Analysis of the correlation between primary hypertension and primary headache in young people based on propensity score matching
Objective:To analyze the relationship between primary headache and the risk of primary hypertension,and to provide evidence for the prevention and treatment of primary hypertension and primary headache.Methods:The research subjects were selected from young people,ranging in age from 16 to 24 years old,with an average age of 18.6 years old.Through the physical examination data,the propensity score matching method was used to balance the con-founding factors,and the logistic regression analysis was used to explore the relationship between primary headache and the risk of primary hypertension before and after matching.Results:There were differences between the hypertension group and the normal blood pressure group in nationality(P=0.007),BMI(P=0.005),family history of hyperten-sion(P=0.017),salt consumption(P=0.004),meat type(P=0.015),diet matching(P=0.015),sleep quality(P=0.018),weekly physical activity(P<0.001),sedentary time(P=0.023),headache type(P<0.001),etc.A total of 246 matching data were obtained after matching with 1∶1 tendency score,and the confounding factors be-tween the two groups reached a balance.Logistic regression analysis showed that the risk of hypertension in the migraine group before matching was 4.474 times higher than that in the non-headache group,and the risk of hypertension in the tension-type headache group was 1.942 times higher than that in the non-headache group.After matching,the risk of hypertension in the migraine group was 2.532 times higher than that in the non-headache group.The tension-type headache group and other headache groups were not related to hypertension.Conclusion:Migraine in primary headache have an impact on the risk of primary hypertension,and it is independent risk factors for primary hypertension.