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Nervenheilkunde 2015; 34(08): 601-606
DOI: 10.1055/s-0038-1627609
Kopfschmerzen
Schattauer GmbH

Epidemiologie primärer Kopfschmerzen bei Kindern und Jugendlichen

Epidemiology of primary headache in children and adolescents
L. Albers
1   Institut für soziale Pädiatrie und Jugendmedizin, Abteilung Epidemiologie, Ludwig-Maximilians-Universität München, München
,
R. von Kries
1   Institut für soziale Pädiatrie und Jugendmedizin, Abteilung Epidemiologie, Ludwig-Maximilians-Universität München, München
,
F. Heinen
2   Pädiatrische Neurologie, Entwicklungsneurologie und Sozialpädiatrie der Ludwig-Maximilians-Universität München, Dr. von Haunersches Kinderspital, München
,
A. Straube
3   Neurologische Klinik der Ludwig-Maximilians-Universität München, Klinikum Großhadern
› Author Affiliations
Further Information

Publication History

eingegangen am: 18 March 2015

angenommen am: 18 March 2015

Publication Date:
23 January 2018 (online)

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Zusammenfassung

Kopfschmerzen bei Kindern und Jugendlichen in Deutschland sind häufig und nehmen Richtung Jugendalter deutlich zu: Die Prävalenzen liegen zwischen 38% bei jüngeren Kindern und 84% bei Jugendlichen (Migräne: 6% bis 31%; Spannungskopfschmerz: 18% bis 51%; häufige Kopfschmerzen: 4% bis 10%). Dabei wird ein allgemeiner Anstieg der Kopfschmerzprävalenz bei Kindern und Jugendlichen in den letzten Jahren beschrieben, eine Aussage, die aber – bezogen auf alle Studien zu diesem Thema – inkonsistent bleibt. Stress, Rauchen, Koffeinkonsum und dysfunktionale muskuläre Anspannung und Schmerzen im Bereich von Schulter und Nacken wurden auch bei Kindern und Jugendlichen in allen Studien als Risikofaktoren für primäre Kopfschmerzen bestätigt.

Summary

Headache in children and adolescents in Germany is common and increases with age: prevalence rates between 38% in young children and 84% in adolescents were found (migraine: 6% to 31%; tension-type head-ache: 18% to 51%; frequent headache: 4% to 10%). A tendency for a global increase of headaches in the last years/decades was observed. However, this overall picture remains inconsistent. Stress, smoking, caffeine consumption and muscular tension and pain within the neck and shoulder area were confirmed to be risk factors for headache in children and adolescents in all studies.

Schlüsselwörter

Kopfschmerz - Kinder - Jugendliche - Risikofaktoren

Keywords

Headache - children - adolescents - risk factors
 

  • Literatur

  • 1 Wöber-Bingöl C. Epidemiology of migraine and headache in children and adolescents. Curr Pain Headache Rep 2013; 17 (06) 341.
    CrossrefPubMedGoogle Scholar
  • 2 Straube A. et al. Headache in school children: prevalence and risk factors. Dtsch Ärztebl Int 2013; 110 (48) 811-8.
    PubMedGoogle Scholar
  • 3 Milde-Busch A. et al. Quality of life in adolescents with headache: results from a population-based survey. Cephalalgia Int J Headache 2010; 30 (06) 713-21.
    CrossrefPubMedGoogle Scholar
  • 4 Milde-Busch A. et al. Higher prevalence of psychopathological symptoms in adolescents with headache. A population-based cross-sectional study. Headache 2010; 50 (05) 738-48.
    PubMedGoogle Scholar
  • 5 Vos T. et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380 (98/59) 2163-96.
    CrossrefPubMedGoogle Scholar
  • 6 Lu SR. et al. Incidence and risk factors of chronic daily headache in young adolescents: a school cohort study. Pediatrics 2013; 132 (01) e9-16.
    CrossrefPubMedGoogle Scholar
  • 7 Ulrich V, Gervil M, Olesen J. The relative influence of environment and genes in episodic tension-type headache. Neurology 2004; 62 (11) 2065-9.
    CrossrefPubMedGoogle Scholar
  • 8 Milde-Busch A. et al. Associations of diet and lifestyle with headache in high-school students: results from a cross-sectional study. Headache 2010; 50 (07) 1104-14.
    CrossrefPubMedGoogle Scholar
  • 9 Milde-Busch A. et al. Associations between stress and migraine and tension-type headache: results from a school-based study in adolescents from grammar schools in Germany. Cephalalgia 2011; 31 (07) 774-85.
    CrossrefPubMedGoogle Scholar
  • 10 Blaschek A. et al. Self-reported muscle pain in adolescents with migraine and tension-type headache. Cephalalgia 2012; 32 (03) 241-9.
    CrossrefPubMedGoogle Scholar
  • 11 Blaschek A. et al. Self-reported neck pain is associated with migraine but not with tension-type headache in adolescents. Cephalalgia Int J Headache. 2014 19. Februar; E-Pub.
    PubMedGoogle Scholar
  • 12 Albers L. et al. Prevention of headache in adolescents: population-attributable risk fraction for risk factors amenable to intervention. Neuropediatrics 2013; 44 (01) 40-5.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Roth-Isigkeit A. et al. Reports of pain among German children and adolescents: an epidemiological study. Acta Paediatr Oslo Nor 2004; 93 (02) 258-63.
    Google Scholar
  • 14 Fendrich K. et al. Headache prevalence among adolescents – the German DMKG headache study. Cephalalgia Int J Headache 2007; 27 (04) 347-54.
    CrossrefPubMedGoogle Scholar
  • 15 Kröner-Herwig B, Heinrich M, Morris L. Headache in German children and adolescents: a population-based epidemiological study. Cephalalgia Int J Headache 2007; 27 (06) 519-27.
    CrossrefPubMedGoogle Scholar
  • 16 Gaßmann J. et al. Sex-specific predictor analyses for the incidence of recurrent headaches in German schoolchildren. Psycho-Soc Med. 2012 09. Doc03.
    Google Scholar
  • 17 Milde-Busch A. et al. [Is there an association between the reduced school years in grammar schools and headache and other health complaints in adolescent students?]. Klin Pädiatr 2010; 222 (04) 255-60.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Albers L. et al. Headache cessation by an educational intervention in grammar schools: a cluster randomized trial. Eur J Neurol Off J Eur Fed Neurol Soc. 2014 22. September 2014; E-Pub.
    PubMedGoogle Scholar
  • 19 Wang SJ, Fuh JL, Juang KD, Lu SR. Rising prevalence of migraine in Taiwanese adolescents aged 13–15 years. Cephalalgia Int J Headache 2005; 25 (06) 433-8.
    CrossrefPubMedGoogle Scholar
  • 20 Lipton RB. et al. Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache 2001; 41 (07) 646-57.
    CrossrefPubMedGoogle Scholar
  • 21 Gordon KE, Dooley JM, Wood EP. Self-reported headache frequency and features associated with frequent headaches in Canadian young adolescents. Headache 2004; 44 (06) 555-61.
    CrossrefPubMedGoogle Scholar
  • 22 Dooley JM, Gordon KE, Wood EP. Self-reported headache frequency in Canadian adolescents: validation and follow-up. Headache 2005; 45 (02) 127-31.
    CrossrefPubMedGoogle Scholar
  • 23 Anttila P, Metsähonkala L, Sillanpää M. Long-term trends in the incidence of headache in Finnish schoolchildren. Pediatrics 2006; 117 (06) e1197-201.
    CrossrefPubMedGoogle Scholar
  • 24 Stewart WF. et al. Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 1992; 267 (01) 64-9.
    PubMedGoogle Scholar
  • 25 Leonardsson-Hellgren M, Gustavsson UM, Lindblad U. Headache and associations with lifestyle among pupils in senior level elementary school. Scand J Prim Health Care 2001; 19 (02) 107-11.
    CrossrefPubMedGoogle Scholar
  • 26 Sundblad GB. et al. Self-rated pain and perceived health in relation to stress and physical activity among school-students: a 3-year follow-up. Pain 2008; 136 (03) 239-49.
    CrossrefPubMedGoogle Scholar
  • 27 Metsähonkala L, Sillanpää M, Tuominen J. Social environment and headache in 8– to 9-year-old children: a follow-up study. Headache 1998; 38 (03) 222-8.
    CrossrefPubMedGoogle Scholar
  • 28 Haavet O. et al. Illness and exposure to negative life experiences in adolescence: two sides of the same coin? A study of 15-year-olds in Oslo, Norway. Acta Paediatr Oslo Nor 2004; 93 (03) 405-11.
    Google Scholar
  • 29 Graham-Bermann SA, Seng J. Violence exposure and traumatic stress symptoms as additional predictors of health problems in high-risk children. J Pediatr 2005; 146 (03) 349-54.
    CrossrefPubMedGoogle Scholar
  • 30 Gassmann et al. Risk factors for headache in children. Dtsch Ärztebl Int 2009; 106 o(31–32|): 509-16.
    PubMedGoogle Scholar
  • 31 Williams K. et al. Association of common health symptoms with bullying in primary school children. BMJ 1996; 313 (70/48) 17-9.
    CrossrefPubMedGoogle Scholar
  • 32 Waldie KE. et al. Associations between frequent headaches, persistent smoking, and attempts to quit. Headache 2008; 48 (04) 545-52.
    CrossrefPubMedGoogle Scholar
  • 33 Ghandour RM. et al. Headache, stomachache, backache, and morning fatigue among adolescent girls in the United States: associations with behavioral, sociodemographic, and environmental factors. Arch Pediatr Adolesc Med 2004; 158 (08) 797-803.
    CrossrefPubMedGoogle Scholar
  • 34 Botello-Harbaum M. et al. Cigarette smoking status and recurrent subjective health complaints among US school-aged adolescents. Child Care Health Dev 2011; 37 (04) 551-8.
    CrossrefPubMedGoogle Scholar
  • 35 Holmen TL. et al. Health problems in teenage daily smokers versus nonsmokers, Norway, 1995–1997: the Nord-Trøndelag Health Study. Am J Epidemiol 2000; 151 (02) 148-55.
    CrossrefPubMedGoogle Scholar
  • 36 Robberstad L. et al. An unfavorable lifestyle and recurrent headaches among adolescents: the HUNT study. Neurology 2010; 75 (08) 712-7.
    CrossrefPubMedGoogle Scholar
  • 37 Abu-Arafeh I. et al. Prevalence of headache and migraine in children and adolescents: a systematic review of population-based studies. Dev Med Child Neurol 2010; 52 (12) 1088-97.
    CrossrefPubMedGoogle Scholar