Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers

Introduction: Migraine is a multifactorial neurological disorder with a major metabolic facet. Dietary approaches represent a commonly implemented lifestyle modifying strategy in headache clinics, yet the precise relationship between diet and migraine is still a matter of debate.Materials and Method...

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Autores principales:	Marco Lisicki, Jean Schoenen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	headache diet metabolism survey prospective Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9272e15fd7394625b88b998e47ba3c6c
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spelling	oai:doaj.org-article:9272e15fd7394625b88b998e47ba3c6c2021-11-18T05:02:14ZOld Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers1664-229510.3389/fneur.2021.748419https://doaj.org/article/9272e15fd7394625b88b998e47ba3c6c2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.748419/fullhttps://doaj.org/toc/1664-2295Introduction: Migraine is a multifactorial neurological disorder with a major metabolic facet. Dietary approaches represent a commonly implemented lifestyle modifying strategy in headache clinics, yet the precise relationship between diet and migraine is still a matter of debate.Materials and Methods: The study consisted of two parts: first, in a cross-sectional design, we compared alimentary habits of migraine subjects and a control group of healthy volunteers. For the second part, we prospectively evaluated patients' daily consumption of various potentially migraine-triggering foods over a two-month period in order to examine their possible association with the occurrence of a migraine attack.Results: Most migraine patients reported avoiding at least one potentially migraine-triggering food/drink from their diet. In spite of that, with the sole exemption of citrus fruits, there were no statistically significant differences with respect to consumption patterns between migraine patients and controls (including wine and chocolate). Consumption frequency over time was proportional to intake of potentially migraine-triggering foods the day before a migraine attack.Conclusion: Our results underline the need of performing trigger challenges in order to avoid falling into an association-causation fallacy when attempting to identify possible alimentary migraine triggers. Indeed, it is possible that intake of certain foods like chocolate before attacks is a consequence of pre-attack cravings or a simple coincidence facilitated by previously established dietary habits.Marco LisickiJean SchoenenFrontiers Media S.A.articleheadachedietmetabolismsurveyprospectiveNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	headache diet metabolism survey prospective Neurology. Diseases of the nervous system RC346-429
spellingShingle	headache diet metabolism survey prospective Neurology. Diseases of the nervous system RC346-429 Marco Lisicki Jean Schoenen Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers
description	Introduction: Migraine is a multifactorial neurological disorder with a major metabolic facet. Dietary approaches represent a commonly implemented lifestyle modifying strategy in headache clinics, yet the precise relationship between diet and migraine is still a matter of debate.Materials and Methods: The study consisted of two parts: first, in a cross-sectional design, we compared alimentary habits of migraine subjects and a control group of healthy volunteers. For the second part, we prospectively evaluated patients' daily consumption of various potentially migraine-triggering foods over a two-month period in order to examine their possible association with the occurrence of a migraine attack.Results: Most migraine patients reported avoiding at least one potentially migraine-triggering food/drink from their diet. In spite of that, with the sole exemption of citrus fruits, there were no statistically significant differences with respect to consumption patterns between migraine patients and controls (including wine and chocolate). Consumption frequency over time was proportional to intake of potentially migraine-triggering foods the day before a migraine attack.Conclusion: Our results underline the need of performing trigger challenges in order to avoid falling into an association-causation fallacy when attempting to identify possible alimentary migraine triggers. Indeed, it is possible that intake of certain foods like chocolate before attacks is a consequence of pre-attack cravings or a simple coincidence facilitated by previously established dietary habits.
format	article
author	Marco Lisicki Jean Schoenen
author_facet	Marco Lisicki Jean Schoenen
author_sort	Marco Lisicki
title	Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers
title_short	Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers
title_full	Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers
title_fullStr	Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers
title_full_unstemmed	Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers
title_sort	old habits die hard: dietary habits of migraine patients challenge our understanding of dietary triggers
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/9272e15fd7394625b88b998e47ba3c6c
work_keys_str_mv	AT marcolisicki oldhabitsdieharddietaryhabitsofmigrainepatientschallengeourunderstandingofdietarytriggers AT jeanschoenen oldhabitsdieharddietaryhabitsofmigrainepatientschallengeourunderstandingofdietarytriggers
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Old Habits Die Hard: Dietary Habits of Migraine Patients Challenge our Understanding of Dietary Triggers

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