Evidence map›Paper›PMID 41851843›Full record

ArticleBMC public health2026

Associations of sleep, sedentary behavior, and physical activity with incident migraine: a prospective cohort study.

Lily Zhang, Yanhao Xu, Yuexiu Lei, Zhengming Shan, Ying Huang, Wen Yan, Shikuan Ding, Jun Yang, Zheman Xiao

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Lily Zhang *Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Yanhao Xu *Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Yuexiu Lei *Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Zhengming Shan *Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Ying HuangDepartment of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Wen YanDepartment of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Shikuan DingDepartment of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China.
Jun YangSchool of Information Engineering, Wuhan University of Technology, Wuhan, Hubei, 430070, China. junyang_ie@whut.edu.cn.ORCID http://orcid.org/0000-0003-1921-7915
Zheman XiaoDepartment of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China. zmxiao@whu.edu.cn.ORCID http://orcid.org/0000-0003-0597-5889

Funding

Interdisciplinary Innovative Talents Foundation of Renmin Hospital at Wuhan University JCRCYG-2022-006Major and stubborn disease project of national administration of traditional Chinese medicine Interdisciplinary ZDYN-2024-A-094National Natural Science Foundation of China 82471577Research on Degree and Graduate Education Teaching Reform at Wuhan University, Teaching Research Project of Wuhan University Medical Science Center 2024YB08The China Postdoctoral Science Foundation 2025M772390
6 · The paper itself

Abstract

backgroundMigraine, a common primary headache disorder, has implicated daily behaviors like sleep, physical activity (PA), and sedentary behavior (SB), yet the findings are inconsistent or remain unclear. This prospective cohort study (2006–2022) aimed to examine the independent and joint associations of sleep, PA, and SB with migraine risk in a general adult population.

methodsData of 484,588 participants without baseline migraine from the UK Biobank were included. Multiple Cox regressions, restricted cubic spline models, and isotemporal substitution model (ISM) were used to assess associations between sleep, PA, SB and incident migraine. A nonlinear association model was used to analyze the correlation between each behavior and magnetic resonance imaging (MRI) brain volume and visualized using the “ENIGMA” tool.

resultsDuring a median follow-up of 13.63 years, 4,380 participants developed migraine. Sleep duration, PA, and SB exhibited distinct nonlinear associations with migraine risk. The risk of migraine was 40% lower in the healthy sleep score group (adjusted hazard ratio (aHR)[95% confidence interval (CI)]: 0.60[0.53, 0.69], p < 0.001) and 23% higher in the high SB group (aHR[95%CI]: 1.23[1.11, 1.37], p < 0.001) compared to the corresponding reference group. Upon examining the joint effects between sleep patterns and SB, individuals with low SB and poor sleep score showed the higher risk of migraine (aHR[95%CI]: 1.98[1.30, 3.02], p = 0.003).

conclusionIn this large prospective cohort, healthier sleep patterns and lower levels of SB were associated with a reduced risk of incident migraine. PA exhibited a complex nonlinear association that did not remain significant in categorical analyses after full adjustment. Notably, sleep duration and SB were associated with structural variations in brain regions implicated in migraine. These findings provide a large-scale epidemiological map linking sleep and SB to migraine risk, and generate the hypothesis that these behaviors are modifiable targets for future preventive intervention trials.

Indexed as

ExerciseMigraine DisordersSedentary BehaviorSleepAdultFemaleHumansIncidenceMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesRisk FactorsSleep DurationUnited KingdomMigrainePhysical activityProspective studySedentary behaviorSleep

Identifiers

PMID41851843
PMCPMC13112700

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.