Vitamin B12 Deficiency in Children with Tension-Type Headache: Case-control Study
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Research
P: 388-392
December 2019

Vitamin B12 Deficiency in Children with Tension-Type Headache: Case-control Study

Med J Bakirkoy 2019;15(4):388-392
1. Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Nöroloji Kliniği, İstanbul, Türkiye
2. Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Metabolizma Hastalıkları Kliniği, İstanbul, Türkiye
3. Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, İstanbul, Türkiye
4. Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Klinik Biyokimya Kliniği, İstanbul, Türkiye
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Received Date: 29.04.2019
Accepted Date: 01.07.2019
Publish Date: 20.12.2019
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ABSTRACT

Objective:

We aimed to determine the frequency of vitamin B12 deficiency in children with tension-type headache and to investigate the relationship between tension-type headache and vitamin B12 deficiency.

Methods:

The children diagnosed with tension-type headache between June 1, 2018 and December 31, 2018 in the pediatric neurology clinic were included in the study. Children with chronic disease, receiving dietary supplementation or any medication were excluded from the study. Demographic characteristics, complete blood count, the levels of serum vitamin B12, folate, homocysteine and urine methylmalonic acid were recorded. The control group consisted of children without an acute or chronic disease and who did not use dietary supplements or medications.

Results:

A total of 155 children were participated in the study including 76 children (57 girls, 19 boys) with tension-type headache and 79 children (51 girls, 28 boys) in the control group. The mean serum vitamin B12 level was 210.6±104 pg/mL (43-534 pg/mL) in patients with tension-type headache and 260.6±109 pg/mL in the control group (104-712 pg/mL). There was a statistically significant difference between the two groups in terms of the level of vitamin B12 (p=0.005). Forty-six patients (61%) with tension-type headache and 30 children (38%) in the control group had vitamin B12 deficiency. There was a statistically significant difference between the two groups in terms of vitamin B12 deficiency (p=0.032).

Conclusion:

We found vitamin B12 deficiency in more than half of the children with tension-type headache. We conclude that it is important to evaluate children with tension-type headache in terms of vitamin B12 deficiency.

Keywords:
Headache, children, vitamin B12

References

1
Ozge A, Bugdayci R, Sasmaz T, Kaleagasi H, Kurt O, Karakelle A, et al. The sensitivity and specificity of the case definition criteria in diagnosis of headache: a schoolbased epidemiological study of 5562 children in Mersin. Cephalalgia 2003;23:138-45.
2
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38:1-211.
3
Kaynak Key FN, Donmez S, Tuzun U. Epidemiological and clinical characteristics with psychosocial aspects of tension-type headache in Turkish college students. Cephalalgia 2004;24:669-74.
4
Ostergaard S, Russell MB, Bendtsen L, Olesen J. Comparison of first degree relatives and spouses of people with chronic tension headache. BMJ 1997;314:1092-3.
5
Ulrich V, Gervil M, Olesen J. The relative influence of environment and genes in episodic tension-type headache. Neurology 2004;62:2065-9.
6
Russell MB, Ostergaard S, Bendtsen L, Olesen J. Familial occurrence of chronic tension-type headache. Cephalalgia 1999;19:207-10.
7
Anttila P, Metsähonkala L, Aromaa M, Sourander A, Salminen J, Helenius H, et al. Determinants of tension-type headache in children. Cephalalgia 2002;22:401-8.
8
Balottin U, Fusar Poli P, Termine C, Molteni S, Galli F. Psychopathological symptoms in child and adolescent migraine and tension-type headache: a meta-analysis. Cephalalgia 2013;33:112-22.
9
Rasmussen SA, Fernhoff PM, Scanlon KS. Vitamin B12 deficiency in children and adolescents. J Pediatr 2001;138:10-7.
10
Allen RH, Stabler SP, Savage DG, Lindenbaum J. Metabolic abnormalities in cobalamin (vitamin-B12) and folate deficiency. FASEB J 1993;7:1344-53.
11
Carmel R, Green R, Rosenblatt DS, Watkins D. Update on cobalamin, folate, and homocysteine. Hematology Am Soc Hematol Educ Program 2003:62-81.
12
Hussein L, Abdel A, Tapouzada S, Boehles H. Serum vitamin B12 concentrations among mothers and newborns and follow-up study to assess implication on the growth velocity and the urinary methylmalonic acid excretion. Int J Vitam Nutr Res 2009;79:297-307.
13
Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes and Its Panel on Folate, Other B Vitamins, and Choline. Washington, DC: National Academies Press; 1998.
14
Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008;7:354-61.
15
Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R. Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol 2005;20:243-9.
16
Wetherilt H, Ackurt F, Brubacher G, Okan B, Aktas S, Turdu S. Blood vitamin and mineral levels in 7-17 years old Turkish children. Int J Vitam Nutr Res 1992;62:21-9.
17
Spierings ELH, Ranke AH, Honkoop PC. Precipitating and aggravating factors of migraine versus tension-type headache. Headache 2001;41:554-8.
18
Jensen R, Becker WJ. Symptomatology of tension-type headaches. In: Olesen J, Goadsby PJ, Ramadan N, et al., editors. The Headaches, 3rd edn. Philadelphia: Lippincott Williams & Wilkins; 2005. pp. 685-92.
19
Janke EA, Holroyd KA, Romanek K. Depression increases onset of tensiontype headache following laboratory stress. Pain 2004;111:230-8.
20
Schmidt-Wilcke T, Leinisch E, Straube A, Kämpfe N, Draganski B, Diener HC, et al. Gray matter decrease in patients with chronic tension type headache. Neurology 2005;65:1483-6.
21
Saraswathy KN, Ansari SN, Kaur G, Joshi PC, Chandel S. Association of vitamin B12 mediated hyperhomocysteinemia with depression and anxiety disorder: A cross-sectional study among Bhil indigenous population of India. Clin Nutr ESPEN 2019;30:199-203.
22
Syed EU, Wasay M, Awan S. Vitamin B12 supplementation in treating major depressive disorder: a randomized controlled trial. Open Neurol J 2013;7:44-8.
23
Bell IR, Edman JS, Morrow FD, Marby DW, Mirages S, Rerrone G. B complex vitamin patterns in geriatric and young adult inpatients with major depression. J Am Geriatr Soc 1991;39:252-7.
24
Ghosh S, Sinha JK, Khandelwal N, Chakravarty S, Kumar A, Raghunath M. Increased stress and altered expression of histone modifying enzymes in brain are associated with aberrant behaviour in vitamin B12 deficient female mice. Nutr Neurosci 2018;25:1-10.
25
Bendtsen L, Jensen R. Tension-type headache: The most common, but also the most neglected, headache disorder. Curr Opin Neurol 2006;19:305-9.