Camboim Rockett F, Castro K, Rossoni de Oliveira V, da Silveira Perla A, Fagundes Chaves M L, Schweigert Perry I D
Food and Nutrition Research Center, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Nutr Hosp. 2012 Mar-Apr;27(2):483-9. doi: 10.1590/S0212-16112012000200020.
The present cross-sectional study was designed to assess the frequency of 36 possible triggering factors precipitating a migraine crisis (hormonal, environmental, and dietary) in adult outpatients suffering from migraine attacks. A group of 123 migraine sufferers, aged 43.2 ± 13.9 (mean ± SD) years, including 114 (92.7%) women, 68.3% having migraine without aura, 68.3% reporting pain severe enough to require drug prophylaxis, and 29.3% presenting with hypertension, were evaluated. The most common triggers were stress and fasting, and environmental and hormonal factors were frequently found to precipitate a crisis. More than 90% of the patients reported susceptibility to 5 or more factors, and only 2.4% did not complain about any dietary factor. The large number of triggers detected in the present study emphasises the importance of awareness and avoidance of these factors in the management of patients with migraine.
本横断面研究旨在评估成年偏头痛门诊患者中36种可能引发偏头痛发作的诱发因素（激素、环境和饮食因素）出现的频率。对一组123名偏头痛患者进行了评估，他们的年龄为43.2±13.9（均值±标准差）岁，其中包括114名（92.7%）女性，68.3%的患者为无先兆偏头痛，68.3%的患者报告疼痛严重到需要药物预防，29.3%的患者患有高血压。最常见的诱发因素是压力和禁食，并且经常发现环境和激素因素会引发偏头痛发作。超过90%的患者报告对5种或更多因素敏感，只有2.4%的患者未提及任何饮食因素。本研究中检测到的大量诱发因素强调了在偏头痛患者管理中认识和避免这些因素的重要性。
