Association between restless legs syndrome and migraine: a population-based study

Eur J Neurol. 2014 Sep;21(9):1205-10. doi: 10.1111/ene.12462. Epub 2014 May 20.

Abstract

Background and purpose: A higher prevalence of restless legs syndrome (RLS) in migraineurs has been reported in clinical samples and in two large-scale clinical trials performed on healthcare workers but general population-based studies on this topic are lacking. The aim of this study was to assess the association between migraine and RLS in an Italian rural adult population-based setting.

Methods: The presence of migraine and RLS was assessed via a computer-assisted personal interview and self-administered questionnaires according to current diagnostic criteria in 1567 participants of a preliminary phase of an adult population-based study performed in South Tyrol, Italy.

Results: Migraineurs had an increased risk of having RLS also after adjustment for confounding factors such as age, sex, major depression, anxiety and sleep quality (odds ratio 1.79; confidence interval 1.00-3.19; P = 0.049). This association was not modified by aura status and possible causes of secondary RLS. RLS was not significantly associated with tension-type headache.

Conclusions: Restless legs syndrome and migraine were associated in our rural adult population. This association could be explained by a possible shared pathogenic pathway which would implicate new management strategies of these two disorders.

Keywords: comorbidity; headache; migraine; restless legs syndrome; sleep disorders.

MeSH terms

  • Adult
  • Aged
  • Chi-Square Distribution
  • Community Health Planning
  • Comorbidity
  • Cross-Sectional Studies
  • Europe / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Migraine Disorders / diagnosis
  • Migraine Disorders / epidemiology*
  • Prevalence
  • Regression Analysis
  • Restless Legs Syndrome / diagnosis
  • Restless Legs Syndrome / epidemiology*