Associations between diet quality, DASH and Mediterranean dietary patterns and migraine characteristics

Bakırhan, Hande; Yıldıran, Hilal; Cankay, Tuğba Uyar

doi:10.1080/1028415x.2021.1963065

Cited by 25 publications

(19 citation statements)

References 27 publications

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“…In a study investigating the relationship between the characteristics of the Mediterranean diet and migraine, it was found that individuals adopting the properties of the Mediterranean diet less than others had more severe migraine disability and more severe and frequent migraine attacks ( p < 0.05). Moreover, a significant and negative correlation was found between the scores of adherence to the Mediterranean diet and migraine severity ( r = −0.733, p < 0.05) ( 32 ). Similarly, Arab et al ( 33 ) showed that the frequency (β = −2.30, 95% CI) and duration (β = −0.42, 95%) of headaches, and migraine headache index scores (β = −47.44, 95% CI) were negatively correlated with adherence to the Mediterranean diet ( 33 ).…”

Section: Discussionmentioning

confidence: 99%

Migraine severity, disability, and duration: Is a good diet quality, high intake of phytochemicals and polyphenols important?

et al. 2022

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ObjectivesDietary pattern may be the determinant of migraine prognosis through various mechanisms such as systemic inflammation, vasodilation, cerebral glucose metabolism, and mitochondrial dysfunction.This study was conducted to examine the relationship of the symptoms and signs of migraine with dietary polyphenols and the phytochemical intake and the quality of the diet.Materials and methodsIndividuals (n = 90), who were admitted to the headache outpatient clinic due to the diagnosis of episodic migraine, underwent physical examination by a neurologist. Migraine characteristics were assessed using the Migraine Disability Assessment Questionnaire and the Visual Analogue Scale. The Healthy Eating Index-2015 (HEI-2015) was used to evaluate the diet quality of individuals, and the Phytochemical Index developed by McCarty was used to determine the dietary intake of phytochemicals. Phenol-Explorer version 3.6 and the USDA Database for the Flavonoid Content of Selected Foods-Release 3.3 were used to calculate the dietary polyphenol intake.ResultsMigraine severity was negatively correlated with the intake of phytochemicals and good diet quality (r = −0.37, p = 0.0003; r = −0.37, p = 0.0003, respectively), and with the intake of phenolic components flavanones (r = −0.27, p = 0.01) and lignans (r = −0.27, p = 0.01). With respect to the food groups; migraine severity was found to be inversely correlated with the total phenol intake from olive oil, oil, and fruits (r = −0.26, p = 0.01; r = −0.21, p = 0.04; r = −0.24, p = 0.02, respectively), and the flavonoid intake from olive oil, oil, fruits, and vegetables (r = −0.26, p = 0.01; r = −0.26, p = 0.01; r = −0.35, p = 0.0007; r = −0.22, p = 0.04, respectively). Strikingly, fruit flavanone intake was correlated with low migraine severity (r = −0.39, p = 0.0002), and fruit flavanol intake was correlated with low migraine disability (r = −0.21, p = 0.04).ConclusionA high-quality diet rich in phytochemicals and polyphenols (especially flavanones and lignans) is associated with low migraine severity. Lower intake of phenols and flavonoids from vegetable oil, olive oil, fruits, and vegetables were associated with more severe migraine attacks. Examination of migraine characteristics and dietary pattern together with phytochemical and polyphenol intake may guide the development of dietary strategies to be used in migraine patients.

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Section: Discussionmentioning

confidence: 99%

Migraine severity, disability, and duration: Is a good diet quality, high intake of phytochemicals and polyphenols important?

et al. 2022

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“…69 The DASH diet reduces systemic inflammation and might lower pain, 63 including migraine attacks. 6 Furthermore, the DASH diet consists of antioxidant properties that could reduce migraine attacks by decreasing neurogenic inflammation. 4,25 However, further investigation regarding the relationship between the DASH diet and pain is required.…”

Section: Discussionmentioning

confidence: 99%

Healthy dietary indices and noncancer pain: a systematic review of cross-sectional and longitudinal studies

Chand

Blyth

Khalatbari-Soltani

2022

Pain

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“…Dietary behaviour, sleep regulation, physical activity level, environmental factors, and weight management effects on migraine are accepted as related lifestyle factors 8,9 . Recent studies have reported a significant association between the specific kinds of diets like ketogenic, Mediterranean, DASH (Dietary Approaches to Stop Hypertension) or high‐quality diets and migraine attack frequency 10–12 . However, they could not confirm one specific type of diet being 100% effective for migraine control, and the impact of diets on migraine is a controversial topic 6,7 .…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Recent studies have reported a significant association between the specific kinds of diets like ketogenic, Mediterranean, DASH (Dietary Approaches to Stop Hypertension) or high-quality diets and migraine attack frequency. [10][11][12] However, they could not confirm one specific type of diet being 100% effective for migraine control, and the impact of diets on migraine is a controversial topic. 6,7 Therefore, recognising and avoiding dietary and non-dietary triggers are a reasonable key solution for migraine attack prevention; such a strategy is called an 'Elimination Diet'.…”

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confidence: 99%

The comparison of the main dietary and non‐dietary trigger factors in women with chronic and episodic migraine

Hajjarzadeh

Shalilahmadi

Nikniaz

et al. 2022

Nutrition & Dietetics

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Aims: Migraine is one of the most common neurological diseases and the second cause of disability worldwide. Various trigger factors have been reported in different populations. The current study was designed to extract the main trigger factors using factor analysis, and compare the chronic and episodic patient scores for every extracted pattern. Methods: In this cross-sectional study, 300 migrainous women (25-55 years old) participated. A constructed 46-item Likert questionnaire was developed to assess the primary triggers. The validity of the designed questionnaire was assessed by Content Validity Ratio and Content Validity Index coefficients. The test-retest method was employed to assess reliability. The exploratory factor analysis was performed to extract patterns of correlation among 46 triggers.Each participant was given a score for every extracted pattern. The mean scores of chronic and episodic patients were compared using the Mann-Whitney test. Results: The mean body mass index of participants was 28.17 ± 5.44 kg/m 2 .Most participants (90.7%) had migraine without aura. Four factors were extracted using factor analysis that explained 22.37% of the total variance: (1) environmental and behavioural factors; (2) condiments; (3) nitrite, tyramine and caffeine; and (4) fats. None of these factors explained the difference between chronic and episodic migrainous women. Conclusions:The current study suggests that environmental and behavioural factors, relative to dietary triggers, play an essential role in causing migraine in women and more than dietary triggers. The most important triggers did not differ between episodic and chronic migrainous women.

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Associations between diet quality, DASH and Mediterranean dietary patterns and migraine characteristics

Cited by 25 publications

References 27 publications

Migraine severity, disability, and duration: Is a good diet quality, high intake of phytochemicals and polyphenols important?

Migraine severity, disability, and duration: Is a good diet quality, high intake of phytochemicals and polyphenols important?

Healthy dietary indices and noncancer pain: a systematic review of cross-sectional and longitudinal studies

The comparison of the main dietary and non‐dietary trigger factors in women with chronic and episodic migraine

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