Migraine News....Migraine in Children

For both children and adults, migraine impacts those around them (e.g., causes problems for their loved ones, such as parents and/or partners). Studies have demonstrated increased burden on family members as a result of migraine, with the burden for children with migraine falling on parents or caregivers  and adult migraine burden falling on partners or spouses (and children in the family). Such burden includes increased stress on family members, decreased relationship quality, and decreased family involvement in leisure or social activities. Such stressors are also related to increases in anxiety and depression in family members. Increased stressors on family are often positively correlated with higher levels of migraine-related disability in children and adults.

Migraine is, in turn, influenced by family members; however, this relationship has not been widely studied across age groups, with most research in this domain focusing on the parent-child relationship. Existing research has demonstrated that certain parenting variables can negatively impact children's migraine because of children's heavy dependence on their caregivers . For example, existing problems with family communication can lead to increased problems with pain management in children as well as increased relational difficulties between parents and children. Additionally, pre-existing physical or mental health concerns in parents can have negative impact on frequency, intensity, and ability to manage migraine in their children. Such conditions can include parents with chronic pain conditions (including migraine), and mental health conditions such as depression and anxiety. Importantly, it can be difficult to determine if conditions such as depression and anxiety in parents developed as a result of managing a child with migraine.

Lifestyle recommendations

Recommendations of daily lifestyle activities for migraine management are typically consistent across age groups. These recommendations include consistent intake of food, staying hydrated, and sleeping and exercising regularly.. Specifically, at minimum, food intake should include three meals a day (without skipping meals). Hydration recommendations vary slightly depending on age and activity level, but include an average of 8-10 cups of non-caffeinated fluid per day (greater physical activity includes increased recommendations of fluid intake). Consistent with best practice for physical activity regardless of migraine diagnosis, exercising 30 minutes or more 3-5 times per week is recommended. And finally, recommended duration of sleep also varies by age, but falling asleep and waking around the same time on a consistent bases is encouraged..

While such recommendations are consistent across age groups, some age-related challenges faced by adults may interfere with their ability to adhere to these practices . For example, adults with migraine typically have more health-related comorbidities as a result of ageing that make it difficult for them to regularly exercise. Age related changes in sleep can also result in less consistent sleeping patterns and fewer hours of sleep each night for adults.



Source:  PMC5885754 NCBI