| Title: | Interaction between physical frailty and sleep quality on risk of migraine in later life: a cohort study of over 350,000 participants |
| Journal: | BMC Public Health |
| Published: | 31 Oct 2025 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/41174686/ |
| DOI: | https://doi.org/10.1186/s12889-025-25061-5 |
| URL: | https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-025-25061-5 |
Publication 19097
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Abstract
BackgroundFrailty was associated with neurological disorders, but has not been extrapolated to migraine. It's unclear whether maintaining healthy sleep mitigates this association. We examined the independent, joint, and interactive relationships between frailty status and sleep quality and migraine risk.Methods356,326 participants from the UK Biobank without migraine at baseline were included. The five-component Fried phenotype was used to assess frailty status and categorized participants as non-frail, pre-frail, and frail. A five-factor sleep questionnaire was employed to quantify sleep quality and categorize individuals into poor, intermediate, and healthy sleep. Cox proportional hazard models were applied to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs). Their interactions on the multiplicative and additive scales were also assessed.ResultsDuring a median follow-up of 13.6 years, 4,641 (1.3%) participants experienced migraine. Compared with non-frail individuals, the HRs (95% CIs) for migraine were 1.149 (1.079-1.222) and 1.413 (1.225-1.630) for those with pre-frailty and frailty. Individuals with intermediate (HR = 1.170; 95% CI: 1.101-1.243) and poor (HR = 1.353; 95% CI: 1.146-1.598) sleep showed an increased risk of migraine compared to those with healthy sleep. The joint test suggested that frail individuals with poor sleep faced the highest migraine risk (HR = 1.897; 95% CI: 1.339-2.687), with evidence of an additive interaction. Also, healthy sleep weakened the frailty-migraine relationship, with evidence of a multiplicative interaction (P for interaction = 0.014).ConclusionAlthough both frailty and poor sleep quality are associated with a higher risk of migraine, achieving healthy sleep might mitigate the adverse impact of frailty.</p>
13 Keywords
- Aged
- Cohort Studies
- Female
- Frailty
- Humans
- Male
- Middle Aged
- Migraine Disorders
- Proportional Hazards Models
- Risk Factors
- Sleep Quality
- Surveys and Questionnaires
- United Kingdom
5 Authors
- Wei Hu
- Tao Zhang
- Cunxian Jia
- Fei Xue
- Baopeng Liu
1 Application
| Application ID | Title |
|---|---|
| 91536 | Understanding the association between mental health and all-cause mortality, and the role of environmental and lifestyle factors |
Enabling scientific discoveries that improve human health