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有助于预防发育阶段头痛的生活方式调整。

Lifestyle Modifications to Help Prevent Headache at a Developmental Age.

作者信息

Raucci Umberto, Boni Alessandra, Evangelisti Melania, Della Vecchia Nicoletta, Velardi Margherita, Ursitti Fabiana, Terrin Gianluca, Di Nardo Giovanni, Reale Antonino, Villani Alberto, Parisi Pasquale

机构信息

Pediatric Emergency Department, Bambino Gesù Children's Hospital, Institute for Research, Hospitalization and Health Care (IRCCS), Rome, Italy.

Department of Pediatrics, Sapienza University, Rome, Italy.

出版信息

Front Neurol. 2021 Feb 2;11:618375. doi: 10.3389/fneur.2020.618375. eCollection 2020.

DOI:10.3389/fneur.2020.618375
PMID:33603708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7884344/
Abstract

Headache is the world's seventh most significant cause of disability-adjusted-life in people aged between 10 and 14 years. Therapeutic management is based on pharmacological approaches and lifestyle recommendations. Many studies show associations between each migraine-promoting lifestyle, behavioral triggers, frequency, and intensity of headaches. Nevertheless, the overall aspects of this topic lack any definitive evidence. Educational programs advise that pediatric patients who suffer from migraines follow a correct lifestyle and that this is of the utmost importance in childhood, as it will improve quality of life and assist adult patients in avoiding headache chronicity, increasing general well-being. These data are important due to the scarcity of scientific evidence on drug therapy for prophylaxis during the developmental age. The "lifestyle recommendations" described in the literature include a perfect balance between regular sleep and meal, adequate hydration, limited consumption of caffeine, tobacco, and alcohol, regular physical activity to avoid being overweight as well as any other elements causing stress. The ketogenic diet is a possible new therapeutic strategy for the control of headache in adults, however, the possible role of dietary factors requires more specific studies among children and adolescents. Educational programs advise that the improvement of lifestyle as a central element in the management of pediatric headache will be of particular importance in the future to improve the quality of life of these patients and reduce the severity of cephalalgic episodes and increase their well-being in adulthood. The present review highlights how changes in different aspects of daily life may determine significant improvements in the management of headaches in people of developmental age.

摘要

头痛是10至14岁人群中全球第七大致残调整生命年的重要病因。治疗管理基于药物治疗方法和生活方式建议。许多研究表明,促偏头痛的生活方式、行为触发因素、头痛频率和强度之间存在关联。然而,该主题的整体情况缺乏确凿证据。教育项目建议,患有偏头痛的儿科患者应遵循正确的生活方式,这在儿童期至关重要,因为它将改善生活质量,并帮助成年患者避免头痛慢性化,提高总体幸福感。由于发育年龄阶段预防性药物治疗的科学证据稀缺,这些数据很重要。文献中描述的“生活方式建议”包括规律睡眠和饮食之间的完美平衡、充足的水分摄入、限制咖啡因、烟草和酒精的消费、定期体育锻炼以避免超重以及任何其他引起压力的因素。生酮饮食是控制成人头痛的一种可能的新治疗策略,然而,饮食因素在儿童和青少年中的可能作用需要更具体的研究。教育项目建议,改善生活方式作为儿科头痛管理的核心要素,在未来对于提高这些患者的生活质量、减轻头痛发作的严重程度以及增加他们成年后的幸福感将尤为重要。本综述强调了日常生活不同方面的变化如何可能在发育年龄人群的头痛管理中带来显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bc/7884344/42e6ec3d2c11/fneur-11-618375-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bc/7884344/cc5bd6f9a327/fneur-11-618375-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bc/7884344/42e6ec3d2c11/fneur-11-618375-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bc/7884344/cc5bd6f9a327/fneur-11-618375-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bc/7884344/42e6ec3d2c11/fneur-11-618375-g0002.jpg

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本文引用的文献

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Semin Neurol. 2020 Jun;40(3):277-285. doi: 10.1055/s-0040-1708868. Epub 2020 Apr 15.
2
Association of diet and headache.饮食与头痛的关联。
J Headache Pain. 2019 Nov 14;20(1):106. doi: 10.1186/s10194-019-1057-1.
3
Clinical presentation, diagnosis and polysomnographic findings in children with migraine referred to sleep clinics.偏头痛患儿就诊于睡眠诊所的临床表现、诊断和多导睡眠图结果。
J Oral Facial Pain Headache. 2025 Mar;39(1):15-23. doi: 10.22514/jofph.2025.002. Epub 2025 Mar 12.
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Episodic Migraine in the Pediatric Population: Behavioral Therapies and other Non-Pharmacological Treatment Options.儿科人群中的发作性偏头痛:行为疗法及其他非药物治疗选择
Curr Pain Headache Rep. 2025 Mar 3;29(1):57. doi: 10.1007/s11916-025-01366-3.
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Chronic Stress and Headaches: The Role of the HPA Axis and Autonomic Nervous System.慢性应激与头痛:下丘脑-垂体-肾上腺轴及自主神经系统的作用
Biomedicines. 2025 Feb 13;13(2):463. doi: 10.3390/biomedicines13020463.
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Is There a Long-Term Link Between Digital Media Use and Adolescent Headaches? A Longitudinal School-Based Study.数字媒体使用与青少年头痛之间是否存在长期关联?一项基于学校的纵向研究。
Children (Basel). 2024 Dec 20;11(12):1549. doi: 10.3390/children11121549.
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Evaluation of pediatric migraine triggers: a single-center study.儿童偏头痛触发因素的评估:一项单中心研究。
Clin Exp Pediatr. 2025 Feb;68(2):163-169. doi: 10.3345/cep.2024.00738. Epub 2024 Nov 11.
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Understanding migraine in Saudi society: An assessment of public knowledge and attitudes: A cross-sectional study.理解沙特社会中的偏头痛:公众知识和态度评估:一项横断面研究。
PLoS One. 2024 Jun 21;19(6):e0304840. doi: 10.1371/journal.pone.0304840. eCollection 2024.
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