Santosh Kumar, Shafaq Nazia, Suhail Ahmed Almani, Manzoor Lakhair, Muhammad Iqbal Shah, Zubair Suhail.
Prevalence of Primary Headache in Association with Age, Sex, Obesity and Hypertension among patients received at OPD of Liaquat University Hospital, Hyderabad / Jamshoro.
J Liaquat Uni Med Health Sci Jan ;16(2):103-7.

AIM AND OBJECTIVE: To determine the association of primary headache with age, sex, obesity and hypertension among patients received at medical Out-patient-department of Liaquat University Hospital, Hyderabad / Jamshoro. STUDY DESIGN: It is a cross-sectional study conducted at Liaquat University Hospital Out-Patient Department, Hyderabad / Jamshoro, to determine the prevalence of primary headache in association with sex, age, obesity and hypertension. PLACE AND DURATION OF STUDY: Out-Patient-Department of medicine in Liaquat University Hospital, Hyderabad / Jamshoro from 1st January 2015 to 1st June 2015 METHODOLOGY: This cross-sectional study was conducted with 200 patients (both male and female) from different age groups received in Out-Patient-Department of Liaquat University Hospital, Hyderabad. SPSS 20 version was used for analysis and results. Proforma questionnaires were used for patients including bio-data, history, blood pressure and BMI. Inclusion criteria: All adult patients, both males and females, over the age of 18 years, with presenting complaint of headache were included in the study after taking proper consent. Proper history taking, vital signs, neurological examination, eye examination, BMI, and random blood sugar level were performed. Exclusion criteria: Patients having stroke, hypoglycemia (blood sugar <60mg/dl), diabetic ketoacidosis, intracranial hypertension, eye problem, and Chronic Liver Disease were excluded from this study. RESULTS: Out of a total number of 200 patients, 60% were female and 39% were male, while 1% was dropout during follow-up. Most of the patients were between the ages of 30-60 years. Our study determines 86% of patients have primary headache with normal blood pressure (normal BP 88%) and 13% have secondary headache mostly caused by hypertension (BP 10%), 1% patients was dropout during follow-up from study. Out of 200 patients, 48% were found to have a normal BMI (body mass index), whereas 39% were over weight and 11% had obesity and 2% came under category of morbid obesity. CONCLUSION: This study result determined that among the patients received at medical Out-Patient Department of Liaquat University Hospital, Hyderabad / Jamshoro, primary headache is more common in young females who have an increased body mass index and normal blood pressure. So it is prudent to spread awareness through media campaigns, seminars, and workshops etc, regarding prevention and proper treatment of primary headache in such patients.

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