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Children with allergic diseases have an increased subsequent risk of migraine upon reaching school age
  1. Chang-Ching Wei1,2,
  2. Cheng-Li Lin3,4,
  3. Te-Chun Shen2,5,
  4. An-Chyi Chen2
  1. 1 Division of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics, Children’s Hospital, China Medical University Hospital, Taichung, Taiwan
  2. 2 School of Medicine, China Medical University, Taichung, Taiwan
  3. 3 Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan
  4. 4 College of Public Health, China Medical University, Taichung, Taiwan
  5. 5 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan
  1. Correspondence to Dr An-Chyi Chen, School of Medicine, China Medical University, Taichung 40402, Taiwan; chenanchyi{at}yahoo.com.tw

Abstract

The association between migraine and allergy has remained a subject of debate for more than a century. To systemically investigate the interaction between children with antecedent allergic diseases and their future risks of migraine on reaching school age, we recruited 16,130 children aged 7–18 with migraine diagnosed between 2000 and 2008, and 64,520 matched controls without a history of migraine. The ORs of migraine were calculated for the association with allergic diseases diagnosed before migraine diagnosis. The allergic diseases included atopic dermatitis, allergic conjunctivitis, allergic rhinitis (AR), and asthma. Children with preceding allergic diseases had a greater subsequent risk of migraine than the controls. Among the four evaluated diseases, AR had the highest adjusted OR (aOR) of 2.17 (95% CI 2.09 to 2.26). Children with all four allergic diseases had the highest aOR of 3.59 (95% CI 2.91 to 4.44). Further, an increasing trend of aORs was observed with more allergic disease-associated medical consulting. Our study indicates that children with allergic diseases are at increased subsequent risk of migraine when they reach school age, and the risk shows a cumulative effect of more allergic diseases and more allergy-related healthcare.

  • asthma
  • primary health care
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Footnotes

  • Contributors C-CW and T-CS conceptualized and designed the study, drafted the initial manuscript, and approved the final manuscript as submitted. C-LL carried out the initial analysis, reviewed and revised the manuscript, and approved the final manuscript as submitted. C-CW and A-CC coordinated and supervised the data collection, critically reviewed the manuscript, and approved the final manuscript as submitted.

  • Funding This work was supported by grants from the Ministry of Health and Welfare, Taiwan (MOHW107-TDU-B-212-123004), China Medical University Hospital (DMR-107-044, DMR-107-192), China Medical University Hospital, Academia Sinica Stroke Biosignature Project (BM10701010021), MOST Clinical Trial Consortium for Stroke (MOST 106-2321-B-039-005-), Tseng-Lien Lin Foundation, Taichung, Taiwan, and Katsuzo and Kiyo Aoshima Memorial Funds, Japan.

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval The study was approved by the Institutional Review Board of China Medical University Hospital (CRREC-103-048).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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