Bei 20 Frauen mit chronischer Migräne wurden die Cortisol-, DHEA-S- und Testosteron-Spiegel untersucht und mit 20 gesunden Kontrollpersonen verglichen.
Die Morgen- und Abend-Cortisol-Spiegel waren bei den Patientinnen mit chronischer Migräne signifikant erhöht. Ferner war das Cortisol/DHEA-S-Verhältnis signifikant erhöht. Niedrige Werte stehen allgemein für einen besseren Gesundheitszustand. Schließlich war das Testosteron/Cortisol-Verhältnis bei Patientinnen mit chronischer Migärne signifikant erniedrigt. Dieses Verhältnis ist Ausdruck des anabolen/katabolen Zustands des Körpers.
Abstract:
Salivary cortisol, dehydroepiandrosteronesulphate (DHEA-S) and testosterone in women with chronic migraine.
Hypothalamus-pituitaryadrenal (HPA) axis activity was monitored in 20 women with chronic migraine (CM), previously affected by medication overuse headache (MOH), in comparison to healthy women (20 subjects) by measuring salivary cortisol, testosterone, dehydroepiandrosterone-sulphate (DHEA-S) levels, and their ratios, one week after the end of the MOH rehabilitation procedure. The participants were instructed how to collect saliva samples at home, a procedure that was performed twice a day (08:00 a.m. and 8:00 p.m.). Morning and evening levels of cortisol were significantly increased in CM patients with respect to controls. With regard to the cortisol/DHEA-S ratio, an inverse marker of psycho-physical wellbeing, CM women showed significantly higher values than controls. Moreover, testosterone/cortisol ratios (anabolic/catabolic index of physical performance) were significantly lower in CM patients than in controls. In the present study, CM appears not to be associated with an impairment of cortisol and DHEAS circadian fluctuation; however, CM patients present alterations in HPA axis function that might contribute to metabolic and psychological alterations that have also been associated with CM.
Patacchioli FR, Monnazzi P, Simeoni S, De Filippis S, Salvatori E, Coloprisco G, Martelletti P. Salivary cortisol, dehydroepiandrosteronesulphate (DHEA-S) and testosterone in women with chronic migraine. J Headache Pain. 2006 Mar 31.
Anmerkung von migraeneinformation.de:
Die Studie bestätigt die Ergebnisse anderer Studien. Hervorzuheben ist in dieser Studie der Nachweis der katabolen Stoffwechsellage von Patientinnen mit chronischer Migräne.
