Santosh Kumar.
Headache; primary versus secondary and relationship with age, gender, hypertension, diabetes and obesity in LUMHS Hyderabad.
Professional Med J Jan ;23(2):193-7.

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

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