Headache is associated with lower alcohol consumption among medical students

Domingues, Renan Barros; Domingues, Simone A.

doi:10.1590/s0004-282x2011000500009

Cited by 15 publications

(12 citation statements)

References 24 publications

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“…A Brazilian cross‐sectional, community‐based study among medical students indicates that this assumption is valid . This report investigated the association between headache and alcohol consumption among medical students and found that students with headache, both migraine and non‐migrainous headache, used less alcohol and had less alcohol‐related disorders.…”

Section: Review Of Studies With Discussion Of Important Questions Andmentioning

confidence: 96%

Headache and Alcohol

Dueland

2015

Headache

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Section: Review Of Studies With Discussion Of Important Questions Andmentioning

confidence: 96%

Headache and Alcohol

Dueland

2015

Headache

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“…(1) Among migraine patients who did not drink alcohol at all (about 50%), only 3% reported that abstaining from alcohol was a result of alcohol as a migraine trigger; [27] (2) differently with we can expect if ADs trigger migraine, an higher use of ADs was reported in chronic migraine in comparison whit episodic migraine; [64] (3) the percentage of subjects who never or seldom consume ADs is higher in migraine and nonmigraine headache, [63,65,66] which suggests that factors other than previous experience of alcohol as a trigger can contribute to reduced alcohol consumption in migraine, such as personal preference. [4] The possible triggering site However, if ADs are a trigger factor of virtually all primary headaches, a fundamental question emerges: That is if ADs act at different levels in triggering the primary headaches or do they act at an initial level of a common pathogenetic pathway.…”

Section: Th % M %mentioning

confidence: 99%

Alcohol-induced headaches: Evidence for a central mechanism?

Panconesi

2016

Journal of Neurosciences in Rural Practice

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Alcoholic drinks (ADs) have been reported as a migraine trigger in about one-third of the migraine patients in retrospective studies. Some studies found that ADs trigger also other primary headaches. The studies concerning the role of ADs in triggering various types of primary headaches published after the International Headache Society classification criteria of 1988 were reviewed, and the pathophysiological mechanisms were discussed. Many studies show that ADs are a trigger of migraine without aura (MO), migraine with aura (MA), cluster headache (CH), and tension-type headache (TH). While data on MO and CH are well delineated, those in MA and TH are discordant. There are sparse reports that ADs are also triggers of less frequent types of primary headache such as familial hemiplegic migraine, hemicrania continua, and paroxysmal hemicrania. However, in some countries, the occurrence of alcohol as headache trigger is negligible, perhaps determined by alcohol habits. The frequency estimates vary widely based on the study approach and population. In fact, prospective studies report a limited importance of ADs as migraine trigger. If ADs are capable of triggering practically all primary headaches, they should act at a common pathogenetic level. The mechanisms of alcohol-provoking headache were discussed in relationship to the principal pathogenetic theories of primary headaches. The conclusion was that vasodilatation is hardly compatible with ADs trigger activity of all primary headaches and a common pathogenetic mechanism at cortical, or more likely at subcortical/brainstem, level is more plausible.

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“…From those studies, red wine in particular was suggested as a trigger factor, with rapid onset of headache after consumption [14,16,17]. It has been hypothesized that susceptibility to alcohol might affect behavior, leading to less alcohol consumption or abstention by patients with migraine [18][19][20][21][22], but the reasons for patients with migraine to abstain from alcohol consumption have not been explored in detail.…”

Section: Introductionmentioning

confidence: 99%

Alcoholic beverages as trigger factor and the effect on alcohol consumption behavior in patients with migraine

Onderwater

Oosterhout

Schoonman

et al. 2018

Euro J of Neurology

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Background and purpose Alcoholic beverages are frequently reported migraine triggers. We aimed to assess self‐reported alcohol consumption as a migraine attack trigger and to investigate the effect on alcohol consumption behavior in a large migraine cohort. Methods We conducted a cross‐sectional, web‐based, questionnaire study among 2197 patients with migraine from the well‐defined Leiden University MIgraine Neuro‐Analysis (LUMINA) study population. We assessed alcoholic beverage consumption and self‐reported trigger potential, reasons behind alcohol abstinence and time between alcohol consumption and migraine attack onset. Results Alcoholic beverages were reported as a trigger by 35.6% of participants with migraine. In addition, over 25% of patients with migraine who had stopped consuming or never consumed alcoholic beverages did so because of presumed trigger effects. Wine, especially red wine (77.8% of participants), was recognized as the most common trigger among the alcoholic beverages. However, red wine consistently led to an attack in only 8.8% of participants. Time of onset was rapid (<3 h) in one‐third of patients and almost 90% had an onset <10 h independent of beverage type. Conclusions Alcoholic beverages, especially red wine, are recognized as a migraine trigger factor by patients with migraine and have a substantial effect on alcohol consumption behavior. Rapid onset of provoked migraine attacks in contrast to what is known about hangover headache might point to a different mechanism. The low consistency of provocation suggests that alcoholic beverages acting as a singular trigger is insufficient and may depend on a fluctuating trigger threshold.

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Headache is associated with lower alcohol consumption among medical students

Cited by 15 publications

References 24 publications

Headache and Alcohol

Headache and Alcohol

Alcohol-induced headaches: Evidence for a central mechanism?

Alcoholic beverages as trigger factor and the effect on alcohol consumption behavior in patients with migraine

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