Sleep Disorders Among People With Migraine

Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Dawn C. Buse, Jeanetta C. Rains, Jelena M. Pavlovic, Kristina M. Fanning, Michael L. Reed, Aubrey Manack Adams, Richard B. Lipton

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: We examined the cross-sectional association of sleep apnea and indices of sleep quality with both episodic migraine (EM) and chronic migraine (CM). Background: Sleep apnea and abnormal patterns of sleep, such as insomnia, were associated with migraine onset, severity, and progression in previous research. Methods: The Chronic Migraine Epidemiology & Outcomes Study, a longitudinal study, used a series of web-based surveys to assess migraine symptoms, burden, and patterns of health care utilization. Quota sampling was used from September 2012 to November 2013 to generate a representative sample of the US population. Persons who screened positive for sleep apnea on the Berlin Questionnaire are said to be at “high risk” for sleep apnea. Respondents indicated if they believed that they had sleep apnea, if a physician had diagnosed it, and if and how they were treated. Other aspects of sleep quality were assessed using the Medical Outcomes Study (MOS) Sleep Measures. Results: Of 12,810 eligible respondents with migraine and data on sleep, 11,699 with EM (91.3%) and 1111 with CM (8.7%) provided valid data for this analyses. According to the Berlin Questionnaire, 4739/12,810 (37.0%) were at “high risk” for sleep apnea, particularly persons with CM vs EM (575/1111 [51.8%] vs 4164/11,699 [35.6%]), men vs women (1431/3220 [44.4%] vs 3308/9590 [34.5%]), people with higher body mass index, and older people (all P <.001). Among respondents to the MOS Sleep Measures, persons with CM were more likely to report poor sleep quality than those with EM, including sleep disturbance (mean [SD] values: 53.2 [26.9] vs 37.9 [24.3]), snoring (38.0 [33.9] vs 31.0 [32.1]), shortness of breath (34.9 [29.8] vs 15.3 [20.6]), somnolence (44.1 [23.4] vs 32.2 [21.2]), and less likely to report sleep adequacy (34.0 [24.2] vs 39.2 [22.1]). Conclusions: Compared with respondents with EM, a larger proportion of those with CM were at “high risk” for sleep apnea and reported poor sleep quality. This reflects an association between CM vs EM and sleep apnea and poor sleep quality; the potential relationships are discussed.

Original languageEnglish (US)
JournalHeadache
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Migraine Disorders
Epidemiology
Outcome Assessment (Health Care)
Sleep
Sleep Apnea Syndromes
Sleep Wake Disorders
Berlin
Patient Acceptance of Health Care
Snoring
Sleep Initiation and Maintenance Disorders
Surveys and Questionnaires
Dyspnea
Longitudinal Studies
Body Mass Index

Keywords

  • CaMEO
  • migraine
  • sleep apnea
  • sleep disorders
  • sleep quality
  • snoring

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Sleep Disorders Among People With Migraine : Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study. / Buse, Dawn C.; Rains, Jeanetta C.; Pavlovic, Jelena M.; Fanning, Kristina M.; Reed, Michael L.; Manack Adams, Aubrey; Lipton, Richard B.

In: Headache, 01.01.2018.

Research output: Contribution to journalArticle

Buse, Dawn C. ; Rains, Jeanetta C. ; Pavlovic, Jelena M. ; Fanning, Kristina M. ; Reed, Michael L. ; Manack Adams, Aubrey ; Lipton, Richard B. / Sleep Disorders Among People With Migraine : Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study. In: Headache. 2018.
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abstract = "Objectives: We examined the cross-sectional association of sleep apnea and indices of sleep quality with both episodic migraine (EM) and chronic migraine (CM). Background: Sleep apnea and abnormal patterns of sleep, such as insomnia, were associated with migraine onset, severity, and progression in previous research. Methods: The Chronic Migraine Epidemiology & Outcomes Study, a longitudinal study, used a series of web-based surveys to assess migraine symptoms, burden, and patterns of health care utilization. Quota sampling was used from September 2012 to November 2013 to generate a representative sample of the US population. Persons who screened positive for sleep apnea on the Berlin Questionnaire are said to be at “high risk” for sleep apnea. Respondents indicated if they believed that they had sleep apnea, if a physician had diagnosed it, and if and how they were treated. Other aspects of sleep quality were assessed using the Medical Outcomes Study (MOS) Sleep Measures. Results: Of 12,810 eligible respondents with migraine and data on sleep, 11,699 with EM (91.3{\%}) and 1111 with CM (8.7{\%}) provided valid data for this analyses. According to the Berlin Questionnaire, 4739/12,810 (37.0{\%}) were at “high risk” for sleep apnea, particularly persons with CM vs EM (575/1111 [51.8{\%}] vs 4164/11,699 [35.6{\%}]), men vs women (1431/3220 [44.4{\%}] vs 3308/9590 [34.5{\%}]), people with higher body mass index, and older people (all P <.001). Among respondents to the MOS Sleep Measures, persons with CM were more likely to report poor sleep quality than those with EM, including sleep disturbance (mean [SD] values: 53.2 [26.9] vs 37.9 [24.3]), snoring (38.0 [33.9] vs 31.0 [32.1]), shortness of breath (34.9 [29.8] vs 15.3 [20.6]), somnolence (44.1 [23.4] vs 32.2 [21.2]), and less likely to report sleep adequacy (34.0 [24.2] vs 39.2 [22.1]). Conclusions: Compared with respondents with EM, a larger proportion of those with CM were at “high risk” for sleep apnea and reported poor sleep quality. This reflects an association between CM vs EM and sleep apnea and poor sleep quality; the potential relationships are discussed.",
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AU - Buse, Dawn C.

AU - Rains, Jeanetta C.

AU - Pavlovic, Jelena M.

AU - Fanning, Kristina M.

AU - Reed, Michael L.

AU - Manack Adams, Aubrey

AU - Lipton, Richard B.

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N2 - Objectives: We examined the cross-sectional association of sleep apnea and indices of sleep quality with both episodic migraine (EM) and chronic migraine (CM). Background: Sleep apnea and abnormal patterns of sleep, such as insomnia, were associated with migraine onset, severity, and progression in previous research. Methods: The Chronic Migraine Epidemiology & Outcomes Study, a longitudinal study, used a series of web-based surveys to assess migraine symptoms, burden, and patterns of health care utilization. Quota sampling was used from September 2012 to November 2013 to generate a representative sample of the US population. Persons who screened positive for sleep apnea on the Berlin Questionnaire are said to be at “high risk” for sleep apnea. Respondents indicated if they believed that they had sleep apnea, if a physician had diagnosed it, and if and how they were treated. Other aspects of sleep quality were assessed using the Medical Outcomes Study (MOS) Sleep Measures. Results: Of 12,810 eligible respondents with migraine and data on sleep, 11,699 with EM (91.3%) and 1111 with CM (8.7%) provided valid data for this analyses. According to the Berlin Questionnaire, 4739/12,810 (37.0%) were at “high risk” for sleep apnea, particularly persons with CM vs EM (575/1111 [51.8%] vs 4164/11,699 [35.6%]), men vs women (1431/3220 [44.4%] vs 3308/9590 [34.5%]), people with higher body mass index, and older people (all P <.001). Among respondents to the MOS Sleep Measures, persons with CM were more likely to report poor sleep quality than those with EM, including sleep disturbance (mean [SD] values: 53.2 [26.9] vs 37.9 [24.3]), snoring (38.0 [33.9] vs 31.0 [32.1]), shortness of breath (34.9 [29.8] vs 15.3 [20.6]), somnolence (44.1 [23.4] vs 32.2 [21.2]), and less likely to report sleep adequacy (34.0 [24.2] vs 39.2 [22.1]). Conclusions: Compared with respondents with EM, a larger proportion of those with CM were at “high risk” for sleep apnea and reported poor sleep quality. This reflects an association between CM vs EM and sleep apnea and poor sleep quality; the potential relationships are discussed.

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