ArticleEnvironmental epidemiology (Philadelphia, Pa.)2026
Weather, air pollution, and migraine: A case-time series analysis examining environmental exposures and transient health outcomes recorded via smartphone application.
Article in Environmental epidemiology (Philadelphia, Pa.), 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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6 authors.
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Abstract
Background: Most studies of environmental exposures and migraine have been limited to weather or single-pollutant models and aggregate outcome measures. We estimated the associations between multiple environmental exposures and migraine events captured using a smartphone application (app) in the province of Ontario, Canada. Methods: We obtained Ontario-wide local daily weather and pollution estimates for 2017-2019 from Environment and Climate Change Canada. The Migraine Buddy app team provided records from research-consenting users. Associations between environmental exposures and migraine attack onsets were examined with case-time series lagged multipollutant models, accounting for demographic and temporal covariates. Results: We analyzed 69,808 migraine attacks reported by 7418 participants in Ontario, Canada. Overall cumulative estimates for 0-3 days suggested increased odds for migraine attacks with higher nitrogen dioxide (NO Conclusion: This study presents a novel examination of the associations between air pollution and migraine attacks using small-area exposures, smartphone data, and the case-time series method. Onset of migraine was associated with higher NO
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