Diet and migraine: what is proven?

IF 4.1 2区医学 Q1 CLINICAL NEUROLOGY

Current Opinion in Neurology Pub Date : 2023-12-01 Epub Date: 2023-09-19 DOI:10.1097/WCO.0000000000001204

Parisa Gazerani

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引用次数: 0

Abstract

Purpose of review: The purpose of this review is to present the latest research findings about diet and migraine, what can be used in the clinic now, and what needs further investigation.

Recent findings: Recent findings highlight that dietary triggers exist for migraine, for example, coffee and alcohol, according to a new systematic review. Elimination diets must be personalized to delineate a balanced diet with acceptable quality and pattern. A piece of average-quality evidence shows that the ketogenic diet (KD) and the Dietary Approaches to Stop Hypertension (DASH) are effective in reducing the frequency, duration, and severity of migraine headaches in adult patients. The gut microbiome is altered in patients with migraine, and further research will identify the benefits of pre and probiotic use for migraine. Advanced digital technology in continuous monitoring can provide educational content based on patients' needs, help patients adhere to dietary plans, and strengthen personalized care. The complex interaction of lifestyle factors, the influence of age and sex, and patients' needs in various life phases are essential in formulating dietary plans.

Summary: The diet-migraine interaction is a dynamic bidirectional phenomenon that requires careful monitoring, review, and justification of dietary choices to yield the optimal outcome while minimizing potential risks.

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饮食和偏头痛：什么被证实了？

综述的目的：本综述的目的是介绍关于饮食和偏头痛的最新研究结果，现在可以在临床上使用的药物，以及需要进一步研究的药物。最近的发现：根据一项新的系统综述，最近的发现强调了偏头痛的饮食诱因存在，例如咖啡和酒精。消除饮食必须个性化，以描绘出具有可接受质量和模式的均衡饮食。一项平均质量的证据表明，生酮饮食（KD）和停止高血压的饮食方法（DASH）在降低成年患者偏头痛的频率、持续时间和严重程度方面是有效的。偏头痛患者的肠道微生物组发生了改变，进一步的研究将确定偏头痛前使用益生菌和益生菌的益处。持续监测中的先进数字技术可以根据患者的需求提供教育内容，帮助患者坚持饮食计划，并加强个性化护理。生活方式因素、年龄和性别的影响以及患者在不同生活阶段的需求的复杂相互作用对制定饮食计划至关重要。摘要：饮食-偏头痛的相互作用是一种动态的双向现象，需要仔细监测、审查和证明饮食选择的合理性，以产生最佳结果，同时将潜在风险降至最低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Neurology 医学-临床神经学

CiteScore

8.60

自引率

0.00%

发文量

174

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Neurology is a highly regarded journal offering insightful editorials and on-the-mark invited reviews; covering key subjects such as cerebrovascular disease, developmental disorders, neuroimaging and demyelinating diseases. Published bimonthly, each issue of Current Opinion in Neurology introduces world renowned guest editors and internationally recognized academics within the neurology field, delivering a widespread selection of expert assessments on the latest developments from the most recent literature.