Evidence map›Paper›PMID 42428755›Full record

ArticleFrontiers in neurology

Primary headache disorders susceptibility is associated with fasting-related headache: evidence from a multinational study across 14 countries.

M Ceren Akgor, K Saghır, A I Can, F G Sahbaz, E U Özcelik, A C Atalar, N Ergin, M O Orun, A A Madani, E A A Ibrahim and 37 more

Abstract read
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Article in Frontiers in neurology. 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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0citing papers 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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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

47 authors.

M Ceren AkgorDepartment of Neurology, University of Health Sciences Ankara Atatürk Sanatorium Training and Research Hospital, Ankara, Türkiye.
K SaghırDepartment of Neurology and Clinical Neurophysiology, Helios University Hospital Wuppertal, Wuppertal, Germany.
A I CanProf. Dr. Aynur Özge Headache Clinic, Mersin, Türkiye.
F G SahbazDepartment of Neurology, Izmir University of Economics Medical Point Hospital, İzmir, Türkiye.
E U ÖzcelikDepartment of Neurology, School of Medicine, Acıbadem University, Istanbul, Türkiye.
A C AtalarDepartment of Neurology, İstanbul Physical Therapy and Rehabilitation Training and Research Hospital, İstanbul, Türkiye.
N ErginDepartment of Neurology, Faculty of Medicine, Pamukkale University, Denizli, Türkiye.
M O OrunDepartment of Neurology, Van Training and Research Hospital, University of Health Sciences, Van, Türkiye.
A A MadaniDepartment of Neurology in Rashed Hospital, MBRU University, Dubai, United Arab Emirates.
E A A IbrahimNeurology Department, National Centre for Neurological Centre, Alneelain University, Khartoum, Sudan.
M ToghaHeadache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
S AmirguliyevDepartment of Neurology and Clinical Neurophysiology, Azerbaijan State Institute of Advanced Training of Doctors Named after Aziz Aliyev, Baku, Azerbaijan.
Y AlabwahSabah Al Salem University City, Kuwait City, Kuwait.
J A HashelDepartment of Neurology, Department of Medicine, Ibn Sina Hospital, Faculty of Medicine, Kuwait Univesity, Safat, Kuwait.
I M DardarDepartment of Neurology, National Police Medical and Surgical Center, Djibouti City, Djibouti.
R E SahliDepartment of Neurology, College of Medicine Benghazi University, Benghazi, Libya.
S B SassiDepartment of Neurology, National Institute Mongi Ben Hamida of Neurology, Tunis, Tunisia.
M NadaNeurology Department, Cairo University, Giza, Egypt.
N ShalabyNeurology Department, Cairo University, Giza, Egypt.
Y DehalHospitalier de Specialite de Nouakchott, Nouakchott, Mauritania.
Y NajiNeurology Department, Agadir University Hospital, Agadir, Morocco.
M AmineNeurology Department, Mohammed V Military Hospital, Rabat, Morocco.
K AlfredDepartment of Neurology, Yaounde Central Hospital, Yaounde, Cameroon, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
R KaracıDepartment of Neurology, Erenkoy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
E YanıkDepartment of Algology, University of Trakya, Edirne, Türkiye.
G GürsoyDepartment of Neurology, Umraniye Training and Research Hospital, Istanbul, Türkiye.
H T CelikDepartment of Neurology, Haydarpasa Numune Education and Research Hospital, Istanbul, Türkiye.
S TasdelenDepartment of Neurology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.
E EkizoğluDepartment of Neurology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.
E K OrhanDepartment of Neurology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.
D AgırcanDepartment of Neurology, Faculty of Medicine, Harran University, Şanlıurfa, Türkiye.
H GencGaziantep City Hospital, Health Application and Research Center, Neurology Clinic, Gaziantep, Türkiye.
T Gesoglu DemirDepartment of Neurology, Faculty of Medicine, Harran University, Şanlıurfa, Türkiye.
F M DomacDepartment of Neurology, Erenkoy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
N KöseDepartment of Physical Therapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
N TepeDepartment of Neurology, Faculty of Medicine, Balıkesir University, Balıkesir, Türkiye.
S ÖztürkDepartment of Physical Therapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
E K CengizDepartment of Neurology, Gaziantep Islamic Science and Technology University, Gaziantep, Türkiye.
K ErdoganDepartment of Neurology, Balıkesir University Health Practice and Research Hospital, Balıkesir, Türkiye.
I YıldırımDepartment of Neurology, Kütahya University of Health Sciences, Kütahya, Türkiye.
B R Hasırcı BayırDepartment of Neurology, Haydarpasa Numune Education and Research Hospital, Istanbul, Türkiye.
E A DemirelDepartment of Neurology, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Türkiye.
R GhouriNeuroscience and Neurotechnology Center of Excellence (NÖROM), Ankara, Türkiye.
B TasdelenDepartment of Biostatistics and Medical Informatics, School of Medicine, Mersin University, Mersin, Türkiye.
H BolayNeuroscience and Neurotechnology Center of Excellence (NÖROM), Ankara, Türkiye.
A OzgeNeuroscience and Neurotechnology Center of Excellence (NÖROM), Ankara, Türkiye.
N KissaniLaboratory of Clinical and Experimental Neuroscience, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fasting-related headache has traditionally been attributed to dehydration, caffeine withdrawal, and sleep disruption, but pre-existing primary headache disorders may also play an important role in determining susceptibility. Objectives: To determine the prevalence, clinical characteristics, and predictors of headache during Ramadan fasting and to explore the relative contribution of pre-existing primary headache disorders and the lifestyle-related factors assessed in this study to headache occurrence during fasting. Methods: In this multinational cross-sectional survey across 14 countries, adults (18-65 years) observing Ramadan fasting completed a 17-item questionnaire. Headache during Ramadan was the primary outcome. Classification and regression tree (CRT) modelling were used to identify predictors and characterize fasting related headache. Results: Headache attacks occurred mainly in the afternoon/pre-iftar period and improved after iftar in 54.6% of cases. Pre-existing primary headache disorders, particularly migraine, were more strongly associated with headache occurrence within the exploratory CRT model than the lifestyle variables assessed in this study. Conclusion: Fasting-related headache is highly prevalent and is influenced by both lifestyle-related factors and underlying headache susceptibility. A history of primary headache disorders was strongly associated with headache occurrence during Ramadan fasting, highlighting the importance of considering individual headache history alongside fasting- related exposures when assessing vulnerability.

Indexed as

fasting-related headachemigraineprimer headache disordersRamadan fastingrisk stratification

Identifiers

PMID42428755
PMCPMC13345849

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