The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review

Background. Recurring migraine disorders are a common medical problem, standing among the top causes of disability and sufferings. This study aimed to evaluate epidemiological evidence to report updated estimates on prevalence, risk factors, and associated comorbidities of migraine headache in the A...

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Main Authors: Ashraf El-Metwally, Paivi Toivola, Khalid AlAhmary, Salwa Bahkali, Ali AlKhathaami, Shatha A. Al Ammar, Ibrahim M. Altamimi, Saleh M. Alosaimi, Munazza Jawed, Sami Almustanyir
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2020/4790254
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author Ashraf El-Metwally
Paivi Toivola
Khalid AlAhmary
Salwa Bahkali
Ali AlKhathaami
Shatha A. Al Ammar
Ibrahim M. Altamimi
Saleh M. Alosaimi
Munazza Jawed
Sami Almustanyir
author_facet Ashraf El-Metwally
Paivi Toivola
Khalid AlAhmary
Salwa Bahkali
Ali AlKhathaami
Shatha A. Al Ammar
Ibrahim M. Altamimi
Saleh M. Alosaimi
Munazza Jawed
Sami Almustanyir
author_sort Ashraf El-Metwally
collection DOAJ
description Background. Recurring migraine disorders are a common medical problem, standing among the top causes of disability and sufferings. This study aimed to evaluate epidemiological evidence to report updated estimates on prevalence, risk factors, and associated comorbidities of migraine headache in the Arab countries. Design and Setting. A systematic review was conducted at the College of Public Health and Health Informatics, Riyadh, Saudi Arabia. Methods. A systematic search in electronic databases, such as PubMed and Embase, as well as manual searches with cross-referencing was performed from 1990 up to 2019. Overall, 23 included papers were rated independently by two reviewers. Studies were eligible for inclusion only if they investigated migraine headache epidemiology in any Arab country and were published in English. Results. Migraine prevalence among the general population ranged between 2.6% and 32%. The estimated prevalence of migraine headache among medical university students ranged between 12.2% and 27.9% and between 7.1% and 13.7% in schoolchildren (6 to 18 years). Females were found more likely to have migraine than males. The duration of migraine attacks became shorter with increasing age, while chronic (daily) migraine showed increasing prevalence with age. The most commonly reported comorbidities with migraine included anxiety, hypertension, irritable bowel syndrome, and depression. Most common headache-triggering factors included stress, fatigue, sleep disturbances, prolonged exposure to excessive sunlight or heat, and hunger. Conclusion. The prevalence and risk factors of migraine headache in Arab countries are comparable to reports from western countries. Longitudinal studies are still needed to investigate the prognosis and predictors of chronicity in the arab countries.
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spelling doaj-art-75c982107a354282bbdd7ad6e6e42ff52025-02-03T01:05:03ZengWileyThe Scientific World Journal2356-61401537-744X2020-01-01202010.1155/2020/47902544790254The Epidemiology of Migraine Headache in Arab Countries: A Systematic ReviewAshraf El-Metwally0Paivi Toivola1Khalid AlAhmary2Salwa Bahkali3Ali AlKhathaami4Shatha A. Al Ammar5Ibrahim M. Altamimi6Saleh M. Alosaimi7Munazza Jawed8Sami Almustanyir9College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, Riyadh, Saudi ArabiaCollege of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaPrincess Nourah Bint Abdulrahman University, King Abdullah Bin AbdulAziz University Hospital, Riyadh, Saudi ArabiaKing Abdulaziz Medical City, National Guard Health Affairs, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi ArabiaCollege of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaKing Abdulaziz Medical City, National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaDow University of Health Sciences, Karachi, PakistanMinistry of Health, Riyadh, Saudi ArabiaBackground. Recurring migraine disorders are a common medical problem, standing among the top causes of disability and sufferings. This study aimed to evaluate epidemiological evidence to report updated estimates on prevalence, risk factors, and associated comorbidities of migraine headache in the Arab countries. Design and Setting. A systematic review was conducted at the College of Public Health and Health Informatics, Riyadh, Saudi Arabia. Methods. A systematic search in electronic databases, such as PubMed and Embase, as well as manual searches with cross-referencing was performed from 1990 up to 2019. Overall, 23 included papers were rated independently by two reviewers. Studies were eligible for inclusion only if they investigated migraine headache epidemiology in any Arab country and were published in English. Results. Migraine prevalence among the general population ranged between 2.6% and 32%. The estimated prevalence of migraine headache among medical university students ranged between 12.2% and 27.9% and between 7.1% and 13.7% in schoolchildren (6 to 18 years). Females were found more likely to have migraine than males. The duration of migraine attacks became shorter with increasing age, while chronic (daily) migraine showed increasing prevalence with age. The most commonly reported comorbidities with migraine included anxiety, hypertension, irritable bowel syndrome, and depression. Most common headache-triggering factors included stress, fatigue, sleep disturbances, prolonged exposure to excessive sunlight or heat, and hunger. Conclusion. The prevalence and risk factors of migraine headache in Arab countries are comparable to reports from western countries. Longitudinal studies are still needed to investigate the prognosis and predictors of chronicity in the arab countries.http://dx.doi.org/10.1155/2020/4790254
spellingShingle Ashraf El-Metwally
Paivi Toivola
Khalid AlAhmary
Salwa Bahkali
Ali AlKhathaami
Shatha A. Al Ammar
Ibrahim M. Altamimi
Saleh M. Alosaimi
Munazza Jawed
Sami Almustanyir
The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review
The Scientific World Journal
title The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review
title_full The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review
title_fullStr The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review
title_full_unstemmed The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review
title_short The Epidemiology of Migraine Headache in Arab Countries: A Systematic Review
title_sort epidemiology of migraine headache in arab countries a systematic review
url http://dx.doi.org/10.1155/2020/4790254
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