Associations between the waist-to-height ratio index and migraine: A cross-section study of the NHANES 1999–2004

作者：Jing Jin, Yafang Zheng, Tianqi Gao, Xuanyu Lin, Shi Li, Chunyuan Huang · 发表于：PLoS ONE · 年份：2024 · DOI：10.1371/journal.pone.0312321 · 被引用次数：5 · 研究领域：Migraine and Headache Studies、Traumatic Brain Injury Research、Neurological Complications and Syndromes

BACKGROUND: The importance of obesity as a factor that increases the probability of migraine episodes is increasingly acknowledged. Thus, this study aimed to explore the potential correlation between central obesity and migraine, emphasizing the waist-to-height ratio (WHtR) as a key measure in assessing this relationship. METHODS: This cross-sectional analysis included 13,344 individuals who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999-2004. To investigate the association associations between WHtR and migraine, we utilized refined multivariate logistic regression models, smoothing curve fitting methods, subpopulation analysis, and interactive testing. RESULTS: Of the 13,344 participants, 2,764 (20.72%) had migraines. A significant positive correlation was observed between the WHtR and migraine incidence in both the partially adjusted model (3.08 [95% CI: 1.92-4.94]) and the crude model (1.95 [95% CI: 1.23-3.08]). The participants in the highest quartile of the WHtR had a 13% greater incidence of migraine than those in the lowest quartile [1.13(0.99,1.28)]. The interaction analysis revealed a statistically significant difference (p<0.01) in this relationship among the subgroups. Notably, the correlation between WHtR and migraine risk was not significant and negative in patients ≥60 years, indicating that obesity has a mitigating role in preventing migraine in this elderly population. CONCLUSIONS: The incidence of migraine increased co...