Hypertension and migraine in the northern manhattan study

Hannah Gardener, Teshamae S Monteith, Tatjana Rundek, Clinton B Wright, Mitchell S V Elkind, Ralph L Sacco

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To investigate the association between migraine and hypertension in the Northern Manhattan Study (NOMAS), a multiethnic community-based sample. Design: Cross-sectional cohort study. Participants:1338 NOMAS participants (mean age 68.1±9.6 years, 37% male, 15% non-Hispanic White, 19% non-Hispanic Black, 67% Hispanic). Setting: Northern Manhattan community. Intervention: Participants were assessed for migraine symptoms using a self-report questionnaire based on criteria from the International Classification of Headache Disorders. Hypertension was defined as blood pressure ?140/90 mm Hg, the patient's self-reported hypertension, or use of anti-hypertensive medications. Duration (?9 years vs >9 years) and control (BP<140/90) of hypertension were examined. We estimated the association between hypertension and migraine (overall and with/without aura) using logistic regression, adjusting for sociodemographic and vascular risk factors. Results: The majority of participants (80%) had no migraine, 6% had migraine with aura, and 15% had migraine without aura. Hypertension was present in 76% of the study population (7% had controlled hypertension ?9 years duration, 5% controlled hypertension >9 years duration, 41% uncontrolled hypertension ?9 years duration, 23% uncontrolled hypertension >9 years duration). Hypertension was associated with migraine (OR: 1.76, 95% CI: 1.21-2.54), both with and without aura. This association was particularly apparent for those with uncontrolled and long duration hypertension. Conclusion: Hypertension, particularly uncontrolled and of long duration, is associated with migraine, both with and without aura, in a predominantly Hispanic community-based cohort.

Original languageEnglish (US)
Pages (from-to)323-330
Number of pages8
JournalEthnicity and Disease
Volume26
Issue number3
DOIs
StatePublished - Jun 1 2016

Fingerprint

Migraine Disorders
Hypertension
Hispanic Americans
Migraine without Aura
Migraine with Aura
Headache Disorders
Self Report
Antihypertensive Agents
Epilepsy
Cohort Studies
Cross-Sectional Studies
Blood Pressure

Keywords

  • Aura
  • Epidemiology
  • Ethnicity
  • Hypertension
  • Migraine
  • Race

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

Cite this

Hypertension and migraine in the northern manhattan study. / Gardener, Hannah; Monteith, Teshamae S; Rundek, Tatjana; Wright, Clinton B; Elkind, Mitchell S V; Sacco, Ralph L.

In: Ethnicity and Disease, Vol. 26, No. 3, 01.06.2016, p. 323-330.

Research output: Contribution to journalArticle

Gardener, Hannah ; Monteith, Teshamae S ; Rundek, Tatjana ; Wright, Clinton B ; Elkind, Mitchell S V ; Sacco, Ralph L. / Hypertension and migraine in the northern manhattan study. In: Ethnicity and Disease. 2016 ; Vol. 26, No. 3. pp. 323-330.
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