The prevalence and impact of tension-type headache in school-aged children in Iran

BackgroundTension-Type Headache (TTH) is regarded as the third most prevalent disorder worldwide, prompting children to seek medical attention. Our objective is to investigate the prevalence of TTH among students aged 6 to 18 years in various geographical regions of Iran, while also assessing the im...

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Main Authors: Mansoureh Togha, Elham Jafari, Zhale Salami, Koorosh Kamali, Hadis Mirzaee Godarzee, Mohadeseh Mirzaee Godarzee, Sanaz Bavarnegin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1259624/full
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author Mansoureh Togha
Elham Jafari
Zhale Salami
Zhale Salami
Koorosh Kamali
Hadis Mirzaee Godarzee
Mohadeseh Mirzaee Godarzee
Sanaz Bavarnegin
author_facet Mansoureh Togha
Elham Jafari
Zhale Salami
Zhale Salami
Koorosh Kamali
Hadis Mirzaee Godarzee
Mohadeseh Mirzaee Godarzee
Sanaz Bavarnegin
author_sort Mansoureh Togha
collection DOAJ
description BackgroundTension-Type Headache (TTH) is regarded as the third most prevalent disorder worldwide, prompting children to seek medical attention. Our objective is to investigate the prevalence of TTH among students aged 6 to 18 years in various geographical regions of Iran, while also assessing the impact of headaches on their quality of life.MethodsEmploying a cross-sectional survey, we have carefully distributed self-completed structured questionnaires to students in 121 meticulously selected schools throughout the country, ensuring the representation of its diverse population.ResultsAmong the 2,958 potential participants, we have included a total of 2031 individuals in our study. This comprises 57.3% children and 42.7% adolescents, with 50.02% being males and 49.97% females. Specifically, we have examined 950 subjects with TTH and 1,081 individuals without any form of headache. TTH was diagnosed in 32.1% of the participants. Notably, we have observed a significant difference in the average age between the TTH subjects and those without headaches. Participants without headaches were more likely to be enrolled in primary schools, while those diagnosed with TTH predominantly attended high schools. We found no significant relationship between urban–rural areas or different geographic regions and the prevalence of TTH or its subtypes. Phonophobia was commonly associated with TTHs. Lastly, the mean quality-of-life score was highest for individuals without headaches, followed by those with low frequency episodic TTH, high frequency episodic TTH, and chronic TTHs. There was also a significant relation between headache severity and quality of life scores.ConclusionThe significant prevalence of TTH in children and adolescents and its adverse impact on the daily activities of individuals underscore the utmost importance of accurate diagnosis and efficient management.
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spelling doaj.art-09234f7784b44c759e938866f00a9a5b2023-09-14T17:49:50ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12596241259624The prevalence and impact of tension-type headache in school-aged children in IranMansoureh Togha0Elham Jafari1Zhale Salami2Zhale Salami3Koorosh Kamali4Hadis Mirzaee Godarzee5Mohadeseh Mirzaee Godarzee6Sanaz Bavarnegin7Headache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranHeadache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranHeadache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Molecular Genetics, Faculty of Biological Sciences, Kharazmi University, Tehran, IranSchool of Public Health, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, IranMedical Doctor, Tehran University of Medical Sciences, Tehran, IranDepartment of Molecular Genetics, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, IranHeadache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranBackgroundTension-Type Headache (TTH) is regarded as the third most prevalent disorder worldwide, prompting children to seek medical attention. Our objective is to investigate the prevalence of TTH among students aged 6 to 18 years in various geographical regions of Iran, while also assessing the impact of headaches on their quality of life.MethodsEmploying a cross-sectional survey, we have carefully distributed self-completed structured questionnaires to students in 121 meticulously selected schools throughout the country, ensuring the representation of its diverse population.ResultsAmong the 2,958 potential participants, we have included a total of 2031 individuals in our study. This comprises 57.3% children and 42.7% adolescents, with 50.02% being males and 49.97% females. Specifically, we have examined 950 subjects with TTH and 1,081 individuals without any form of headache. TTH was diagnosed in 32.1% of the participants. Notably, we have observed a significant difference in the average age between the TTH subjects and those without headaches. Participants without headaches were more likely to be enrolled in primary schools, while those diagnosed with TTH predominantly attended high schools. We found no significant relationship between urban–rural areas or different geographic regions and the prevalence of TTH or its subtypes. Phonophobia was commonly associated with TTHs. Lastly, the mean quality-of-life score was highest for individuals without headaches, followed by those with low frequency episodic TTH, high frequency episodic TTH, and chronic TTHs. There was also a significant relation between headache severity and quality of life scores.ConclusionThe significant prevalence of TTH in children and adolescents and its adverse impact on the daily activities of individuals underscore the utmost importance of accurate diagnosis and efficient management.https://www.frontiersin.org/articles/10.3389/fneur.2023.1259624/fullchildrenadolescentstension-type headachestudy conducted in schoolsquality of life
spellingShingle Mansoureh Togha
Elham Jafari
Zhale Salami
Zhale Salami
Koorosh Kamali
Hadis Mirzaee Godarzee
Mohadeseh Mirzaee Godarzee
Sanaz Bavarnegin
The prevalence and impact of tension-type headache in school-aged children in Iran
Frontiers in Neurology
children
adolescents
tension-type headache
study conducted in schools
quality of life
title The prevalence and impact of tension-type headache in school-aged children in Iran
title_full The prevalence and impact of tension-type headache in school-aged children in Iran
title_fullStr The prevalence and impact of tension-type headache in school-aged children in Iran
title_full_unstemmed The prevalence and impact of tension-type headache in school-aged children in Iran
title_short The prevalence and impact of tension-type headache in school-aged children in Iran
title_sort prevalence and impact of tension type headache in school aged children in iran
topic children
adolescents
tension-type headache
study conducted in schools
quality of life
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1259624/full
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