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      Exercise as migraine prophylaxis: A randomized study using relaxation and topiramate as controls

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          Abstract

          Aim: Scientific evidence regarding exercise in migraine prophylaxis is required. Therefore this study aimed to evaluate the effects of exercise in migraine prevention.

          Methods: In a randomized, controlled trial of adults with migraine, exercising for 40 minutes three times a week was compared to relaxation according to a recorded programme or daily topiramate use, which was slowly increased to the individual’s highest tolerable dose (maximum 200 mg/day). The treatment period lasted for 3 months, and migraine status, quality of life, level of physical activity, and oxygen uptake were evaluated. The primary efficacy variable was the mean reduction of the frequency of migraine attacks during the final month of treatment compared with the baseline.

          Results: Ninety-one patients were randomized and included in the intention-to-treat analysis. The primary efficacy variable showed a mean reduction of 0.93 (95% confidence interval (CI) 0.31–1.54) attacks in the exercise group, 0.83 (95% CI 0.22–1.45) attacks in the relaxation group, and 0.97 (95% CI 0.36–1.58) attacks in the topiramate group. No significant difference was observed between the groups ( p = 0.95).

          Conclusion: Exercise may be an option for the prophylactic treatment of migraine in patients who do not benefit from or do not want to take daily medication.

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          Physical Activity and Public Health: Updated Recommendation for Adults From the American College of Sports Medicine and the American Heart Association

          William Haskell, I-Min Lee, Russell R. Pate … (2007)
          In 1995 the American College of Sports Medicine and the Centers for Disease Control and Prevention published national guidelines on Physical Activity and Public Health. The Committee on Exercise and Cardiac Rehabilitation of the American Heart Association endorsed and supported these recommendations. The purpose of the present report is to update and clarify the 1995 recommendations on the types and amounts of physical activity needed by healthy adults to improve and maintain health. Development of this document was by an expert panel of scientists, including physicians, epidemiologists, exercise scientists, and public health specialists. This panel reviewed advances in pertinent physiologic, epidemiologic, and clinical scientific data, including primary research articles and reviews published since the original recommendation was issued in 1995. Issues considered by the panel included new scientific evidence relating physical activity to health, physical activity recommendations by various organizations in the interim, and communications issues. Key points related to updating the physical activity recommendation were outlined and writing groups were formed. A draft manuscript was prepared and circulated for review to the expert panel as well as to outside experts. Comments were integrated into the final recommendation. To promote and maintain health, all healthy adults aged 18 to 65 yr need moderate-intensity aerobic (endurance) physical activity for a minimum of 30 min on five days each week or vigorous-intensity aerobic physical activity for a minimum of 20 min on three days each week. [I (A)] Combinations of moderate- and vigorous-intensity activity can be performed to meet this recommendation. [IIa (B)] For example, a person can meet the recommendation by walking briskly for 30 min twice during the week and then jogging for 20 min on two other days. Moderate-intensity aerobic activity, which is generally equivalent to a brisk walk and noticeably accelerates the heart rate, can be accumulated toward the 30-min minimum by performing bouts each lasting 10 or more minutes. [I (B)] Vigorous-intensity activity is exemplified by jogging, and causes rapid breathing and a substantial increase in heart rate. In addition, every adult should perform activities that maintain or increase muscular strength and endurance a minimum of two days each week. [IIa (A)] Because of the dose-response relation between physical activity and health, persons who wish to further improve their personal fitness, reduce their risk for chronic diseases and disabilities or prevent unhealthy weight gain may benefit by exceeding the minimum recommended amounts of physical activity. [I (A)]
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            The triggers or precipitants of the acute migraine attack.

            L. Kelman (2007)
            The aim of this study was to evaluate and define the triggers of the acute migraine attack. Patients rated triggers on a 0-3 scale for the average headache. Demographics, prodrome, aura, headache characteristics, postdrome, medication responsiveness, acute and chronic disability, sleep characteristics and social and personal characteristics were also recorded. One thousand two hundred and seven International Classification of Headache Disorders-2 (1.1-1.2, and 1.5.1) patients were evaluated, of whom 75.9% reported triggers (40.4% infrequently, 26.7% frequently and 8.8% very frequently). The trigger frequencies were stress (79.7%), hormones in women (65.1%), not eating (57.3%), weather (53.2%), sleep disturbance (49.8%), perfume or odour (43.7%), neck pain (38.4%), light(s) (38.1%), alcohol (37.8%), smoke (35.7%), sleeping late (32.0%), heat (30.3%), food (26.9%), exercise (22.1%) and sexual activity (5.2%). Triggers were more likely to be associated with a more florid acute migraine attack. Differences were seen between women and men, aura and no aura, episodic and chronic migraine, and between migraine and probable migraine.
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              A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during sub-maximal work.

              P Astrand, I RYHMING (1954)
              Article 0 comments Cited 219 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cephalalgia
                Journal ID (publisher-id): CEP
                Journal ID (hwp): spcep
                Title: Cephalalgia
                Publisher: SAGE Publications (Sage UK: London, England )
                ISSN (Print): 0333-1024
                ISSN (Electronic): 1468-2982
                Publication date (Print and electronic): October 2011
                Publication date (Print): October 2011
                Volume: 31
                Issue: 14
                Pages: 1428-1438
                Affiliations
                [1 ]University of Gothenburg, Sweden.
                [2 ]Sahlgrenska University Hospital, Sweden.
                [3 ]Norwegian University of Science and Technology, Norway.
                [4 ]Norwegian National Headache Centre, Norway.
                Author notes
                [*]Emma Varkey, Institute of Neuroscience and Physiology, Department of Physiotherapy, University of Gothenburg, Box 455, SE-405 30 Gothenburg, Sweden Email: emma.varkey@ 123456neuro.gu.se
                Article
                Publisher ID: 10.1177_0333102411419681
                DOI: 10.1177/0333102411419681
                PMC ID: 3236524
                PubMed ID: 21890526
                SO-VID: a448d808-811a-4042-90f5-c161b507fe88
                Copyright © © International Headache Society 2011 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav
                History
                Date received : 30 March 2011
                Date revision received : 10 May 2011
                Date revision received : 21 June 2011
                Date revision received : 29 June 2011
                Date revision received : 11 July 2011
                Date accepted : 16 July 2011
                Categories
                Subject: Original Articles

                ScienceOpen disciplines: Neurology
                Keywords: oxygen uptake,physical activity,prevention,quality of life,headache
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: oxygen uptake, physical activity, prevention, quality of life, headache

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