预防和控制偏头痛发作的实用保健品:叙述性综述。

IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS
Frontiers in Nutrition Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI:10.3389/fnut.2024.1433390
Zahra Hajhashemy, Sahar Golpour-Hamedani, Niloofar Eshaghian, Omid Sadeghi, Fariborz Khorvash, Gholamreza Askari
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引用次数: 0

摘要

背景:偏头痛是最令人衰弱的神经系统疾病之一,会导致频繁发作的头痛,影响全球约 11% 的人口。缺乏甚至不足重要营养素会增加偏头痛发作的严重程度和频率。因此,我们旨在研究预防和控制偏头痛发作的实用补充剂:本叙事性综述研究使用 "膳食补充剂 "和 "偏头痛 "及其 MeSH 术语作为关键词,在 PubMed、ISI web of science、EMBASE、Google Scholar 和 Scopus 上进行搜索。研究纳入了从开始到 2024 年 7 月 27 日以英语发表的原创文章、调查成年人群(年龄大于 18 岁)的研究,以及评估有意补充营养素对偏头痛临床症状影响的研究:结果:氧化应激和抗氧化剂摄入量低会诱发炎症,从而成为偏头痛发作的风险因素。肿瘤坏死因子(TNF)-a 等炎症细胞因子的分泌会增加细胞的通透性和相互作用,从而导致神经炎症和偏头痛发作。还有证据表明,偏头痛发作阶段与降钙素基因相关肽(CGRP)、线粒体紊乱、单胺能通路、脑能量代谢紊乱以及血清谷氨酸和同型半胱氨酸水平升高直接相关。因此,补充涉及线粒体功能、脑能量代谢的营养素,甚至甲基供体,可缓解偏头痛发作:有证据表明,补充核黄素、欧米茄-3 脂肪酸、α-硫辛酸、镁、益生菌、辅酶 Q10、生姜和咖啡因会对偏头痛患者产生有利影响。不过,还需要进行更多的前瞻性研究,以评估其他营养素对偏头痛患者的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Practical supplements for prevention and management of migraine attacks: a narrative review.

Background: Migraine is one of the most debilitating neurological disorders that causes frequent attacks of headaches and affects approximately 11% of the global population. Deficient or even insufficient levels of vital nutrients would increase the severity and frequency of migraine attacks. Therefore, we aimed to examine the practical supplements for the prevention and management of migraine attacks.

Method: This narrative review study was conducted by searching PubMed, ISI web of science, EMBASE, Google Scholar, and Scopus using the keywords of "dietary supplement" and "migraine" plus their MeSH terms. Original articles published in English language from their inception to July 27th, 2024, studies that investigated adult population (aged >18 years), and those assessing the impact of intended nutrient supplementation on clinical symptoms of migraine were included in the study.

Result: Oxidative stress and low intake of antioxidants would be risk factors for migraine attacks by inducing inflammation. The secretion of inflammatory cytokines, such as tumor necrosis factor (TNF)-a, would lead to neuroinflammation and migraine episodes by increasing the cellular permeability and interactions. Evidence also indicated a direct association between phases of migraine attacks and calcitonin gene-related peptide (CGRP), mitochondrial disorders, monoaminergic pathway, disruption in brain energy metabolism, and higher serum levels of glutamate and homocysteine. Therefore, supplementation with nutrients involved in mitochondrial function, brain energy metabolism, and even methyl donors would relieve migraine attacks.

Conclusion: Evidence indicated that supplementation with riboflavin, omega-3 fatty acids, alpha lipoic acid, magnesium, probiotics, coenzyme Q10, ginger, and caffeine would have favorable effects on migraine patients. However, more prospective studies are required to evaluate the effect of other nutrients on migraine patients.

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来源期刊
Frontiers in Nutrition
Frontiers in Nutrition Agricultural and Biological Sciences-Food Science
CiteScore
5.20
自引率
8.00%
发文量
2891
审稿时长
12 weeks
期刊介绍: No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.
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