Department of Neurology & Neurological Sciences, Stanford University, Stanford, CA, USA.
Curr Neurol Neurosci Rep. 2022 Jun;22(6):327-334. doi: 10.1007/s11910-022-01195-6. Epub 2022 Apr 28.
We explore recent developments in the prevention and treatment of migraine through dietary interventions.
Healthier diets (defined in multiple ways), meal regularity, and weight loss are associated with decreased headache burden. Specific diets including the ketogenic diet, the low-glycemic index diet, and the DASH diet are supported by modest evidence for the prevention of migraine. Neither a gluten-free diet, in patients without celiac disease, nor elimination diets have sufficient evidence for their routine consideration. Diet remains a crucial, but underexplored, component of comprehensive migraine management. Multiple interventions exist for providers and patients to consider integrating into their treatment plan. Larger studies are needed to support stronger recommendations for utilization of specific dietary interventions for the prevention and treatment of migraine.
通过饮食干预，探讨偏头痛预防和治疗的最新进展。
更健康的饮食（通过多种方式定义）、规律进餐和减肥与头痛负担减轻相关。特定饮食，包括生酮饮食、低血糖指数饮食和 DASH 饮食，对预防偏头痛有一定的证据支持。在没有乳糜泻的患者中，无麸质饮食或排除饮食的证据不足，不常规推荐。饮食仍然是偏头痛综合管理中重要但尚未充分探索的一个环节。有多种干预措施供提供者和患者考虑纳入其治疗计划。需要更大规模的研究来支持更有力的建议，以利用特定的饮食干预措施来预防和治疗偏头痛。
