ABSTRACT
BACKGROUND AND OBJECTIVE: Weight loss can determine significant improvement of migraine in obese patients. Herein, we evaluated a clinical sample of adolescent migraineurs with obesity who participated in an interdisciplinary programme for weight loss, in order to identify possible metabolic parameters associated with good migraine control. SUBJECTS AND METHODS: Using a cross-sectional design, we evaluated 112 out of 135 adolescents who previously underwent our intervention programme. Based on persistence of headache, subjects for comparison were 40 migraine-free and 72 not migraine-free adolescents. Participants underwent anthropometric evaluations and biochemical tests. RESULTS: Patients with persistence of migraine had significantly higher weight (P < 0.01), body mass index (P < 0.01), waist circumference (P < 0.01), homeostasis model assessment of insulin resistance (P < 0.001), triglyceride (P < 0.05), total cholesterol (P < 0.05) and low-density lipoprotein cholesterol (P < 0.05) values when compared with those who became migraine-free. Between potential predictors, only insulin resistance (odds ratio = 3.5, 95% confidence interval = 1.4-6.1; P < 0.001) was significantly associated with persistence of migraine after intervention programme. CONCLUSIONS: Among obese adolescents with migraine who underwent an intervention programme for weight loss, patients who did not become migraine-free showed higher adiposity values than those who became migraine-free. Patients with insulin resistance had 3.5 times the odds of having persistence of migraine compared with those without.
Subject(s)
Behavior Therapy/methods , Migraine Disorders/etiology , Obesity/complications , Weight Reduction Programs , Adolescent , Anthropometry , Body Mass Index , Cholesterol , Cross-Sectional Studies , Female , Humans , Insulin Resistance/physiology , Lipoproteins, LDL , Male , Migraine Disorders/metabolism , Migraine Disorders/therapy , Obesity/metabolism , Obesity/prevention & control , Treatment Outcome , Triglycerides , Waist CircumferenceABSTRACT
A new case of chromosome 3 duplication q21 leads to qter deletion p25 leads to pter syndrome is reported in a girl born to a mother carrier of a pericentric inversion inv (3) (p25 q21). The patient shows several clinical features that can be well superimposed to those previously described.
