Later high school start time is associated with lower migraine frequency in adolescents

• DOI: 10.1111/head.14016
• Publication Date: 2020-11-25T15:57:08Z
• Authors: Amy A. Gelfand; Sara Pavitt; Alexandra C. Ross; Christina L. Szperka; Samantha L. Irwin; Suzanne Bertisch; Katie L. Stone; Remi Frazier; Barbara Grimes; I. Elaine Allen
• Keywords: Adult; Male; Time Factors; Adolescent; Migraine Disorders; Clinical Sciences; Young Adult; Migraines; Clinical Research; Humans; migraine; sleep; Students; Pediatric; Neurology & Neurosurgery; Schools; Headaches; Prevention; 4. Education; Pain Research; Neurosciences; Health Surveys; United States; 3. Good health; Cross-Sectional Studies; adolescent; Female; Self Report; Chronic Pain

To determine whether high school start time is associated with headache frequency in adolescents migraine.Adolescence marked by a physiologic delayed circadian phase, characterized later bedtimes and wake times. The American Academy of Pediatrics (AAP) recommends that schools no earlier than 8:30 a.m., but most the United States earlier. study hypothesis was migraine whose at a.m. or (late group) would have lower those (early group).This cross-sectional Internet survey US schoolers recruited online through social media. Comparisons were made between late group early group. primary outcome measure self-reported days/month.In total, 1012 respondents constituted analytic set: n = 503 versus 509 Mean (SD) days/month 4.8 (4.6) 7.7 (6.1) groups, respectively (p < 0.001); mean difference -2.9 (95% CI -2.2 to -3.6). hours sleep on night 7.9 (0.9) 6.9 (1.3), p 0.001. Adjusting for total sleep, sex, taking preventive, days acute medication use, homework, grade level, missing breakfast, remained group: 5.8 5.3-6.2) 7.1 6.7-7.4), -1.3 -1.9 -0.7).Adolescents who attend follow AAP recommendations times before If prospective studies confirm this finding, shifting may be an effective strategy prevention adolescents.