open access publication

Article, 2024

Headache in the international cohort study of mobile phone use and health (COSMOS) in the Netherlands and the United Kingdom

Environmental Research, ISSN 0013-9351, Volume 248, 10.1016/j.envres.2024.118290

Contributors

Traini E. 0000-0002-9965-1203 (Corresponding author) [1] Smith R.B. [2] [3] Vermeulen R. 0000-0003-4082-8163 [1] Kromhout H. 0000-0002-4233-1890 [1] Schuz J. 0000-0001-9687-2134 [4] Feychting M. 0000-0002-5101-0060 [5] Auvinen A. 0000-0003-1125-4818 [6] [7] Poulsen A.H. 0000-0003-4456-4169 [8] Deltour I. 0000-0002-6602-6292 [4] Muller D.C. 0000-0002-2350-0417 [2] [3] Heller J. [2] [3] Tettamanti G. 0000-0002-5210-7219 [5] Elliott P. 0000-0002-7511-5684 [2] [3] Huss A. 0000-0001-9268-1867 [1] Toledano M.B. [2] [3]

Affiliations

  1. [1] Utrecht University
  2. [NORA names: Netherlands; Europe, EU; OECD];
  3. [2] Imperial College London
  4. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  5. [3] School of Public Health
  6. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  7. [4] International Agency for Research on Cancer
  8. [NORA names: France; Europe, EU; OECD];
  9. [5] Karolinska Institutet
  10. [NORA names: Sweden; Europe, EU; Nordic; OECD];

Abstract

Headache is a common condition with a substantial burden of disease worldwide. Concerns have been raised over the potential impact of long-term mobile phone use on headache due to radiofrequency electromagnetic fields (RF-EMFs). We explored prospectively the association between mobile phone use at baseline (2009–2012) and headache at follow-up (2015–2018) by analysing pooled data consisting of the Dutch and UK cohorts of the Cohort Study of Mobile Phone Use and Health (COSMOS) (N = 78,437). Frequency of headache, migraine, and information on mobile phone use, including use of hands-free devices and frequency of texting, were self-reported. We collected objective operator data to obtain regression calibrated estimates of voice call duration. In the model mutually adjusted for call-time and text messaging, participants in the high category of call-time showed an adjusted odds ratio (OR) of 1.04 (95 % CI: 0.94–1.15), with no clear trend of reporting headache with increasing call-time. However, we found an increased risk of weekly headache (OR = 1.40, 95 % CI: 1.25–1.56) in the high category of text messaging, with a clear increase in reporting headache with increasing texting. Due to the negligible exposure to RF-EMFs from texting, our results suggest that mechanisms other than RF-EMFs are responsible for the increased risk of headache that we found among mobile phone users.

Keywords

COSMOS, Cohort study, Headache, Migraine, Mobile phone use, Radiofrequency electromagnetic fields (RF-EMFs)

Funders

  • Universiteit Utrecht
  • National Institute for Health Research Health Protection Research Unit
  • Mobile Telecommunications and Health Research
  • Pirkanmaan Sairaanhoitopiiri
  • UK Dementia Research Institute
  • Humane Slaughter Association
  • Department of Psychosocial Research and Epidemiology
  • Nokia
  • NIHR Imperial Biomedical Research Centre
  • Medical Research Council
  • Alzheimer's Society
  • Strålsäkerhetsmyndigheten
  • Tekes
  • Yrjö Jahnssonin Säätiö
  • Institute for Risk Assessment Sciences
  • International Agency for Research
  • Strategiske Forskningsråd
  • Ericsson AB
  • National Institute for Health Research
  • Vetenskapsrådet
  • ZonMw
  • National Technology Agency
  • VINNOVA
  • International Agency for Research on Cancer/World Health Organization
  • Department of Health or UK HSA
  • Alzheimer’s Research UK
  • Agence Nationale de Sécurité Sanitaire de l’Alimentation, de l’Environnement et du Travail
  • TeliaSonera AB
  • Danish Cancer Society Research Center
  • Tampereen Yliopisto
  • Tasmanian Department of Health
  • Mohn Centre for Children’s Health and Wellbeing
  • Centre International de Recherche sur le Cancer
  • TeliaSonera
  • NIHR-200922
  • Karolinska Institutet
  • Netherlands Cancer Institute
  • Telenor Sverige AB
  • Netherlands Organization for Health Research
  • Forskningsrådet om Hälsa, Arbetsliv och Välfärd
  • AFA Försäkring

Data Provider: Elsevier