headaches (n=37) and nonmigraine controls (n=37) with obesity seeking weight loss via bariatric surgery were matched on age (±5 years), body mass index (BMI; ±3 kg/m2), and reported sexual activity during the past month. Both groups completed the Female Sexual Function Index (FSFI), with a validated FSFI-total cutoff score used to define FSD. In participants with migraine and overweight/obesity (n=105), separate logistic regression models evaluated associations of migraine attack frequency, intensity, and duration with odds of having FSD, controlling for age, BMI, depression, and anxiety. Results: On average, participants and matched controls had severe obesity (BMI=42.4±3.8 kg/m2; range=35-49.9) and were 37.3±7.2 years of age (range=22-50). FSD rate did not differ between migraine participants and controls (56.8% vs. 54.1%, P=.82). In the larger sample of participants with migraine and overweight/obesity (38.2±7.8 years of age; BMI=34.8±6.4 [range=25-50 kg/m2]; 8.0±4.3 migraine days/month, maximum pain intensity=5.9±1.4 on 0-10 scale; average attack duration=18.3±9.7 hours), FSD was not associated with attack frequency (P=.31), pain intensity (P=.92), or attack duration (P=.35) but was associated with more severe anxiety symptoms (Ps<.017). Conclusions: Rates of sexual dysfunction did not differ in severely obese women with and without migraine. Moreover, indices of migraine severity were not associated with increased risk of FSD in women with overweight/obesity. Replication of present findings in wider populations of women with migraine and of both normal-weight and overweight/obese status are warranted.

KW - Depression

KW - Female sexual dysfunction

KW - Migraine

KW - Obesity

KW - Pain

KW - Women

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DO - 10.1111/head.13019

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JO - Headache

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