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Abstract
PURPOSE OF REVIEW The purpose of this review is to present the latest research findings about diet and migraine, what can be used in the clinic now, and what needs further investigation. RECENT FINDINGS Recent findings highlight that dietary triggers exist for migraine, for example, coffee and alcohol, according to a new systematic review. Elimination diets must be personalized to delineate a balanced diet with acceptable quality and pattern. A piece of average-quality evidence shows that the ketogenic diet (KD) and the Dietary Approaches to Stop Hypertension (DASH) are effective in reducing the frequency, duration, and severity of migraine headaches in adult patients. The gut microbiome is altered in patients with migraine, and further research will identify the benefits of pre and probiotic use for migraine. Advanced digital technology in continuous monitoring can provide educational content based on patients' needs, help patients adhere to dietary plans, and strengthen personalized care. The complex interaction of lifestyle factors, the influence of age and sex, and patients' needs in various life phases are essential in formulating dietary plans. SUMMARY The diet-migraine interaction is a dynamic bidirectional phenomenon that requires careful monitoring, review, and justification of dietary choices to yield the optimal outcome while minimizing potential risks.
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Affiliation(s)
- Parisa Gazerani
- Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University
- Centre for Intelligent Musculoskeletal Health (CIM), Faculty of Health Sciences, Oslo Metropolitan University, Norway
- Department of Health Science & Technology, Faculty of Medicine, Aalborg University, Gistrup, Denmark
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Zhong WF, Song WQ, Wang XM, Li ZH, Shen D, Liu D, Zhang PD, Shen QQ, Liang F, Nan Y, Xiang JX, Chen ZT, Li C, Li ST, Lv XG, Lin XR, Lv YB, Gao X, Kraus VB, Shi XM, Mao C. Dietary Diversity Changes and Cognitive Frailty in Chinese Older Adults: A Prospective Community-Based Cohort Study. Nutrients 2023; 15:3784. [PMID: 37686817 PMCID: PMC10490160 DOI: 10.3390/nu15173784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 08/21/2023] [Accepted: 08/26/2023] [Indexed: 09/10/2023] Open
Abstract
Evidence for the effects of dietary diversity changes and cognitive frailty (CF) in the older adults is not clear. This study aimed to investigate the relationship between dietary diversity changes and CF in older adults Chinese. A total of 14,382 participants (mean age: 82.3 years) were enrolled. Dietary diversity scores (DDSs) were collected and calculated using a food frequency questionnaire. DDS changes between baseline and first follow-up were categorized into nine patterns. The associations between DDS changes and the incidence of CF were estimated using Cox proportional hazards models. During an 80,860 person-year follow-up, 3023 CF cases were identified. Groups with a decrease in DDS had increased CF risk compared with the high-to-high DDS group, with adjusted hazard ratios (HRs; 95% confidence intervals (Cis)) of 1.30 (1.06, 1.59), 2.04 (1.51, 2.74), and 1.81 (1.47, 2.22) for high-to-medium, high-to-low, and medium-to-low groups, respectively. Lower overall DDS groups were associated with greater CF risks, with HRs (95% CIs) of 1.49 (1.19, 1.86) for the low-to-medium group and 1.96 (1.53, 2.52) for the low-to-low group. Compared with the high-to-high group, significant associations with CF were found in other DDS change groups; HRs ranged from 1.38 to 3.12 for the plant-based DDS group and from 1.24 to 1.32 for the animal-based DDS group. Additionally, extreme and moderate declines in overall DDS increased CF risk compared with stable DDS, with HRs (95% CIs) of 1.67 (1.50, 1.86) and 1.13 (1.03, 1.24), respectively. In conclusion, among older adults, a declining or persistently low DDS and a moderately or extremely declining DDS were linked to higher incident CF. Plant-based DDS changes correlated more strongly with CF than animal-based DDS changes.
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Affiliation(s)
- Wen-Fang Zhong
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Wei-Qi Song
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Xiao-Meng Wang
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Zhi-Hao Li
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Dong Shen
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Dan Liu
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, China
| | - Pei-Dong Zhang
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
- Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - Qiao-Qiao Shen
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
- School of Nursing, Southern Medical University, Guangzhou 510515, China
| | - Fen Liang
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Ying Nan
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
- School of Nursing, Southern Medical University, Guangzhou 510515, China
| | - Jia-Xuan Xiang
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Zi-Ting Chen
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Chuan Li
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Shi-Tian Li
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Xiao-Gang Lv
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Xiu-Rong Lin
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
| | - Yue-Bin Lv
- National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China;
| | - Xiang Gao
- Department of Nutrition and Food Hygiene, School of Public Health, Institute of Nutrition, Fudan University, Shanghai 200433, China;
| | - Virginia Byers Kraus
- Division of Rheumatology, Department of Medicine, Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC 27701, USA;
| | - Xiao-Ming Shi
- National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China;
| | - Chen Mao
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China; (W.-F.Z.); (W.-Q.S.); (X.-M.W.); (Z.-H.L.); (D.S.); (D.L.); (P.-D.Z.); (Q.-Q.S.); (F.L.); (Y.N.); (Z.-T.C.); (C.L.); (S.-T.L.); (X.-G.L.); (X.-R.L.)
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Amani Tirani S, Askari G, Khorvash F, As’habi A, Arab A. Associations between dietary diversity score and migraine headaches: the results from a cross-sectional study. Front Nutr 2023; 10:1206278. [PMID: 37662598 PMCID: PMC10469608 DOI: 10.3389/fnut.2023.1206278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 08/04/2023] [Indexed: 09/05/2023] Open
Abstract
Aims There is limited evidence on the link between diet quality and migraine headaches. The present study aimed to evaluate the association between dietary diversity score (DDS), as a good representative of overall diet quality, and clinical features of migraine headaches. Methods In total, 262 subjects (224 females and 34 males), aged 20 to 50 years old were included in the present cross-sectional study. The migraine headache was diagnosed according to the third edition of the International Classification of Headache Disorders (ICHD-3). Clinical features of migraine headaches including frequency, severity, and duration of migraine headaches, headache impact test-6 (HIT-6), and serum levels of nitric oxide (NO) were assessed by standard procedures. The dietary intake of participants has been assessed by a validated 168-item food frequency questionnaire (FFQ) and used to calculate DDS. The association between DDS and clinical variables of migraine headaches was investigated using multiple linear regression analysis, and the beta (β) estimates with 95% confidence intervals (CIs) were reported. Results A significant inverse association was found between DDS and headache frequency (β = -2.19, 95% CI: -4.25, -0.14) and serum levels of NO (β = -6.60, 95% CI: -12.58, -0.34), when comparing patients in the third tertile of DDS to those in the first tertile. The association remained significant and became stronger after adjustment for confounders for both outcomes of headache frequency (β = -3.36, 95% CI: -5.88, -0.84) and serum levels of NO (β = -9.86, 95% CI: -18.17, -1.55). However, no significant association was found between DDS with HIT-6 score, migraine headache duration, and severity. Conclusion The present study demonstrates that higher dietary diversity is correlated with lower migraine frequency and serum levels of NO.
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Affiliation(s)
- Shahnaz Amani Tirani
- Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Gholamreza Askari
- Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariborz Khorvash
- Isfahan Neurosciences Research Center, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Atefeh As’habi
- Food Safety Research Center (salt), Semnan University of Medical Sciences, Semnan, Iran
| | - Arman Arab
- Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
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Chand RR, Blyth FM, Khalatbari-Soltani S. Healthy dietary indices and noncancer pain: a systematic review of cross-sectional and longitudinal studies. Pain 2023; 164:e177-e189. [PMID: 36083185 DOI: 10.1097/j.pain.0000000000002777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 08/23/2022] [Indexed: 11/25/2022]
Abstract
ABSTRACT Pain is a global public health problem given its high prevalence and incidence, long duration, and social and economic impact. There is growing interest in nutrition as potential modifiable risk factor related to pain; however, the associations between healthy dietary patterns and pain have not yet been well established. Thus, we aimed to systematically review and synthesise current cross-sectional and longitudinal evidence on the relationship between a priori healthy dietary patterns and noncancer pain among adults aged ≥18 years. We identified relevant published cross-sectional and longitudinal studies by systematically searching several electronic databases from inception to September 2021. Risk of bias was assessed using the modified Newcastle-Ottawa scale for cohort studies. A total of 14 cross-sectional and 6 longitudinal studies were included in the review. These studies measured different dietary scores/indices, such as different measures of adherence to the Mediterranean diet and the dietary inflammatory index. Pain ascertainment methods and pain measurements used differed across studies. All 20 of the included studies had different study designs and statistical analysis. Of these studies, 10 reported an inverse association between adherence to a healthy dietary pattern and pain, 5 reported mixed results, and 5 reported no associations. Despite notable heterogeneity, 50% of included observational studies reported that adherence to a healthy diet, particularly the Mediterranean diet, is inversely associated with pain. Of note, the cross-sectional design of most studies precludes any causal interpretation. Moreover, limited and inconsistent evidence from longitudinal studies highlights the need for further studies.
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Affiliation(s)
- Rani R Chand
- Faculty of Medicine and Health, The University of Sydney School of Public Health, Sydney, Australia
| | - Fiona M Blyth
- Faculty of Medicine and Health, The University of Sydney School of Public Health, Sydney, Australia
- ARC Centre of Excellence in Population Aging Research (CEPAR), University of Sydney, Sydney, Australia
| | - Saman Khalatbari-Soltani
- Faculty of Medicine and Health, The University of Sydney School of Public Health, Sydney, Australia
- ARC Centre of Excellence in Population Aging Research (CEPAR), University of Sydney, Sydney, Australia
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Bakırhan H, Yıldıran H, Uyar Cankay T. Associations between diet quality, DASH and Mediterranean dietary patterns and migraine characteristics. Nutr Neurosci 2021; 25:2324-2334. [PMID: 34379573 DOI: 10.1080/1028415x.2021.1963065] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
This study was conducted to describe the dietary patterns and diet quality and to examine the correlation between diet quality, dietary patterns (Mediterranean or DASH) and migraine attributes. Individuals between the ages of 18-64 who applied to the headache outpatient clinic and were diagnosed with episodic migraine were evaluated by a neurologist. Healthy Eating Index-2010 was used to determine the diet quality. Dietary Approaches to Stop Hypertension compliance scale and Mediterranean Diet Adherence Screener were used to describe the dietary patterns. It was found that individuals with a low Mediterranean Diet Adherence Screener score had more severe disability and more severe and frequent attacks (p < 0.05). In addition, a significant negative correlation was found between Mediterranean Diet Adherence Screener score and attack severity (r = -0.733, p < 0.05). Individuals with a low Dietary Approaches to Stop Hypertension compliance scale score had more severe and frequent attacks (p < 0.05). There was a significant negative correlation between attack severity and Dietary Approaches to Stop Hypertension compliance scale scores (r = -0.700, p < 0.001). Individuals with poor diet quality had more severe migraine attacks compared to others (p < 0.05). A significant negative correlation was found between diet quality total score and attack severity (r = 0.458, p < 0.05). High diet quality scores and higher vegetables, fruits, legumes, and oil seeds subscores, DASH and Mediterranean dietary patterns were associated with lower migraine attack severity (p < 0.05). A nutritional approach that adopts the Mediterranean diet or involves a good diet quality pattern can help alleviate the symptoms of individuals with migraine.
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Affiliation(s)
- Hande Bakırhan
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey
| | - Hilal Yıldıran
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Tugba Uyar Cankay
- Department of Neurology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
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