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Migraine in Nederland. Ontwikkelingen in de kennis van de epidemiologie, etiologie en mogelijkheden voor preventie
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Series / Report no.
Open Access
Type
Report
Language
nl
Date
1994-09-30
Research Projects
Organizational Units
Journal Issue
Title
Migraine in Nederland. Ontwikkelingen in de kennis
van de epidemiologie, etiologie en mogelijkheden voor
preventie
Translated Title
Migraine in the Netherlands. Developments in the
knowledge of the epidemiology, etiology and possibilities for
prevention
Published in
Abstract
Met de groeiende ziektelast ten gevolge van chronische
ziekten in Nederland stijgt de behoefte aan overzichten van de laatste
ontwikkelingen op het gebied van de etiologie, epidemiologie, determinanten
en mogelijkheden voor preventie van chronische ziekten. Het voor u liggende
rapport geeft een overzicht van het ziektebeeld migraine. Nadruk ligt
daarbij op de epidemiologie van migraine in Nederland, de etiologie van het
ziektebeeld en de mogelijkheden voor preventie door interventie op
leefstijlfactoren. Migraine is een chronische ziekte waaraan naar schatting
op dit moment ongeveer 30.000 mannen en 123.000 vrouwen lijden , zodanig
dat zij de huisarts consulteren. Daarnaast registreert de huisarts
jaarlijks ongeveer 8.000 mannen en 28.000 vrouwen als nieuwe gevallen van
migraine. In de Nederlandse bevolking geeft ongeveer 5% van de personen aan
regelmatig last van migraine te hebben. Op basis van de omvang en de
gevolgen in termen van ziekteverzuim en welbevinden kan migraine met recht
een belangrijk volksgezondheidsprobleem worden genoemd. Migraine wordt
gezien als een erfelijk bepaalde aanleg voor het ontwikkelen van een
specifiek soort hoofdpijnaanvallen uitgelokt door inwendige of uitwendige
prikkels zoals stress, voedingsbestanddelen of het slaappatroon. Over de
oorzaak van migraine-aanvallen is met name op het niveau van
leefstijlfactoren nog niet veel (met zekerheid) bekend. Veel onderzoek is
nog op biologisch niveau gericht waar ook de belangrijkste
aangrijpingspunten voor therapeutische maatregelen zijn gelegen. Het is dan
ook moeilijk om algemene maatregelen gericht op leefstijlfactoren op het
niveau van primaire, secundaire of tertiaire preventie aan te bevelen.
Preventieve maatregelen lijken met name individueel te moeten worden
bepaald, waarbij de huisarts een belangrijke rol kan spelen. Deze dient
daartoe over een op doeltreffendheid en doelmatigheid getoetst arsenaal van
strategieen te beschikken. Een gerichte onderzoeksinspanning om dit
arsenaal te realiseren kan worden aanbevolen.
Since chronic diseases are becoming more prevalent in our society, there is a growing need for state-of-the-art reviews of developments in the knowledge of etiology, determinants and prevention of chronic diseases. This report is about the current knowledge of migraine. It is focused on the epidemiology of migraine in the Netherlands, etiology of the disease and possibilities of primary, secondary or tertiary prevention, especially in relation to life-style. In the Netherlands there are about 30.200 men and 123.200 women affected by the disease according to registration in general practice. According to this registration every year there are about 7.900 men and 28.000 women becoming new cases of migraine. From the national health interview survey it is estimated that about 5% of the general population is affected by migraine. In accordance with these epidemiological estimates and the burden of illness consisting in absence from school or work and diminished quality of life migraine could be called an important public health problem. Migraine is considered to be neither a disease nor a syndrome. Migraine is viewed as a constitutional , perhaps genetically determined, predisposition of the neurovascular system to react excessively to internal or external stimuli such as stress, certain food constituents or a specific sleep-pattern, by a pattern of hyperactivity in the brain and in the trigeminal vascular system. Most research is aimed at biological causal mechanisms and the development of therapeutic interventions. About life-style as a cause of migraine there is much speculation and uncertainty. In general, preventive measures are hard to formulate. Individuals have varying thresholds for life-style factors which can cause a migraine-attack. Therefore, preventive actions have to be determined on the individual level, presumably by the general practitioner who has a key role in the Dutch health care system. The Dutch General Practitioners Association (NHG) developed guidelines for the management of migraine in general practice. More research on migraine is recommended on etiology, epidemiology and effectiveness of treatment and education.
Since chronic diseases are becoming more prevalent in our society, there is a growing need for state-of-the-art reviews of developments in the knowledge of etiology, determinants and prevention of chronic diseases. This report is about the current knowledge of migraine. It is focused on the epidemiology of migraine in the Netherlands, etiology of the disease and possibilities of primary, secondary or tertiary prevention, especially in relation to life-style. In the Netherlands there are about 30.200 men and 123.200 women affected by the disease according to registration in general practice. According to this registration every year there are about 7.900 men and 28.000 women becoming new cases of migraine. From the national health interview survey it is estimated that about 5% of the general population is affected by migraine. In accordance with these epidemiological estimates and the burden of illness consisting in absence from school or work and diminished quality of life migraine could be called an important public health problem. Migraine is considered to be neither a disease nor a syndrome. Migraine is viewed as a constitutional , perhaps genetically determined, predisposition of the neurovascular system to react excessively to internal or external stimuli such as stress, certain food constituents or a specific sleep-pattern, by a pattern of hyperactivity in the brain and in the trigeminal vascular system. Most research is aimed at biological causal mechanisms and the development of therapeutic interventions. About life-style as a cause of migraine there is much speculation and uncertainty. In general, preventive measures are hard to formulate. Individuals have varying thresholds for life-style factors which can cause a migraine-attack. Therefore, preventive actions have to be determined on the individual level, presumably by the general practitioner who has a key role in the Dutch health care system. The Dutch General Practitioners Association (NHG) developed guidelines for the management of migraine in general practice. More research on migraine is recommended on etiology, epidemiology and effectiveness of treatment and education.
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DGVGZ/PAO
NCCZ