Bóle głowy wywołane wysiłkiem fizycznym
Epidemiologia

Bóle głowy wywołane wysiłkiem fizycznym (PEH) to pierwotne dolegliwości bólowe pojawiające się podczas lub po intensywnym wysiłku, z częstością występowania w populacji ogólnej wahającą się od 1% do 30,4%, średnio około 12%. Wyższe wskaźniki obserwuje się u sportowców, zwłaszcza trenujących sporty siłowe i wytrzymałościowe (np. kolarze 26%, piłkarze 22%, trójboiści siłowi najwyższy wskaźnik). PEH charakteryzuje się bólem pulsującym, najczęściej obustronnym (73,7%), lokalizowanym w okolicy czołowej (34,2%) i skroniowej (16,8%). Czynniki nasilające to ćwiczenia w gorącym otoczeniu (81,6%), duże wysokości, intensywne aktywności (podnoszenie ciężarów, bieganie, tenis) oraz odwodnienie. Występowanie PEH jest częstsze u kobiet (np. 10% vs 5,4% u mężczyzn w badaniu irańskim) i osób młodszych (20-30 lat). Istotna jest korelacja PEH z migreną – 20-40% pacjentów z migreną zgłasza wywołanie ataku przez wysiłek, a częstość PEH w tej grupie wynosi około 12,3%.

Epidemiologia bólów głowy wywołanych wysiłkiem fizycznym

Bóle głowy wywołane wysiłkiem fizycznym (primary exercise headache, PEH) stanowią specyficzną formę dolegliwości bólowych głowy, które występują wyłącznie podczas lub po intensywnym wysiłku fizycznym. Częstość występowania tej dolegliwości jest zróżnicowana w zależności od badanej populacji, użytej metodologii oraz zastosowanych kryteriów diagnostycznych.12

Częstotliwość występowania w populacji ogólnej

Według dostępnych danych epidemiologicznych, częstość występowania bólów głowy wywołanych wysiłkiem fizycznym w populacji ogólnej waha się w szerokim zakresie od 1% do nawet 30,4%.3 W badaniu przekrojowym prowadzonym przez Rasmussena i Olesena, obejmującym reprezentatywną populację osób w wieku 25-64 lat, wykazano, że częstość występowania bólów głowy wysiłkowych w ciągu całego życia wynosi około 1%.4

Nowsze badania epidemiologiczne wskazują jednak na wyższą częstość występowania tych dolegliwości:

  • W badaniu epidemiologicznym przeprowadzonym w Norwegii na grupie 1838 uczestników, 12,3% osób zgłaszało doświadczanie bólów głowy związanych z wysiłkiem fizycznym56
  • W populacyjnym badaniu przekrojowym przeprowadzonym w Teheranie (Iran) na grupie 2079 osób, częstość występowania bólów głowy wysiłkowych oszacowano na 7,3%78
  • W badaniu obejmującym 300 poborowych płci męskiej w wieku 18-26 lat, częstość występowania wynosiła 12,7%910
  • W badaniu przeprowadzonym wśród nastolatków w wieku 13-15 lat na Tajwanie, częstość występowania bólów głowy związanych z wysiłkiem osiągnęła nawet 30,4%11

Średnia częstość występowania bólów głowy wysiłkowych w różnych badaniach epidemiologicznych oscyluje wokół wartości 12%, chociaż występują znaczne rozbieżności w zależności od badanej populacji.12

Częstotliwość występowania w populacjach sportowców

Interesujące dane epidemiologiczne pochodzą z badań prowadzonych wśród sportowców i osób aktywnych fizycznie. W tych grupach częstość występowania bólów głowy wysiłkowych może być znacznie wyższa niż w populacji ogólnej:13

  • W badaniu obejmującym zawodowych kolarzy, częstość występowania PEH oszacowano na 26%1415
  • Wśród australijskich piłkarzy, częstość występowania wynosiła około 22%16
  • W badaniu kohortowym przeprowadzonym na irańskich sportowcach trenujących sporty siłowe, częstość występowania PEH wynosiła 19,8%, ze wskaźnikiem zapadalności 4,8 na 1000 godzin ćwiczeń1718
  • Najwyższy wskaźnik występowania bólów głowy wysiłkowych obserwowano wśród trójboistów siłowych19

W jedynym opublikowanym badaniu dotyczącym bólów głowy związanych ze sportem, które przeprowadzono wśród studentów uniwersyteckich uczestniczących w sporcie uczelnianym, wykazano, że bóle głowy zgłaszało 35% wszystkich respondentów, bez widocznego efektu związanego z płcią.20

Wpływ płci i wieku na występowanie bólów głowy wysiłkowych

Wcześniejsze badania epidemiologiczne sugerowały, że bóle głowy wysiłkowe występują częściej u mężczyzn. Jednak nowsze badania wykazały odwrotną tendencję:21

  • W badaniu przeprowadzonym w Iranie w 2015 roku na grupie 2076 pacjentów, roczna częstość występowania PEH wynosiła 7,3%, ze znaczną przewagą u kobiet (10%) w porównaniu z mężczyznami (5,4%), przy średnim wieku 32 lata2223
  • Duże badanie epidemiologiczne obejmujące ponad 1800 pacjentów wykazało częstość występowania bólów głowy wysiłkowych na poziomie 12,3%, z niewielką przewagą u kobiet2425
  • Pierwotne bóle głowy wysiłkowe zwykle występują u młodszych osób i są nieco częstsze u kobiet niż u mężczyzn26

Najwyższą częstość występowania bólów głowy wysiłkowych obserwuje się u sportowców w wieku 20-30 lat.27

Współwystępowanie z innymi formami bólów głowy

Badania epidemiologiczne wykazały istotną korelację między występowaniem bólów głowy wysiłkowych a migreną:28

  • Dwa duże badania epidemiologiczne w Iranie i Japonii wykazały wysoką częstość współwystępowania PEH z migreną2930
  • Według badań, około 2-4 na 10 osób z migreną zgłasza, że wysiłek fizyczny wywołuje atak migreny31
  • Wśród osób z migreną, częstość występowania bólów głowy po wysiłku wynosi około 12,3%, zgodnie z wynikami przytoczonymi w przeglądzie z 2020 roku32
  • Osoby z genetyczną predyspozycją do migreny mogą być bardziej narażone na rozwój bólów głowy wysiłkowych podczas lub po ćwiczeniach33

Charakterystyka bólów głowy wywołanych wysiłkiem fizycznym

Zgodnie z definicją Międzynarodowego Towarzystwa Bólów Głowy (International Headache Society), pierwotny ból głowy wysiłkowy to pulsujący ból głowy, trwający od 5 minut do 48 godzin, spowodowany wysiłkiem, występujący tylko podczas lub po wysiłku i nieprzypisany innemu zaburzeniu.34

Charakter i lokalizacja bólu

Ból w przebiegu PEH charakteryzuje się specyficznymi cechami klinicznymi:

Czynniki nasilające

Zidentyfikowano szereg czynników nasilających występowanie bólów głowy wysiłkowych:

  • Najczęstszym czynnikiem nasilającym jest ćwiczenie w gorącym otoczeniu (81,6% przypadków)394041
  • Ćwiczenia na dużych wysokościach również zwiększają ryzyko wystąpienia bólów głowy wysiłkowych424344
  • Bóle głowy wysiłkowe częściej występują podczas intensywnych lub wyczerpujących aktywności fizycznych, takich jak:45
    • podnoszenie ciężarów
    • wioślarstwo
    • bieganie
    • tenis
    • pływanie
    • piłka nożna
  • Odwodnienie może zwiększać częstość i nasilenie bólów głowy wysiłkowych46

Czynniki ryzyka

Główne czynniki ryzyka rozwoju bólów głowy wysiłkowych obejmują:

  • Wcześniejsza historia PEH – jest to główny czynnik ryzyka rozwoju bólów głowy wysiłkowych u sportowców trenujących sporty siłowe4748
  • Trening z obciążeniem angażującym górne kończyny i ruch szyi49
  • Współistniejąca migrena lub genetyczna predyspozycja do migreny5051

Znaczenie nadzoru epidemiologicznego i rozpoznania klinicznego

Ze względu na potencjalne poważne przyczyny wtórnych bólów głowy wywołanych wysiłkiem, odpowiedni nadzór i wczesne rozpoznanie mają kluczowe znaczenie:52

Diagnostyka różnicowa

Nowe bóle głowy występujące podczas wysiłku powinny być ocenione przez lekarza. Aktualne wytyczne zalecają obrazowanie mózgu za pomocą:53

Celem badań obrazowych jest wykluczenie problemów ze strukturami mózgu i jego naczyniami krwionośnymi.54 Jest to szczególnie istotne, ponieważ wtórne bóle głowy wysiłkowe mogą być spowodowane poważnymi schorzeniami, takimi jak:5556

Znaczenie badań epidemiologicznych

Badania epidemiologiczne dotyczące bólów głowy wysiłkowych mają kluczowe znaczenie z kilku powodów:58

  • Dostarczają danych na temat częstości występowania i charakterystyki bólów głowy wysiłkowych w różnych populacjach59
  • Pomagają w identyfikacji czynników ryzyka i czynników wyzwalających60
  • Przyczyniają się do lepszego zrozumienia patomechanizmów leżących u podłoża tego typu bólów głowy61
  • Umożliwiają opracowanie skuteczniejszych strategii prewencji i leczenia6263

Należy zauważyć, że mimo przeprowadzenia dużych badań epidemiologicznych, które przyczyniły się do lepszej charakterystyki i określenia zróżnicowanej częstości występowania pierwotnych bólów głowy wysiłkowych, nadal istnieje brak randomizowanych badań klinicznych dotyczących leczenia tej dolegliwości.6465

Korelacja z formą fizyczną

Interesujące wyniki badań wskazują na odwrotną zależność między bólami głowy a wydolnością fizyczną mierzoną jako VO2max:66

  • Osoby doświadczające bólów głowy wykazują tendencję do znajdowania się w najniższym kwintylu VO2max67
  • Ta odwrotna zależność występowała zarówno u uczestników, którzy angażowali się w zalecaną ilość ćwiczeń, jak i u tych, którzy tego nie robili68
  • Więcej niż połowa uczestników (54%) doświadczających bólów głowy zgłaszała, że ćwiczenia nie nasilały ich bólów głowy69

Wyniki te sugerują, że chociaż intensywna aktywność fizyczna może wywoływać bóle głowy u podatnych osób, regularne ćwiczenia i wyższa wydolność aerobowa mogą działać ochronnie poprzez podnoszenie progu dla tego specyficznego czynnika wyzwalającego.7071

Implikacje dla zdrowia publicznego

Bóle głowy wysiłkowe, chociaż często uważane za łagodne i przemijające, mogą mieć istotne implikacje dla zdrowia publicznego:72

Nadzór nad sportowcami

Szczególne znaczenie ma monitorowanie i nadzór nad sportowcami, wśród których częstość występowania bólów głowy wysiłkowych jest znacznie wyższa niż w populacji ogólnej:7374

  • Badania wskazują na wyższe wskaźniki zapadalności i częstości występowania PEH u sportowców trenujących sporty siłowe w porównaniu z istniejącymi danymi z populacji ogólnych75
  • Najwyższy wskaźnik zapadalności obserwowano u trójboistów siłowych76
  • Obciążenie bólami głowy wysiłkowymi u sportowców może być niedoszacowane, jak sugeruje badanie 4000 kolarzy wyczynowych, które wykazało częstość występowania na poziomie 26%77

Odpowiedni nadzór medyczny nad tymi grupami może przyczynić się do wcześniejszego wykrywania i skuteczniejszego leczenia bólów głowy wysiłkowych, co może poprawić wyniki sportowe i jakość życia sportowców.78

Potrzeba dalszych badań

Istnieje wyraźna potrzeba prowadzenia dalszych badań w zakresie epidemiologii i nadzoru nad bólami głowy wysiłkowymi:7980

  • Brak jest długoterminowych badań prospektywnych oceniających naturalny przebieg i rokowanie w przypadku bólów głowy wysiłkowych81
  • Istnieje potrzeba przeprowadzenia randomizowanych badań klinicznych oceniających skuteczność różnych metod leczenia8283
  • Konieczne są dalsze badania nad patomechanizmami leżącymi u podłoża bólów głowy wysiłkowych84
  • Potrzebne są badania oceniające wpływ bólów głowy wysiłkowych na aktywność fizyczną i zachowania prozdrowotne w populacji ogólnej85

Wyniki tych badań mogą przyczynić się do opracowania skuteczniejszych strategii prewencji i leczenia, co może poprawić jakość życia osób dotkniętych bólami głowy wysiłkowymi.86

Wpływ na zdrowie publiczne

Bóle głowy wysiłkowe, chociaż często uważane za łagodne, mogą mieć istotny wpływ na zdrowie publiczne:87

  • Mogą prowadzić do unikania aktywności fizycznej, co może mieć negatywne konsekwencje dla ogólnego stanu zdrowia88
  • Mogą wpływać na wydajność i funkcjonowanie zawodowe, szczególnie w przypadku osób, których praca wymaga wysiłku fizycznego89
  • W przypadku sportowców mogą prowadzić do ograniczenia treningu i gorszych wyników sportowych90

Z drugiej strony, badania epidemiologiczne wykazały, że regularna aktywność fizyczna może zmniejszać częstość występowania migreny i innych typów bólów głowy, co wskazuje na złożoną zależność między aktywnością fizyczną a bólami głowy.9192

Chociaż ćwiczenia mogą wywoływać bóle głowy u niektórych osób, wydaje się, że regularna aktywność fizyczna może być ważną metodą zmniejszania częstości występowania migreny, prawdopodobnie poprzez podnoszenie progu dla migreny wywołanej wysiłkiem.9394

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #2 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #3 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #4 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #5 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #6 Why do I get headaches when I exercise, even when I drink lots of water?
    https://theconversation.com/why-do-i-get-headaches-when-i-exercise-even-when-i-drink-lots-of-water-253039
    Exercise headaches (also known as exertional headaches) are exactly what they sound like: headaches that occur either during, or after, exercise. […] Exercise headaches are thought to impact about 12% of adults, although this number varies from 1% all the way up to 26% across individual studies. […] Despite a good amount of research looking at exertional headaches, we dont know their exact cause, but we do think we know why they occur. […] There is evidence suggesting that exercise headaches are more likely to occur in the heat. […] Similarly, exercise headaches also seem to get worse, and occur more often, when people are dehydrated. […] Most exercise headaches resolve themselves after a few hours and result in no lasting negative effects. […] Exercise headaches are annoying, but are generally harmless and should subside on their own over time.
  • #7 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #8 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    In a 2015 epidemiology study of 2076 patients in Iran, the 1-year prevalence of PEH was seen at 7.3%, with a significant preponderance for females (10% vs 5.4% men) and a mean age of 32 years (12 years). […] A 2015 Japanese study evaluated 2546 patients with headache and identified 30 patients with PEH using the current guideline classifications.
  • #9 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Headache is one of the most common complaints in today’s society. Patterns and prevalence of headache, especially headaches associated with physical activity (Exertional Headache) in the population of conscripts in our country is unknown. […] In this cross sectional study we tried to answer these questions to some extent. […] Headache prevalence among our conscript participants was 78.7%. The prevalence of exertional headache was 12.7%. […] Our team provided a reasonable database of exertional headache and its characteristics in conscripts population which could be used in further investigations to improve their general health and function. […] This study was performed to identify EH prevalence, pattern, stimulator factors, the way sufferers deal with it, and its aggravating and alleviating factors among military conscripts in Tehran, Iran.
  • #10 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #11 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Several studies have described the prevalence of primary exercise headache. The reported prevalence ranges from 1% to as high as 30.4%. […] Rasmussen and Olesen have assessed the lifetime prevalence of headache disorders in a cross-sectional epidemiologic survey of a representative 25- to 64-year-old general population. They found a lifetime prevalence of 1% for benign exertional headache. In an epidemiological survey in Norway involving 1838 participants, 12.3% referred to exercise headache; in a survey of 1963 adolescents between the ages of 13 and 15 in Taiwan, the prevalence of exercise headache was as high as 30.4%. A cluster-sampled cross-sectional study of the population of Tehran in 2079 individuals reported a prevalence of 7.3%, and a study of 300 male conscripts between the ages of 18 to 26 reported a prevalence of 12.7%.
  • #12 Why do I get headaches when I exercise, even when I drink lots of water?
    https://theconversation.com/why-do-i-get-headaches-when-i-exercise-even-when-i-drink-lots-of-water-253039
    Exercise headaches (also known as exertional headaches) are exactly what they sound like: headaches that occur either during, or after, exercise. […] Exercise headaches are thought to impact about 12% of adults, although this number varies from 1% all the way up to 26% across individual studies. […] Despite a good amount of research looking at exertional headaches, we dont know their exact cause, but we do think we know why they occur. […] There is evidence suggesting that exercise headaches are more likely to occur in the heat. […] Similarly, exercise headaches also seem to get worse, and occur more often, when people are dehydrated. […] Most exercise headaches resolve themselves after a few hours and result in no lasting negative effects. […] Exercise headaches are annoying, but are generally harmless and should subside on their own over time.
  • #13 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #14 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Earlier prevalence studies suggest that primary exercise headache appears to be more frequent in men. However, later studies demonstrate contrary evidence. […] Two studies have shown a high rate of comorbidity with migraine. A survey of 4000 competitive cyclists revealed a prevalence of 26%, suggesting its burden in athletes may be underestimated.
  • #15 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #16 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #17 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. The prevalence of headache during the follow-ups was 19.8% in which the highest headache incidence occurred in 20-30 years old athletes. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes.
  • #18 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #19 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #20 Headache in sport | British Journal of Sports Medicine
    https://bjsm.bmj.com/content/35/5/286
    The prevalence and nature of headache in sport is largely unknown. The only published study on sport related headaches was a survey performed on university students participating in varsity sport. The authors found that headaches were reported by 35% of all respondents with no gender effect evident.
  • #21 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Earlier prevalence studies suggest that primary exercise headache appears to be more frequent in men. However, later studies demonstrate contrary evidence. […] Two studies have shown a high rate of comorbidity with migraine. A survey of 4000 competitive cyclists revealed a prevalence of 26%, suggesting its burden in athletes may be underestimated.
  • #22
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    In a 2015 epidemiology study of 2076 patients in Iran, the 1-year prevalence of PEH was seen at 7.3%, with a significant preponderance for females (10% vs 5.4% men) and a mean age of 32 years (12 years). […] A 2015 Japanese study evaluated 2546 patients with headache and identified 30 patients with PEH using the current guideline classifications. […] This large epidemiological study helps elucidate mean age, female preponderance, and prevalence of primary exercise headache in Iran. […] This study helps describes the phenotype of primary exercise headache in a Japanese demographic with a large sample size.
  • #23 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    In a 2015 epidemiology study of 2076 patients in Iran, the 1-year prevalence of PEH was seen at 7.3%, with a significant preponderance for females (10% vs 5.4% men) and a mean age of 32 years (12 years). […] A 2015 Japanese study evaluated 2546 patients with headache and identified 30 patients with PEH using the current guideline classifications.
  • #24
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #25 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #26 Can Exercise Affect Headaches? – Jake Connolly AEP – Vision Health
    https://www.visionexercisephysiology.com.au/can-exercise-affect-headaches-jake-connolly-aep/
    Headaches that occur during or immediately after exercise without any attributable cause are called primary exercise headaches (PEH). […] Primary exercise headaches tend to occur in younger people and are slightly more common in women than men. […] New headaches during exercise should be evaluated by a physician, with current guidelines recommending brain imaging with magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), or computed tomography (CT) and CT angiography (CTA), to rule out problems with the structures in the brain and its blood vessels. […] Fortunately, PEH is relatively rare compared to other headache syndromes such as migraines. […] There is limited data on how frequently exercise is a trigger for migraine headaches, but the largest dataset, a prospective trial on 1207 patients between the ages of 13 and 80 years old, found that exercise was reported to be a trigger in 22% of subjects.
  • #27 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. The prevalence of headache during the follow-ups was 19.8% in which the highest headache incidence occurred in 20-30 years old athletes. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes.
  • #28 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #29
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #30 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Earlier prevalence studies suggest that primary exercise headache appears to be more frequent in men. However, later studies demonstrate contrary evidence. […] Two studies have shown a high rate of comorbidity with migraine. A survey of 4000 competitive cyclists revealed a prevalence of 26%, suggesting its burden in athletes may be underestimated.
  • #31 Headache associated with exercise – The Migraine TrustVisualV1 – SearchVisualV1 – CrossVisualV1 – Home VisualV1 – CrossVisualV1 – Arrow
    https://migrainetrust.org/understand-migraine/types-of-migraine/other-headache-disorders/headache-associated-with-exercise/
    Two types of headache associated with exercise […] Approximately 2-4 out of 10 people with migraine will report that exercise triggers an attack. […] While migraine is common and exercise as a trigger for a migraine attack is also common, there are important headache syndromes associated with exercise which should be investigated and require specific treatment. […] Primary Exercise Headache is not dangerous. However, more serious causes of headache associated with exercise should be excluded. […] It’s important to identify cardiac cephalalgia so the underlying heart disease can be managed.
  • #32 Migraine After Working Out: Causes, Treatment, and More
    https://www.healthline.com/health/migraine/exercise-induced-migraines
    Some people experience exercise-induced migraine, especially if the workout is intense. […] Data suggests that migraine has a prevalence of at least 25%. […] Among people with migraine, the prevalence of developing it after exercise is somewhere around 12.3%, according to an older study mentioned in a 2020 review. […] An exercise-induced migraine episode tends to occur more often in association with certain vigorous or strenuous sports or activities, including: weightlifting, rowing, running, tennis, swimming, and football. […] For those who experience exercise as a migraine trigger, the environment can also be a risk factor for an attack. Exercise-induced migraine is more likely to occur in people who are working out in hot, humid weather, or at high altitudes. […] If exercise is one of your migraine triggers, you don’t have to give it up. […] It’s important that you work with your doctor to find ways to prevent and treat migraine to help prevent your condition from getting worse.
  • #33 Migraine after exercise: Treatment and preventio
    https://www.medicalnewstoday.com/articles/migraine-after-working-out
    Doctor Mark Green of the NHFs Health Care Leadership Council recommends that people living with migraine introduce exercise gradually into their daily routine. […] It is also worth noting that people with an inherited susceptibility to migraine may be at increased risk of developing exertional headaches during or after exercise. […] According to a 2018 review, while exercise appears to trigger migraine attacks in some individuals, it also seems that regular exercise can be an important method in reducing migraine frequency. […] The authors suggest this may be because regular exercise increases the threshold for exercise-induced migraine. […] In line with this, both the AMF and the National Headache Foundation (NHF) state that regular exercise can help prevent migraine attacks. […] Medical experts recommend that people with migraine introduce exercise gradually into their daily routine to help prevent exercise-induced migraines.
  • #34 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #35 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #36 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Did you know there’s a headache disorder that specifically occurs during or after strenuous exercise? If you’re experiencing this, it could be primary exercise headache. […] Primary exercise headache, previously known as primary exertional headache or benign exertional headache, is a rare type of headache disorder that is brought on by and occurs only during or after strenuous physical exercise. […] Pain from a primary exercise headache is commonly described as bilateral (on both sides of the head) and pulsating. An exercise-induced headache generally lasts from five minutes to 48 hours and is more likely to occur in hot weather or at high altitudes. […] Primary exercise headache is not caused by another condition or disorder. If exercise causes you to have a headache, you should see your doctor to rule out potentially serious underlying issues—especially if these symptoms are new and/or you have never been evaluated for primary exercise headache.
  • #37 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #38 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Did you know there’s a headache disorder that specifically occurs during or after strenuous exercise? If you’re experiencing this, it could be primary exercise headache. […] Primary exercise headache, previously known as primary exertional headache or benign exertional headache, is a rare type of headache disorder that is brought on by and occurs only during or after strenuous physical exercise. […] Pain from a primary exercise headache is commonly described as bilateral (on both sides of the head) and pulsating. An exercise-induced headache generally lasts from five minutes to 48 hours and is more likely to occur in hot weather or at high altitudes. […] Primary exercise headache is not caused by another condition or disorder. If exercise causes you to have a headache, you should see your doctor to rule out potentially serious underlying issues—especially if these symptoms are new and/or you have never been evaluated for primary exercise headache.
  • #39 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #40 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Did you know there’s a headache disorder that specifically occurs during or after strenuous exercise? If you’re experiencing this, it could be primary exercise headache. […] Primary exercise headache, previously known as primary exertional headache or benign exertional headache, is a rare type of headache disorder that is brought on by and occurs only during or after strenuous physical exercise. […] Pain from a primary exercise headache is commonly described as bilateral (on both sides of the head) and pulsating. An exercise-induced headache generally lasts from five minutes to 48 hours and is more likely to occur in hot weather or at high altitudes. […] Primary exercise headache is not caused by another condition or disorder. If exercise causes you to have a headache, you should see your doctor to rule out potentially serious underlying issues—especially if these symptoms are new and/or you have never been evaluated for primary exercise headache.
  • #41 Why do I get headaches when I exercise, even when I drink lots of water?
    https://theconversation.com/why-do-i-get-headaches-when-i-exercise-even-when-i-drink-lots-of-water-253039
    Exercise headaches (also known as exertional headaches) are exactly what they sound like: headaches that occur either during, or after, exercise. […] Exercise headaches are thought to impact about 12% of adults, although this number varies from 1% all the way up to 26% across individual studies. […] Despite a good amount of research looking at exertional headaches, we dont know their exact cause, but we do think we know why they occur. […] There is evidence suggesting that exercise headaches are more likely to occur in the heat. […] Similarly, exercise headaches also seem to get worse, and occur more often, when people are dehydrated. […] Most exercise headaches resolve themselves after a few hours and result in no lasting negative effects. […] Exercise headaches are annoying, but are generally harmless and should subside on their own over time.
  • #42 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Did you know there’s a headache disorder that specifically occurs during or after strenuous exercise? If you’re experiencing this, it could be primary exercise headache. […] Primary exercise headache, previously known as primary exertional headache or benign exertional headache, is a rare type of headache disorder that is brought on by and occurs only during or after strenuous physical exercise. […] Pain from a primary exercise headache is commonly described as bilateral (on both sides of the head) and pulsating. An exercise-induced headache generally lasts from five minutes to 48 hours and is more likely to occur in hot weather or at high altitudes. […] Primary exercise headache is not caused by another condition or disorder. If exercise causes you to have a headache, you should see your doctor to rule out potentially serious underlying issues—especially if these symptoms are new and/or you have never been evaluated for primary exercise headache.
  • #43 Headache: Types and Treatment | Doctor
    https://patient.info/doctor/headache-pro
    Headache affects almost everyone at some time. It is more common in women than in men. […] Primary exercise headache: this is a pulsating headache brought on by exercise and lasting 5 minutes to 48 hours. It occurs particularly in hot weather or at high altitude. Due to its sudden onset, SAH may need to be excluded. At altitude it is essential to consider acute mountain sickness and high-altitude cerebral oedema, and in view of their seriousness these should be the first-line diagnoses until disproved.
  • #44 4.2 Primary exercise headache – ICHD-3
    https://ichd-3.org/other-primary-headache-disorders/4-2-primary-exercise-headache/
    4.2 Primary exercise headache occurs particularly in hot weather or at high altitude. […] The pathophysiological mechanisms underlying 4.2 Primary exercise headache are unknown. Most investigators believe it is vascular in origin, hypothesizing that venous or arterial distension, secondary to physical exercise, is the pain-inducing mechanism. The recent finding that patients with 4.2 Primary exercise headache have a significantly higher prevalence of internal jugular venous valve incompetence (70% compared with 20% of controls) suggests that intracranial venous congestion caused by retrograde jugular venous flow may play a role in the pathophysiology of this disorder.
  • #45 Migraine After Working Out: Causes, Treatment, and More
    https://www.healthline.com/health/migraine/exercise-induced-migraines
    Some people experience exercise-induced migraine, especially if the workout is intense. […] Data suggests that migraine has a prevalence of at least 25%. […] Among people with migraine, the prevalence of developing it after exercise is somewhere around 12.3%, according to an older study mentioned in a 2020 review. […] An exercise-induced migraine episode tends to occur more often in association with certain vigorous or strenuous sports or activities, including: weightlifting, rowing, running, tennis, swimming, and football. […] For those who experience exercise as a migraine trigger, the environment can also be a risk factor for an attack. Exercise-induced migraine is more likely to occur in people who are working out in hot, humid weather, or at high altitudes. […] If exercise is one of your migraine triggers, you don’t have to give it up. […] It’s important that you work with your doctor to find ways to prevent and treat migraine to help prevent your condition from getting worse.
  • #46 Why do I get headaches when I exercise, even when I drink lots of water?
    https://theconversation.com/why-do-i-get-headaches-when-i-exercise-even-when-i-drink-lots-of-water-253039
    Exercise headaches (also known as exertional headaches) are exactly what they sound like: headaches that occur either during, or after, exercise. […] Exercise headaches are thought to impact about 12% of adults, although this number varies from 1% all the way up to 26% across individual studies. […] Despite a good amount of research looking at exertional headaches, we dont know their exact cause, but we do think we know why they occur. […] There is evidence suggesting that exercise headaches are more likely to occur in the heat. […] Similarly, exercise headaches also seem to get worse, and occur more often, when people are dehydrated. […] Most exercise headaches resolve themselves after a few hours and result in no lasting negative effects. […] Exercise headaches are annoying, but are generally harmless and should subside on their own over time.
  • #47 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. The prevalence of headache during the follow-ups was 19.8% in which the highest headache incidence occurred in 20-30 years old athletes. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes.
  • #48 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #49 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations. Having a history of PEH, as the main risk factor, and training with upper limbs and neck movement were other main related factors for developing PEH in resistance trained athletes.
  • #50
    https://healthmatch.io/migraine/exercise-induced-migraine
    An exertional headache is brought on by physical activity. This usually means strenuous exercise, but some get exertional headaches from sexual activity or coughing. These seem to be caused by similar factors. […] Exertional headaches are split into two categories. […] Primary exertional headaches are considered harmless, although they can have health impacts when they cause you to avoid physical activity. […] Secondary exertional headaches can be caused by many health conditions, some of which are very serious. […] Exertional headaches can be experienced by anyone who engages in physical activity, but some factors increase your risk. […] True exertional headaches are not migraines, but some people have migraines triggered by exercise, and people with migraines are at a higher risk of developing exertional headaches. […] The epidemiology of exertional headache in the general population of Tehran, Iran (2015) […] An online survey of exercise-related headaches among cyclists (2012)
  • #51 Migraine after exercise: Treatment and preventio
    https://www.medicalnewstoday.com/articles/migraine-after-working-out
    Doctor Mark Green of the NHFs Health Care Leadership Council recommends that people living with migraine introduce exercise gradually into their daily routine. […] It is also worth noting that people with an inherited susceptibility to migraine may be at increased risk of developing exertional headaches during or after exercise. […] According to a 2018 review, while exercise appears to trigger migraine attacks in some individuals, it also seems that regular exercise can be an important method in reducing migraine frequency. […] The authors suggest this may be because regular exercise increases the threshold for exercise-induced migraine. […] In line with this, both the AMF and the National Headache Foundation (NHF) state that regular exercise can help prevent migraine attacks. […] Medical experts recommend that people with migraine introduce exercise gradually into their daily routine to help prevent exercise-induced migraines.
  • #52 Exertional Headaches
    https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=75767
    Headaches related to exertion include headache precipitated by cough or other Valsalva maneuvers, headache brought on by prolonged physical exercise and sexual headache. […] Headaches related to exertion include mainly three entities: cough headache, exercise headache and sexual headache. These three varieties of exertional headaches can be primary or secondary. […] The treatment of primary varieties (indomethacin for cough headache and beta-blockers for exercise and sexual headaches) and etiologies for secondary varieties (mainly Chiari type I malformation for cough headache and vascular malformations for exercise and sexual headaches) are different for cough versus exercise and sexual headaches. […] In contrast to classical works, cough headache is an entity clearly separated from headache related to prolonged exercise and, in general, sexual headache, conditions which share many aspects.
  • #53 Can Exercise Affect Headaches? – Jake Connolly AEP – Vision Health
    https://www.visionexercisephysiology.com.au/can-exercise-affect-headaches-jake-connolly-aep/
    Headaches that occur during or immediately after exercise without any attributable cause are called primary exercise headaches (PEH). […] Primary exercise headaches tend to occur in younger people and are slightly more common in women than men. […] New headaches during exercise should be evaluated by a physician, with current guidelines recommending brain imaging with magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), or computed tomography (CT) and CT angiography (CTA), to rule out problems with the structures in the brain and its blood vessels. […] Fortunately, PEH is relatively rare compared to other headache syndromes such as migraines. […] There is limited data on how frequently exercise is a trigger for migraine headaches, but the largest dataset, a prospective trial on 1207 patients between the ages of 13 and 80 years old, found that exercise was reported to be a trigger in 22% of subjects.
  • #54 Can Exercise Affect Headaches? – Jake Connolly AEP – Vision Health
    https://www.visionexercisephysiology.com.au/can-exercise-affect-headaches-jake-connolly-aep/
    Headaches that occur during or immediately after exercise without any attributable cause are called primary exercise headaches (PEH). […] Primary exercise headaches tend to occur in younger people and are slightly more common in women than men. […] New headaches during exercise should be evaluated by a physician, with current guidelines recommending brain imaging with magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), or computed tomography (CT) and CT angiography (CTA), to rule out problems with the structures in the brain and its blood vessels. […] Fortunately, PEH is relatively rare compared to other headache syndromes such as migraines. […] There is limited data on how frequently exercise is a trigger for migraine headaches, but the largest dataset, a prospective trial on 1207 patients between the ages of 13 and 80 years old, found that exercise was reported to be a trigger in 22% of subjects.
  • #55
    https://healthmatch.io/migraine/exercise-induced-migraine
    An exertional headache is brought on by physical activity. This usually means strenuous exercise, but some get exertional headaches from sexual activity or coughing. These seem to be caused by similar factors. […] Exertional headaches are split into two categories. […] Primary exertional headaches are considered harmless, although they can have health impacts when they cause you to avoid physical activity. […] Secondary exertional headaches can be caused by many health conditions, some of which are very serious. […] Exertional headaches can be experienced by anyone who engages in physical activity, but some factors increase your risk. […] True exertional headaches are not migraines, but some people have migraines triggered by exercise, and people with migraines are at a higher risk of developing exertional headaches. […] The epidemiology of exertional headache in the general population of Tehran, Iran (2015) […] An online survey of exercise-related headaches among cyclists (2012)
  • #56 Exertional Headaches
    https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=75767
    Headaches related to exertion include headache precipitated by cough or other Valsalva maneuvers, headache brought on by prolonged physical exercise and sexual headache. […] Headaches related to exertion include mainly three entities: cough headache, exercise headache and sexual headache. These three varieties of exertional headaches can be primary or secondary. […] The treatment of primary varieties (indomethacin for cough headache and beta-blockers for exercise and sexual headaches) and etiologies for secondary varieties (mainly Chiari type I malformation for cough headache and vascular malformations for exercise and sexual headaches) are different for cough versus exercise and sexual headaches. […] In contrast to classical works, cough headache is an entity clearly separated from headache related to prolonged exercise and, in general, sexual headache, conditions which share many aspects.
  • #57 Headache: Types and Treatment | Doctor
    https://patient.info/doctor/headache-pro
    Headache affects almost everyone at some time. It is more common in women than in men. […] Primary exercise headache: this is a pulsating headache brought on by exercise and lasting 5 minutes to 48 hours. It occurs particularly in hot weather or at high altitude. Due to its sudden onset, SAH may need to be excluded. At altitude it is essential to consider acute mountain sickness and high-altitude cerebral oedema, and in view of their seriousness these should be the first-line diagnoses until disproved.
  • #58 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #59
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    In a 2015 epidemiology study of 2076 patients in Iran, the 1-year prevalence of PEH was seen at 7.3%, with a significant preponderance for females (10% vs 5.4% men) and a mean age of 32 years (12 years). […] A 2015 Japanese study evaluated 2546 patients with headache and identified 30 patients with PEH using the current guideline classifications. […] This large epidemiological study helps elucidate mean age, female preponderance, and prevalence of primary exercise headache in Iran. […] This study helps describes the phenotype of primary exercise headache in a Japanese demographic with a large sample size.
  • #60 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Headache is one of the most common complaints in today’s society. Patterns and prevalence of headache, especially headaches associated with physical activity (Exertional Headache) in the population of conscripts in our country is unknown. […] In this cross sectional study we tried to answer these questions to some extent. […] Headache prevalence among our conscript participants was 78.7%. The prevalence of exertional headache was 12.7%. […] Our team provided a reasonable database of exertional headache and its characteristics in conscripts population which could be used in further investigations to improve their general health and function. […] This study was performed to identify EH prevalence, pattern, stimulator factors, the way sufferers deal with it, and its aggravating and alleviating factors among military conscripts in Tehran, Iran.
  • #61 4.2 Primary exercise headache – ICHD-3
    https://ichd-3.org/other-primary-headache-disorders/4-2-primary-exercise-headache/
    4.2 Primary exercise headache occurs particularly in hot weather or at high altitude. […] The pathophysiological mechanisms underlying 4.2 Primary exercise headache are unknown. Most investigators believe it is vascular in origin, hypothesizing that venous or arterial distension, secondary to physical exercise, is the pain-inducing mechanism. The recent finding that patients with 4.2 Primary exercise headache have a significantly higher prevalence of internal jugular venous valve incompetence (70% compared with 20% of controls) suggests that intracranial venous congestion caused by retrograde jugular venous flow may play a role in the pathophysiology of this disorder.
  • #62 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #63
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #64 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #65
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #66 Headaches and VO2 max » ForeverFitScience
    https://foreverfitscience.com/research/headaches-and-vo2-max/
    According to the National Ambulatory Medical Care Survey and the National Health Interview Survey (NHIS), 14.2% of US adults (18+) reported experiencing a migraine or severe headache in the previous three months. […] Results demonstrated an inverse relationship between headaches and VO2max such that subjects who experienced headaches tended to be in the lower most quintile of VO2max. […] Additionally, analyses revealed that this inverse relationship was present for participants who engaged in the recommended amount of exercise (fitness sample) and those that did not. […] It is important to acknowledge that, in many cases, intense physical activity may induce or worsen headaches. […] More than 1/2 of the participants (54%) who experienced headaches reported that exercise did not aggravate headaches. […] My last article highlighted the inverse relationship between headaches and VO2 max levels such that individuals who experienced headaches regularly had, on average, lower VO2 peaks than their control counterparts.
  • #67 Headaches and VO2 max » ForeverFitScience
    https://foreverfitscience.com/research/headaches-and-vo2-max/
    According to the National Ambulatory Medical Care Survey and the National Health Interview Survey (NHIS), 14.2% of US adults (18+) reported experiencing a migraine or severe headache in the previous three months. […] Results demonstrated an inverse relationship between headaches and VO2max such that subjects who experienced headaches tended to be in the lower most quintile of VO2max. […] Additionally, analyses revealed that this inverse relationship was present for participants who engaged in the recommended amount of exercise (fitness sample) and those that did not. […] It is important to acknowledge that, in many cases, intense physical activity may induce or worsen headaches. […] More than 1/2 of the participants (54%) who experienced headaches reported that exercise did not aggravate headaches. […] My last article highlighted the inverse relationship between headaches and VO2 max levels such that individuals who experienced headaches regularly had, on average, lower VO2 peaks than their control counterparts.
  • #68 Headaches and VO2 max » ForeverFitScience
    https://foreverfitscience.com/research/headaches-and-vo2-max/
    According to the National Ambulatory Medical Care Survey and the National Health Interview Survey (NHIS), 14.2% of US adults (18+) reported experiencing a migraine or severe headache in the previous three months. […] Results demonstrated an inverse relationship between headaches and VO2max such that subjects who experienced headaches tended to be in the lower most quintile of VO2max. […] Additionally, analyses revealed that this inverse relationship was present for participants who engaged in the recommended amount of exercise (fitness sample) and those that did not. […] It is important to acknowledge that, in many cases, intense physical activity may induce or worsen headaches. […] More than 1/2 of the participants (54%) who experienced headaches reported that exercise did not aggravate headaches. […] My last article highlighted the inverse relationship between headaches and VO2 max levels such that individuals who experienced headaches regularly had, on average, lower VO2 peaks than their control counterparts.
  • #69 Headaches and VO2 max » ForeverFitScience
    https://foreverfitscience.com/research/headaches-and-vo2-max/
    According to the National Ambulatory Medical Care Survey and the National Health Interview Survey (NHIS), 14.2% of US adults (18+) reported experiencing a migraine or severe headache in the previous three months. […] Results demonstrated an inverse relationship between headaches and VO2max such that subjects who experienced headaches tended to be in the lower most quintile of VO2max. […] Additionally, analyses revealed that this inverse relationship was present for participants who engaged in the recommended amount of exercise (fitness sample) and those that did not. […] It is important to acknowledge that, in many cases, intense physical activity may induce or worsen headaches. […] More than 1/2 of the participants (54%) who experienced headaches reported that exercise did not aggravate headaches. […] My last article highlighted the inverse relationship between headaches and VO2 max levels such that individuals who experienced headaches regularly had, on average, lower VO2 peaks than their control counterparts.
  • #70 Migraine after exercise: Treatment and preventio
    https://www.medicalnewstoday.com/articles/migraine-after-working-out
    Doctor Mark Green of the NHFs Health Care Leadership Council recommends that people living with migraine introduce exercise gradually into their daily routine. […] It is also worth noting that people with an inherited susceptibility to migraine may be at increased risk of developing exertional headaches during or after exercise. […] According to a 2018 review, while exercise appears to trigger migraine attacks in some individuals, it also seems that regular exercise can be an important method in reducing migraine frequency. […] The authors suggest this may be because regular exercise increases the threshold for exercise-induced migraine. […] In line with this, both the AMF and the National Headache Foundation (NHF) state that regular exercise can help prevent migraine attacks. […] Medical experts recommend that people with migraine introduce exercise gradually into their daily routine to help prevent exercise-induced migraines.
  • #71 The association between migraine and physical exercise | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-018-0902-y
    The number of studies demonstrating exercise as a trigger factor for migraine is relatively limited. […] Some studies pointed out the high comorbidity of migraine with primary exertional headache (PEH), which is a relatively uncommon primary headache disorder which occurs particularly in hot weather or at high altitude, lasting within 48 h brought on exclusively during or after strenuous physical exertion. […] Exercise plays an imperative role in the management of several chronic diseases as it prevents or reduces different kinds of chronic pain (chronic neck or low back pain, osteoarthritis, headache, fibromyalgia). […] The efficacy of exercise as prophylactic treatment for migraine has been investigated in several studies. […] In a cross-sectional, community-based study of 480 medical students, Domingues et al. revealed a significantly lower migraine associated disability, assessed by the MIDAS scores between those who practiced regularly exercise to those who did no exercise. […] There is limited evidence concerning the role of non-aerobic types of exercise in the treatment of migraine. […] The empirical support for recommending a specific exercise program for prophylactic treatment is relatively limited but we can provide a general guide.
  • #72
    https://healthmatch.io/migraine/exercise-induced-migraine
    An exertional headache is brought on by physical activity. This usually means strenuous exercise, but some get exertional headaches from sexual activity or coughing. These seem to be caused by similar factors. […] Exertional headaches are split into two categories. […] Primary exertional headaches are considered harmless, although they can have health impacts when they cause you to avoid physical activity. […] Secondary exertional headaches can be caused by many health conditions, some of which are very serious. […] Exertional headaches can be experienced by anyone who engages in physical activity, but some factors increase your risk. […] True exertional headaches are not migraines, but some people have migraines triggered by exercise, and people with migraines are at a higher risk of developing exertional headaches. […] The epidemiology of exertional headache in the general population of Tehran, Iran (2015) […] An online survey of exercise-related headaches among cyclists (2012)
  • #73 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations. Having a history of PEH, as the main risk factor, and training with upper limbs and neck movement were other main related factors for developing PEH in resistance trained athletes.
  • #74 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #75 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations. Having a history of PEH, as the main risk factor, and training with upper limbs and neck movement were other main related factors for developing PEH in resistance trained athletes.
  • #76 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489.html
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes. […] To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations.
  • #77 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Earlier prevalence studies suggest that primary exercise headache appears to be more frequent in men. However, later studies demonstrate contrary evidence. […] Two studies have shown a high rate of comorbidity with migraine. A survey of 4000 competitive cyclists revealed a prevalence of 26%, suggesting its burden in athletes may be underestimated.
  • #78 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Headache is one of the most common complaints in today’s society. Patterns and prevalence of headache, especially headaches associated with physical activity (Exertional Headache) in the population of conscripts in our country is unknown. […] In this cross sectional study we tried to answer these questions to some extent. […] Headache prevalence among our conscript participants was 78.7%. The prevalence of exertional headache was 12.7%. […] Our team provided a reasonable database of exertional headache and its characteristics in conscripts population which could be used in further investigations to improve their general health and function. […] This study was performed to identify EH prevalence, pattern, stimulator factors, the way sufferers deal with it, and its aggravating and alleviating factors among military conscripts in Tehran, Iran.
  • #79 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #80 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    The aim of this study was to examine the incidence and patterns of primary exercise headache (PEH) in resistance trained male athletes. PEH is observed particularly during or after severe physical exercise and lasts up to 48 hours. […] Therefore in a cohort study we examined the incidence and patterns of PEH in resistance trained athletes in an Iranian male sample. […] The incidence of PEH in overall participants was evaluated 4.8 in 1000 hours exercise. The prevalence of headache during the follow-ups was 19.8% in which the highest headache incidence occurred in 20-30 years old athletes. […] Our study showed that incidence and prevalence of PEH in resistance trained athletes might be higher than general population. History of PEH was the main risk factor for developing PEH in resistance trained athletes.
  • #81 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Although long-term studies of primary exercise headache are very limited, most cases tend to improve and resolve on their own. Your doctor may recommend modifying your exercise regimen and trying certain preventive or acute treatments to help manage primary exercise headache. […] Indomethacin may be taken 30-60 minutes before exercise to prevent primary exercise headache. However, be careful to monitor the dosage and frequency of this treatment to avoid stomach irritation.
  • #82 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #83
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. […] While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. […] The prevalence of PEH varies greatly from one study to another; however, among all headaches, it is relatively rare. […] A large epidemiological study looking at over 1800 patients found the prevalence of EH to be 12.3%, with a slight female predominance.
  • #84 4.2 Primary exercise headache – ICHD-3
    https://ichd-3.org/other-primary-headache-disorders/4-2-primary-exercise-headache/
    4.2 Primary exercise headache occurs particularly in hot weather or at high altitude. […] The pathophysiological mechanisms underlying 4.2 Primary exercise headache are unknown. Most investigators believe it is vascular in origin, hypothesizing that venous or arterial distension, secondary to physical exercise, is the pain-inducing mechanism. The recent finding that patients with 4.2 Primary exercise headache have a significantly higher prevalence of internal jugular venous valve incompetence (70% compared with 20% of controls) suggests that intracranial venous congestion caused by retrograde jugular venous flow may play a role in the pathophysiology of this disorder.
  • #85
    https://healthmatch.io/migraine/exercise-induced-migraine
    An exertional headache is brought on by physical activity. This usually means strenuous exercise, but some get exertional headaches from sexual activity or coughing. These seem to be caused by similar factors. […] Exertional headaches are split into two categories. […] Primary exertional headaches are considered harmless, although they can have health impacts when they cause you to avoid physical activity. […] Secondary exertional headaches can be caused by many health conditions, some of which are very serious. […] Exertional headaches can be experienced by anyone who engages in physical activity, but some factors increase your risk. […] True exertional headaches are not migraines, but some people have migraines triggered by exercise, and people with migraines are at a higher risk of developing exertional headaches. […] The epidemiology of exertional headache in the general population of Tehran, Iran (2015) […] An online survey of exercise-related headaches among cyclists (2012)
  • #86 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Based on International Headache Society, primary EH is a pulsating headache, lasting from 5 minutes to 48 hours, caused by exertion, occurs only during or after exertion, and is not attributed to another disorder. […] Totally 38 (12.7%) of our subjects had experienced EH. […] Among EH sufferers 73.7% reported their headache as bilateral. […] Based on our results, the most common location of pain in EH was frontal region (34.2%) followed by temporal region (16.8%). […] The most common aggravating factor was exercise in hot weather (81.6%). […] Hence there are few similar studies done in Iran and the sample sizes of studies in middle east are small, these findings can be useful for completion of database on EH and its characteristics in conscripts and designing further studies leading to prevention and better management of EH.
  • #87
    https://healthmatch.io/migraine/exercise-induced-migraine
    An exertional headache is brought on by physical activity. This usually means strenuous exercise, but some get exertional headaches from sexual activity or coughing. These seem to be caused by similar factors. […] Exertional headaches are split into two categories. […] Primary exertional headaches are considered harmless, although they can have health impacts when they cause you to avoid physical activity. […] Secondary exertional headaches can be caused by many health conditions, some of which are very serious. […] Exertional headaches can be experienced by anyone who engages in physical activity, but some factors increase your risk. […] True exertional headaches are not migraines, but some people have migraines triggered by exercise, and people with migraines are at a higher risk of developing exertional headaches. […] The epidemiology of exertional headache in the general population of Tehran, Iran (2015) […] An online survey of exercise-related headaches among cyclists (2012)
  • #88
    https://healthmatch.io/migraine/exercise-induced-migraine
    An exertional headache is brought on by physical activity. This usually means strenuous exercise, but some get exertional headaches from sexual activity or coughing. These seem to be caused by similar factors. […] Exertional headaches are split into two categories. […] Primary exertional headaches are considered harmless, although they can have health impacts when they cause you to avoid physical activity. […] Secondary exertional headaches can be caused by many health conditions, some of which are very serious. […] Exertional headaches can be experienced by anyone who engages in physical activity, but some factors increase your risk. […] True exertional headaches are not migraines, but some people have migraines triggered by exercise, and people with migraines are at a higher risk of developing exertional headaches. […] The epidemiology of exertional headache in the general population of Tehran, Iran (2015) […] An online survey of exercise-related headaches among cyclists (2012)
  • #89 A Study of Exertional Headache’s Prevalence and Characteristics Among Conscripts
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5098066/
    Headache is one of the most common complaints in today’s society. Patterns and prevalence of headache, especially headaches associated with physical activity (Exertional Headache) in the population of conscripts in our country is unknown. […] In this cross sectional study we tried to answer these questions to some extent. […] Headache prevalence among our conscript participants was 78.7%. The prevalence of exertional headache was 12.7%. […] Our team provided a reasonable database of exertional headache and its characteristics in conscripts population which could be used in further investigations to improve their general health and function. […] This study was performed to identify EH prevalence, pattern, stimulator factors, the way sufferers deal with it, and its aggravating and alleviating factors among military conscripts in Tehran, Iran.
  • #90 Incidence of Primary Exercise Headache in Resistance Trained Athletes
    https://brieflands.com/articles/asjsm-59489
    To our best knowledge, no epidemiologic study about the incidence, prevalence, characteristics and risk factors of PEH in resistance trained athletes has been published so far. […] The current study evaluated the incidence and patterns of PEH in a sample of resistance trained athletes. Overall results showed that the incidence of PEH in a 5-month follow up was 38 headache events among 23 participants (out of 116 athletes). The incidence rate of PEH in all participants was 4.8 per 1000 hours of exercise with the higher rate in powerlifters. […] The prevalence of PEH in this study was 19.8% which was rather close to the study of cyclists (26%) and Australian footballers (22%). […] This study showed a high rate of incidence and prevalence of PEH in resistance trained athletes compared to existing data from general populations. Having a history of PEH, as the main risk factor, and training with upper limbs and neck movement were other main related factors for developing PEH in resistance trained athletes.
  • #91 The association between migraine and physical exercise | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-018-0902-y
    Low levels of physical exercise and high frequency of migraine has been reported in several large population-based studies. […] Various large population-based studies have concluded that low physical activity levels are associated with higher prevalence and frequency of migraine and other headaches. […] Vice versa, higher physical activity levels are associated with reductions in migraine headache frequency and with less migraine-related disability. […] The study by Varkey et al. using individuals from one of the worlds largest epidemiological studies, the Nord-Trndelag Health Survey (HUNT), was divided in two parts, using a prospective and a cross sectional design. […] In a Korean study by Seok et al., 136 patients with transformed migraine (TM) were followed for at least 1 year. […] The aim of the study was to identify the factors (i.e discontinuation of overused drugs, regular intake of preventive drugs and lifestyle modification, including regular exercise and no use of caffeine, alcohol and tobacco) that play a role in the reversal of TM to episodic migraine.
  • #92 Migraine after exercise: Treatment and preventio
    https://www.medicalnewstoday.com/articles/migraine-after-working-out
    Doctor Mark Green of the NHFs Health Care Leadership Council recommends that people living with migraine introduce exercise gradually into their daily routine. […] It is also worth noting that people with an inherited susceptibility to migraine may be at increased risk of developing exertional headaches during or after exercise. […] According to a 2018 review, while exercise appears to trigger migraine attacks in some individuals, it also seems that regular exercise can be an important method in reducing migraine frequency. […] The authors suggest this may be because regular exercise increases the threshold for exercise-induced migraine. […] In line with this, both the AMF and the National Headache Foundation (NHF) state that regular exercise can help prevent migraine attacks. […] Medical experts recommend that people with migraine introduce exercise gradually into their daily routine to help prevent exercise-induced migraines.
  • #93 Migraine after exercise: Treatment and preventio
    https://www.medicalnewstoday.com/articles/migraine-after-working-out
    Doctor Mark Green of the NHFs Health Care Leadership Council recommends that people living with migraine introduce exercise gradually into their daily routine. […] It is also worth noting that people with an inherited susceptibility to migraine may be at increased risk of developing exertional headaches during or after exercise. […] According to a 2018 review, while exercise appears to trigger migraine attacks in some individuals, it also seems that regular exercise can be an important method in reducing migraine frequency. […] The authors suggest this may be because regular exercise increases the threshold for exercise-induced migraine. […] In line with this, both the AMF and the National Headache Foundation (NHF) state that regular exercise can help prevent migraine attacks. […] Medical experts recommend that people with migraine introduce exercise gradually into their daily routine to help prevent exercise-induced migraines.
  • #94 The association between migraine and physical exercise | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-018-0902-y
    The number of studies demonstrating exercise as a trigger factor for migraine is relatively limited. […] Some studies pointed out the high comorbidity of migraine with primary exertional headache (PEH), which is a relatively uncommon primary headache disorder which occurs particularly in hot weather or at high altitude, lasting within 48 h brought on exclusively during or after strenuous physical exertion. […] Exercise plays an imperative role in the management of several chronic diseases as it prevents or reduces different kinds of chronic pain (chronic neck or low back pain, osteoarthritis, headache, fibromyalgia). […] The efficacy of exercise as prophylactic treatment for migraine has been investigated in several studies. […] In a cross-sectional, community-based study of 480 medical students, Domingues et al. revealed a significantly lower migraine associated disability, assessed by the MIDAS scores between those who practiced regularly exercise to those who did no exercise. […] There is limited evidence concerning the role of non-aerobic types of exercise in the treatment of migraine. […] The empirical support for recommending a specific exercise program for prophylactic treatment is relatively limited but we can provide a general guide.