ORIGINAL RESEARCH article
Front. Neurol.
Sec. Headache and Neurogenic Pain
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1600822
Association between seasons with substantial atmospheric pressure change and migraine occurrence: a retrospective cohort study using Japanese claims data and meteorological data Author & Affiliations
Provisionally accepted
- 1Dokkyo Medical University, Tochigi, Japan
- 2Department of Health Informatics, School of Public Health, Kyoto University, Kyoto, Japan
- 3Otsuka Pharmaceutical Co. Ltd, Tokyo, Japan
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This study investigated the impact of seasons with substantial atmospheric pressure change on the occurrence of migraine using large-scale data from a Japanese health insurance claims database matched with meteorological data.This retrospective cohort study used JMDC Claims Data and national meteorological data from Japan. Patients with a diagnostic record of migraine were included and categorized into eight regional subgroups based on the location of the healthcare facility at which they were initially diagnosed with migraine. The time to migraine occurrence, defined as the duration from the first day of each season to the prescription of triptans, was compared between the seasons with the highest and lowest atmospheric pressure change.A total of 26,777 individuals were included in this study. Summer showed the lowest atmospheric pressure change across all eight regions. Conversely, winter showed the highest atmospheric pressure change in seven regions, while autumn showed the highest change in one region. No differences were observed in survival curves between the seasons with the highest and lowest atmospheric pressure change in any region. In Cox regression analysis, hazard ratio for the season with the highest atmospheric pressure change was 0.970 (95% CI: 0.951-0.989) in the minimally adjusted model, which included sex and age. Conversely, the fully adjusted model, which incorporated eight covariates, indicated a hazard ratio of 1.294 (95% CI: 1.007-1.663) for the season with the highest atmospheric pressure change.This study, using a large Japanese administrative claims database, did not identify a significant association between seasons with substantial atmospheric pressure change and migraine occurrence. Future research should consider examining more granular residential data, beyond the prefecture level, for a more detailed analysis.
Keywords: Migraine, atmospheric pressure change, Season, weather, Claims database
Received: 27 Mar 2025; Accepted: 21 Jul 2025.
Copyright: © 2025 Tatsumoto, Hirata, Nakayama, Sano, Nakamichi and Inuyama. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Norihiro Nakamichi, Otsuka Pharmaceutical Co. Ltd, Tokyo, Japan
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