HEADACHE

PRIMARY VERSUS SECONDARY AND RELATIONSHIP WITH AGE, GENDER, HYPERTENSION, DIABETES AND OBESITY IN LUMHS HYDERABAD

Abstract

Objective and aims: To determines relationship of age, gender, hypertension,
diabetes mellitus and obesity with primary and secondary headache in a tertiary care
hospital. Study design: A cross-sectional study. Place and duration of study: Medical OPD
of Liaquat University of Medical and Health Sciences, Hyderabad from 10January to 10 July
2015. Methodology: Patients (male and female) with complaint of headache in medical OPD
were included in this study. Patients with acute emergency, stroke, meningitis, encephalitis
and severe infection were excluded. After taking informed consent, history, examination and
laboratory test (like fasting blood glucose, blood urea nitrogen) were sent. Data was recorded
in a proforma. Data was entered and analyzed using SPSS version 20. Results: A total of 100
patients of headache were included in this study. The mean age of enrolled participants was
33.6±2 years. Forty percent were male and 60% female with male to male ratio was 0.7:1. Eighty
nine percent of patients have normal blood pressure, 82% normal blood sugar and 48% normal
body mass index. Eighty six percent patients had primary and 14% had secondary headaches.
Normal blood pressure was observed in 93% cases of primary headache compared to 64.3%
in secondary headache (p-0.006). Normal blood sugar was observed in 14% cases of primary
headache compared to 42.9% in secondary headache (p-0.018).normal body mass index was
observed in 51.2% cases of primary headache compared to 28.6% in secondary headache (p-
0.002). Conclusion: There is strong relationship of primary headache with age, gender, obesity
but not associated with hypertension and diabetes mellitus. Hypertension and diabetes are
more strongly related with secondary headache