Influence of exercise level on the occurrence of primary headache

CILJ: Primarni cilj ovog rada je bio ispitati razinu i učestalost tjelesnog naprezanja u bolesnika s primarnim glavoboljama. Sekundarni cilj je bio ispitati povezanost tjelesnog naprezanja i pojavnosti intenziteta napadaja glavobolje na kvalitetu života bolesnika. NACRT ISTRAŽIVANJA: Istraživanje je ustrojeno kao presječno istraživanje. ISPITANICI I POSTUPCI: U istraživanju je sudjelovalo 30 bolesnika oboljelih od primarnih glavobolja koji se liječe kroz ambulantu za glavobolje Klinike za neurologiju KBC-a Osijek. Kao instrument istraživanja koristili su se anonimni anketni upitnik strukturiran za ovo istraživanje, te standardizirani SF - 36 (eng. Short Form Health Survey 36) upitnik zdravstvenog statusa i kvalitete života vezane uz zdravlje. REZULTATI: Uzorak od 30 ispitanika s primarnom glavoboljom su većinom činile žene koje boluju od migrene. Većina ispitanika (93 %) upražnjava neku vrst tjelesnog naprezanja, a 85 % njih to čini svakodnevno ili barem jednom tjedno. Umjereni intenzitet tjelesnog naprezanja je prisutan kod 50 % ispitanika, a 24 ispitanika (80 %) ocjenjuju svoj intenzitet glavobolje srednje jakom ili jakom boli. Nije prisutna značajna razlika u učestalosti i razini tjelesnog naprezanja u odnosu na intenzitet glavobolje. Kod ispitivanja kvalitete života pomoću upitnika SF - 36 nije zabilježena značajna razlika u kvaliteti života, osim u domeni tjelesnog funkcioniranja kod ispitanika s jakim i najjačim mogućim intenzitetom boli, u odnosu na ispitanike sa srednje jakom i umjerenom boli (P = 0,01). Postoji pozitivna i značajna povezanost između učestalosti tjelesnog naprezanja i tjelesnog funkcioniranja (Rho = 0,412). Međutim, prisutna je negativna povezanost između učestalosti tjelesnog naprezanja i psihičkog zdravlja (Rho = -0,365). Ne postoji značajna povezanost između razine tjelesnog naprezanja i pojedinih domena kvalitete života. ZAKLJUČAK: Ne postoji značajna razlika u učestalosti i razini tjelesnog naprezanja u odnosu na intenzitet glavobolje. Pri procjeni kvalitete života učestalost tjelesnog naprezanja, a ne razina tjelesnog naprezanja, ima značajniji utjecaj na pojedine domene tjelesnog i psihičkog zdravlja bolesnika s primarnim glavoboljama.OBJECTIVE: Primary objective of this work was to question exercise level and frequency in patients with primary headache. Secondary objective was to question the correlation between exercise and headache intensity incidence and its effect on patients' quality of life. STUDY DESIGN: This is a cross-sectional study. PARTICIPANTS AND METHODS: The study included 30 participants suffering from primary headaches who were being treated at the Headache Clinic of the Neurology Department of the University Hospital Centre Osijek. An anonymous questionnaire specifically designed for this study and SF - 36 (Short Form Health Survey 36) were the research tools used for this study. RESULTS: In the sample of 30 participants suffering from primary headaches most were females suffering from migraine. Most participants (93 %) practice some kind of physical exercise and 85 % do it on daily or weekly basis. Moderate intensity of exercise is present with 50 % of participants and 24 participants (80 %) rate their headache intensity with moderate or severe intensity. No significant difference is present between frequency and level of exercise compared to headache intensity. In questioning of quality of life with the help of SF-36 questionnaire, no significant difference was recorded in quality of life, except in domain of physical functioning in patients with very severe and worst imaginable pain compared to patients with severe and moderate pain (P = 0,01). There is a positive and significant correlation between frequency of exercise and physical functioning (Rho = 0,412). In contrast, there is a negative corelation between frequency of exercise and mental health (Rho = -0,365). There is no connection between level of exercise and singular domains of quality of life.. CONCLUSION: There is no significant difference in frequency and level of exercise in relation to headache intensity. When evaluating life quality, exercise frequency has more significant impact on particular domains of physical and mental health in patients with primary headaches compared to the level of exercise