Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients

Headaches, particularly migraine, are associated with gastrointestinal (GI) disorders. In addition to the gut–brain axis, the lung–brain axis is suspected to be involved in the relationship between pulmonary microbes and brain disorders. Therefore, we investigated possible associations of migraine a...

Full description

Bibliographic Details
Main Authors: Jong-Ho Kim, Yeonkyeong Lee, Young-Suk Kwon, Jong-Hee Sohn
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/10/3434
_version_ 1797599693765607424
author Jong-Ho Kim
Yeonkyeong Lee
Young-Suk Kwon
Jong-Hee Sohn
author_facet Jong-Ho Kim
Yeonkyeong Lee
Young-Suk Kwon
Jong-Hee Sohn
author_sort Jong-Ho Kim
collection DOAJ
description Headaches, particularly migraine, are associated with gastrointestinal (GI) disorders. In addition to the gut–brain axis, the lung–brain axis is suspected to be involved in the relationship between pulmonary microbes and brain disorders. Therefore, we investigated possible associations of migraine and non-migraine headaches (nMH) with respiratory and GI disorders using the clinical data warehouse over 11 years. We compared data regarding GI and respiratory disorders, including asthma, bronchitis, and COPD, among patients with migraine, patients with nMH, and controls. In total, 22,444 patients with migraine, 117,956 patients with nMH, and 289,785 controls were identified. After adjustment for covariates and propensity score matching, the odds ratios (ORs) for asthma (1.35), gastroesophageal reflux disorder (1.55), gastritis (1.90), functional GI disorder (1.35), and irritable bowel syndrome (1.76) were significantly higher in patients with migraine than in controls (<i>p</i> = 0.000). The ORs for asthma (1.16) and bronchitis (1.33) were also significantly higher in patients with nMH than in controls (<i>p</i> = 0.0002). When the migraine group was compared with the nMH group, only the OR for GI disorders was statistically significant. Our findings suggest that migraine and nMH are associated with increased risks of GI and respiratory disorders.
first_indexed 2024-03-11T03:37:55Z
format Article
id doaj.art-d0129d028f74412eb510e0d55a3a9818
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-11T03:37:55Z
publishDate 2023-05-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-d0129d028f74412eb510e0d55a3a98182023-11-18T01:52:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011210343410.3390/jcm12103434Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache PatientsJong-Ho Kim0Yeonkyeong Lee1Young-Suk Kwon2Jong-Hee Sohn3Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon 24253, Republic of KoreaInstitute of New Frontier Research Team, College of Medicine, Hallym University, Chuncheon 24252, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon 24253, Republic of KoreaInstitute of New Frontier Research Team, College of Medicine, Hallym University, Chuncheon 24252, Republic of KoreaHeadaches, particularly migraine, are associated with gastrointestinal (GI) disorders. In addition to the gut–brain axis, the lung–brain axis is suspected to be involved in the relationship between pulmonary microbes and brain disorders. Therefore, we investigated possible associations of migraine and non-migraine headaches (nMH) with respiratory and GI disorders using the clinical data warehouse over 11 years. We compared data regarding GI and respiratory disorders, including asthma, bronchitis, and COPD, among patients with migraine, patients with nMH, and controls. In total, 22,444 patients with migraine, 117,956 patients with nMH, and 289,785 controls were identified. After adjustment for covariates and propensity score matching, the odds ratios (ORs) for asthma (1.35), gastroesophageal reflux disorder (1.55), gastritis (1.90), functional GI disorder (1.35), and irritable bowel syndrome (1.76) were significantly higher in patients with migraine than in controls (<i>p</i> = 0.000). The ORs for asthma (1.16) and bronchitis (1.33) were also significantly higher in patients with nMH than in controls (<i>p</i> = 0.0002). When the migraine group was compared with the nMH group, only the OR for GI disorders was statistically significant. Our findings suggest that migraine and nMH are associated with increased risks of GI and respiratory disorders.https://www.mdpi.com/2077-0383/12/10/3434migrainerespiratory disordersheadachegastrointestinal disordersasthma
spellingShingle Jong-Ho Kim
Yeonkyeong Lee
Young-Suk Kwon
Jong-Hee Sohn
Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients
Journal of Clinical Medicine
migraine
respiratory disorders
headache
gastrointestinal disorders
asthma
title Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients
title_full Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients
title_fullStr Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients
title_full_unstemmed Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients
title_short Clinical Implications of the Association between Respiratory and Gastrointestinal Disorders in Migraine and Non-Migraine Headache Patients
title_sort clinical implications of the association between respiratory and gastrointestinal disorders in migraine and non migraine headache patients
topic migraine
respiratory disorders
headache
gastrointestinal disorders
asthma
url https://www.mdpi.com/2077-0383/12/10/3434
work_keys_str_mv AT jonghokim clinicalimplicationsoftheassociationbetweenrespiratoryandgastrointestinaldisordersinmigraineandnonmigraineheadachepatients
AT yeonkyeonglee clinicalimplicationsoftheassociationbetweenrespiratoryandgastrointestinaldisordersinmigraineandnonmigraineheadachepatients
AT youngsukkwon clinicalimplicationsoftheassociationbetweenrespiratoryandgastrointestinaldisordersinmigraineandnonmigraineheadachepatients
AT jongheesohn clinicalimplicationsoftheassociationbetweenrespiratoryandgastrointestinaldisordersinmigraineandnonmigraineheadachepatients