title: Relationship of childhood headaches with preferences in leisure time activities, depression, anxiety and eating habits: A population-based, cross-sectional study.
abstract: OBJECTIVE
  The objective of this article is to determine the relationship between headache frequency and socio-demographic data, personal characteristics, habits, daily activities, daily loss of ability, depression and anxiety in the headache subtypes in the pediatric population.
  
  
  METHODS
  Our sample group was composed of approximately 5355 children aged between 9 and 18 years. An eight-stage questionnaire was administered to the children. In the second stage of the study, headache subtypes were created according to the ICHD-II criteria. The resulting data were compared according to the results of the headache subtypes.
  
  
  RESULTS
  In school-age children, the prevalence of recurrent headaches was 39.4%, and the prevalence of migraine was 10.3%. The subjects with migraine mostly preferred sedentary activities in their leisure time, and preferred less exercise than the subjects with the other headache types. The PedMIDAS score of the children who preferred to play sports was significantly lower than those who did not prefer to play sports. In the group that preferred reading books, an opposite relationship was found. In overweight and obese migraine sufferers, other types of headache were found to be significantly higher.
  
  
  CONCLUSIONS
  In the management of treating childhood headaches, the association of psychiatric comorbidities should be considered. To minimize disability, children should be directed to more useful physical activities.
authors.affiliation: Department of Pediatric Neurology, Ankara University Medical School, Turkey bektasomer@gmail.com.
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Bektaş
authors.affiliation: Department of Child and Adolescent Psychiatry, Ankara University Medical School, Turkey.
authors.forename: Cağatay
authors.initials: C
authors.lastname: Uğur
authors.affiliation: Department of Statistics, Ankara University Medical School, Turkey.
authors.forename: Zeynep Bıyıklı
authors.initials: ZB
authors.lastname: Gençtürk
authors.affiliation: Department of Child and Adolescent Psychiatry, Ankara University Medical School, Turkey.
authors.forename: Ayla
authors.initials: A
authors.lastname: Aysev
authors.affiliation: Department of Child and Adolescent Psychiatry, Ankara University Medical School, Turkey.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Sireli
authors.affiliation: Department of Pediatric Neurology, Ankara University Medical School, Turkey.
authors.forename: Gülhis
authors.initials: G
authors.lastname: Deda
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000523:psychology; D002648:Child; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006261:Headache / Q000453:epidemiology* / Q000523:psychology*; D006801:Humans; D007899:Leisure Activities / Q000523:psychology*; D008297:Male; D015995:Prevalence; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology
keywords: PedMIDAS; Pediatric headache; anxiety; depression; habits; leisure time