Screening and behavioral management: obesity and weight management

Headache
Robert Nicholson, Marcelo E Bigal

Abstract

Individuals with migraine headaches who are obese or overweight may be at elevated risk for experiencing more frequent migraines and for developing chronic migraine. This makes it imperative that clinicians consider including weight management as part of a migraine treatment plan in situations where the patient is overweight or obese. Weight loss and weight maintenance therapy should employ a combination of behavioral strategies, in particular nutritional education, dietary intervention, and exercise counseling, as a first line intervention. Weight loss medications are considered a secondary treatment; however, when weight loss medications are used, it is vital to monitor the influence of the medication on headache. Similarly, a clinician considering migraine prophylaxis needs to consider whether the pharmacologic agent being considered influences weight gain or loss.

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Citations

Jan 11, 2008·Headache·Timothy Houle, Justin M Nash
Sep 4, 2009·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Randall E Weeks
May 25, 2013·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Randall E Weeks
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Feb 11, 2016·Current Pain and Headache Reports·Cynthia CervoniElizabeth K Seng
Mar 21, 2009·Current Opinion in Endocrinology, Diabetes, and Obesity

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