Abstract:
OBJECTIVE:To determine whether headache disorders are a risk factor for the development of new onset hypothyroidism. BACKGROUND:Past studies have reported associations between headache disorders and hypothyroidism, but the directionality of the association is unknown. METHODS:This was a longitudinal retrospective cohort study using data from the Fernald Medical Monitoring Program (FMMP). Residents received physical examinations and thyroid function testing every 3 years during the 20 year program. Residents were excluded from the cohort if there was evidence of past thyroid disease or abnormal thyroid function tests at the first office visit. A diagnosis of a headache disorder was established by self-report of "frequent headaches," use of any headache-specific medication, or a physician diagnosis of a headache disorder. The primary outcome measure was new onset hypothyroidism defined as the initiation of thyroid replacement therapy or TSH ≥ 10 without thyroid medication. A Cox survival analysis with time dependent variables were used for the model. Headache disorders, age, sex, body mass index, income, smoking, narcotic use, and hypothyroidism-producing medications were independent variables in the model. RESULTS:Data from 8412 residents enrolled in the FMMP were used in the current study. Headache disorders were present in about 26% of the residents and new onset hypothyroidism developed in ∼7%. The hazard ratio for the development of new onset hypothyroidism was 1.21 (95% CI = 1.001, 1.462) for those with headache disorders. CONCLUSIONS:Headache disorders may be associated with an increased risk for the development of new onset hypothyroidism.
journal_name
Headachejournal_title
Headacheauthors
Martin AT,Pinney SM,Xie C,Herrick RL,Bai Y,Buckholz J,Martin VTdoi
10.1111/head.12943subject
Has Abstractpub_date
2017-01-01 00:00:00pages
21-30issue
1eissn
0017-8748issn
1526-4610journal_volume
57pub_type
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