Özön Akçay Övünç, Karadaş Ömer, Özge Aynur
Department of Neurology, Private Liv Hospital, Ankara, Turkey.
Department of Neurology, Ankara Mevki Military Hospital, Ankara, Turkey.
Noro Psikiyatr Ars. 2016 Sep 20;55(3):233-237. doi: 10.5152/npa.2016.15961. eCollection 2018 Sep.
Migraine is a common type of headache, but its pathogenesis is still not fully understood. Triggering factors may vary in migraine patients with a particular importance of certain food intake. In this study, the efficacy of limiting certain migraine- triggering foods in the prevention of migraine attacks was investigated.
Patients diagnosed with migraine without aura according to the International Classification of Headaches were enrolled. Fifty migraine patients stating that migraine attack started after the intake of certain foods were evaluated. The patients were randomly divided into 2 groups. The migraine-triggering foods identified by the patients were excluded from the diet in both groups 1 (n=25) and 2 (n=25). Monthly attack frequency, attack duration, and attack severity (using the visual analogue scale) were recorded before starting the diet restriction and 2 months after the diet restriction. Diet restriction was relaxed in group 1 after the second month and continued in group 2. In the fourth month, the monthly attack frequency, attack duration, and attack severity (using the visual analogue scale) were determined in both groups.
A total of 50 patients comprising 9 males and 41 females were evaluated in this study. In both the groups, in the second month after diet implementation, monthly attack frequency, attack duration, and attack severity were found to have decreased to a statistically significant extent compared to those in the period before diet implementation [group 1 (p=0.011, p=0.041, and p=0.003, respectively) and group 2 (p=0.015, p=0.037, and p=0.003, respectively)]. In the evaluation in the fourth month, it was observed that this significant decrease was maintained only in group 2.
The results of the study reveal that if migraine-triggering foods are identified by migraine patients, restricting their intake can be an effective and reliable method to reduce migraine attacks.
偏头痛是一种常见的头痛类型，但其发病机制仍未完全明确。触发因素在偏头痛患者中可能各不相同，某些食物摄入具有特别重要的影响。在本研究中，探讨了限制某些引发偏头痛的食物对预防偏头痛发作的效果。
纳入根据国际头痛分类诊断为无先兆偏头痛的患者。对50名称偏头痛发作始于摄入某些食物的患者进行评估。患者被随机分为2组。第1组（n = 25）和第2组（n = 25）均将患者确定的引发偏头痛的食物从饮食中排除。在开始饮食限制前及饮食限制2个月后记录每月发作频率、发作持续时间和发作严重程度（使用视觉模拟量表）。第2个月后第1组放松饮食限制，第2组继续。在第4个月时，测定两组的每月发作频率、发作持续时间和发作严重程度（使用视觉模拟量表）。
本研究共评估了50例患者，其中男性9例，女性41例。在两组中，饮食实施后第2个月，每月发作频率、发作持续时间和发作严重程度与饮食实施前相比均有统计学意义的下降[第1组（分别为p = 0.011、p = 0.041和p = 0.003）和第2组（分别为p = 0.015、p = 0.037和p = 0.003）]。在第4个月的评估中，观察到只有第2组维持了这种显著下降。
研究结果表明，如果偏头痛患者能识别出引发偏头痛的食物，限制其摄入可能是减少偏头痛发作的一种有效且可靠的方法。
