A randomized trial on the effects of regular water intake in patients with recurrent headaches

Spigt, Mark; Weerkamp, Nico J.; Troost, J.; Schayck, C.P. van; Knottnerus, J. André

doi:10.1093/fampra/cmr112

Cited by 39 publications

(37 citation statements)

References 11 publications

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“…Maintenance of biological rhythms is important in maintaining health, i.e., ultradian (e.g., feeding cycles) [2], circadian (e.g., cycles of sleep, digestive secretions, bowel movements) [3], infradian (e.g., menstrual cycles) [3], and diurnal rhythms (circadian rhythms synchronized with day-night cycle) [4]. Lifestyle behaviors of sleep [5], exercise [6][7][8], mealtime pattern [9] and hydration status [10] are known to independently affect migraine occurrence. Individual-customized daily aerobic exercise, daily scheduled stress management and relaxation techniques, and mindfulnessbased stress reduction prevent migraine [5], while inadequate sleep hygiene, non-restorative sleep, skipping meals, and dehydration can trigger migraine [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The impact of regular lifestyle behavior in migraine: a prevalence case–referent study

Woldeamanuel

Cowan

2016

J Neurol

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Regular lifestyle behaviors (RLBs) of sleep, exercise, mealtime pattern and hydration status independently affect migraine occurrence. We aimed herein to evaluate the differences in migraine occurrence among participants who do and do not maintain the RLB triumvirate. Cases of chronic migraine (CM) and referents of episodic migraine (EM) ≥ aged 15 years with charts regularly documenting RLB notes were continuously enrolled from a retrospective case-referent cohort study performed on electronic chart review from January 1, 2014 to January 1, 2015 at the Stanford Headache and Facial Pain Program. Association between RLB prevalence and migraine occurrence was studied. 175 CM and 175 EM patients were enrolled (mean age 44.4 years, 22 % males). Migraine was diagnosed according to the ICHD-3 beta criteria, and was confirmed by a Headache Specialist attending the Clinic. The CM cohort (22 %) exhibited less RLB than the EM cohort (69 %), with crude odds ratio of 0.13 (95 % confidence interval or CI 0.08-0.21). The adjusted odds ratio and adjusted relative risk between RLB+, Meds+ (those taking medication) and CM were 0.67 (95 % CI 0.32-1.40) and 0.74 (95 % CI 0.43-1.28), indicating no significant effect modification. Engaging in regular lifestyle behavior helps quell chronic migraine.

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Section: Introductionmentioning

confidence: 99%

The impact of regular lifestyle behavior in migraine: a prevalence case–referent study

Woldeamanuel

Cowan

2016

J Neurol

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“…Outcomes to reflect changes in water intake were primarily reported using objective measures of 24 h urine volume (10‐21) and 24 h water turnover, the gold standard . Self‐report through fluid intake diaries was also utilized, ranging from 1 to 7 days . Eight out of the 16 studies were randomised controlled trials (RCT), while the others were non‐randomised and/or non‐controlled trials.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies employed instructions together with education (Table ) . A long‐term intervention study in two neighbouring towns situated in the Judean Desert Mountains found a similar increase in water intake in both towns (intervention and control) after 3 years .…”

Section: Resultsmentioning

confidence: 99%

“…the intervention group had higher baseline fluid intake), and outcome data were collected in different volunteer samples and during different seasons between towns. In the second study, conducted in patients with recurrent headaches, were instructed to drink an additional 1.5 L of water and the participants were also briefly informed on the evidence for the study . The intervention group reported a 920 mL increase (55%) in self‐reported water intake over 3 months, whereas this was only 13% in the control group.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review to determine the most effective interventions to increase water intake

et al. 2016

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“…26,27 Considering the myriad health advantages of proper hydration and its relatively low burden, 28 patients with migraine may be coached toward consistently meeting the existing fluid intake standards. Existing trials of fluid intake interventions to prevent migraine were not adequately designed to detect differences nor recommend specific fluid levels.…”

Section: Evaluating Dietary Recommendations For Migraine In Light Of mentioning

confidence: 99%

What is Needed for Evidence‐Based Dietary Recommendations for Migraine: A Call to Action for Nutrition and Microbiome Research

Slavin

Frankenfeld

2019

Headache

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Background.-The gastrointestinal symptoms of migraine attacks have invited numerous dietary hypotheses for migraine etiology through the centuries. Substantial efforts have been dedicated to identifying dietary interventions for migraine attack prevention, with limited success. Meanwhile, mounting evidence suggests that the reverse relationship may also exist -that the biological mechanisms of migraine may influence dietary intake. More likely, the truth involves some combination of both, where the disease influences food intake, and the foods eaten impact the manifestations of the disease. In addition, the gut's microbiota is increasingly suspected to influence the migraine brain via the gut-brain axis, though these hypotheses remain largely unsubstantiated.Objective.-This paper presents an overview of the strength of existing evidence for food-based dietary interventions for migraine, noting that there is frequently evidence to suggest that a dietary risk factor for migraine exists but no evidence for how to best intervene; in fact, our intuitive assumptions on interventions are being challenged with new evidence. We then look to the future for promising avenues of research, notably the gut microbiome.Conclusion.-The evidence supports a call to action for high-quality dietary and microbiome research in migraine, both to substantiate hypothesized relationships and build the evidence base regarding nutrition's potential impact on migraine attack prevention and treatment.

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A randomized trial on the effects of regular water intake in patients with recurrent headaches

Abstract: Considering the observed positive subjective effects, it seems reasonable to recommend headache patients to try this non-invasive intervention for a short period of time to see whether they experience improvement.

Cited by 39 publications

References 11 publications

The impact of regular lifestyle behavior in migraine: a prevalence case–referent study

The impact of regular lifestyle behavior in migraine: a prevalence case–referent study

A systematic review to determine the most effective interventions to increase water intake

What is Needed for Evidence‐Based Dietary Recommendations for Migraine: A Call to Action for Nutrition and Microbiome Research

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