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饮酒与偏头痛之间的关联:一项横断面研究的系统评价与荟萃分析

Association between wine consumption and migraine: a systematic review and meta-analysis of cross-sectional.

作者信息

Lucerón-Lucas-Torres Maribel, Ruiz-Grao Marta C, Pascual-Morena Carlos, Priego-Jiménez Susana, López-González María, Álvarez-Bueno Celia

机构信息

Centro de Estudios Socio-Sanitarios, Grupo de Investigación Age-ABC, Universidad de Castilla-La Mancha, Cuenca, 16002, Spain.

Department of Nursing, University of Castilla-La Mancha, Campus Universitario s/n - 02071 - Albacete, Spain.

出版信息

Alcohol Alcohol. 2025 Jan 19;60(2). doi: 10.1093/alcalc/agaf004.

DOI:10.1093/alcalc/agaf004
PMID:39950360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11826089/
Abstract

BACKGROUND

It seems that diet is one of the main triggers of migraine; one of the most studied is alcohol, and also, over the years, red wine has been shown to trigger headaches. Therefore, this systematic review and meta-analysis aims to examine the strength of the association between wine consumption and migraine.

METHODS

In this systematic review and meta-analysis, a search of MEDLINE (via PubMed), Scopus, Cochrane, and Web of Science databases was conducted to assess the association between wine consumption and migraine, covering baseline to December 2023. Pooled Odds Ratio (p-OR) were calculated using the DerSimonian and Laird methods. This study was previously registered in PROSPERO (CRD42024511115). The risk of bias was evaluated using The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.

RESULTS

Five studies were included in this systematic review, and only four of them were in the meta-analysis. Using the DerSimonian and Laird method, the p-OR for the effect of wine consumption on migraine was 0.63 (95% CI 0.36-1.09). The included studies after the risk of bias assessment showed a moderate risk of bias.

CONCLUSIONS

The findings of this systematic review and meta-analysis indicate that there is no conclusive evidence to support an increased or decreased risk of migraine associated with wine consumption.

摘要

背景

饮食似乎是偏头痛的主要诱发因素之一;研究最多的因素之一是酒精,而且多年来,红酒已被证明会引发头痛。因此,本系统评价和荟萃分析旨在研究饮酒与偏头痛之间关联的强度。

方法

在本系统评价和荟萃分析中,检索了MEDLINE(通过PubMed)、Scopus、Cochrane和科学网数据库,以评估饮酒与偏头痛之间的关联,涵盖从基线到2023年12月的数据。采用DerSimonian和Laird方法计算合并优势比(p-OR)。本研究先前已在PROSPERO(CRD42024511115)注册。使用观察性队列研究和横断面研究的质量评估工具评估偏倚风险。

结果

本系统评价纳入了五项研究,其中只有四项纳入了荟萃分析。采用DerSimonian和Laird方法,饮酒对偏头痛影响的p-OR为0.63(95%CI 0.36-1.09)。纳入研究在进行偏倚风险评估后显示存在中度偏倚风险。

结论

本系统评价和荟萃分析的结果表明,没有确凿证据支持饮酒会增加或降低偏头痛风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560e/11826089/16059ab5976d/agaf004f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560e/11826089/bcdcd20202c8/agaf004f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560e/11826089/16059ab5976d/agaf004f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560e/11826089/bcdcd20202c8/agaf004f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560e/11826089/16059ab5976d/agaf004f2.jpg

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本文引用的文献

1
Hallmarks of primary headache: part 1 - migraine.原发性头痛的特征:第 1 部分 - 偏头痛。
J Headache Pain. 2024 Oct 31;25(1):189. doi: 10.1186/s10194-024-01889-x.
2
The impact of primary headaches on disability outcomes: a literature review and meta-analysis to inform future iterations of the Global Burden of Disease study.原发性头痛对残疾结局的影响:一项文献综述与荟萃分析,为全球疾病负担研究的未来版本提供参考。
J Headache Pain. 2024 Mar 4;25(1):27. doi: 10.1186/s10194-024-01735-0.
3
Relationship between alcohol and primary headaches: a systematic review and meta-analysis.
酒精与原发性头痛的关系:系统评价和荟萃分析。
J Headache Pain. 2023 Aug 23;24(1):116. doi: 10.1186/s10194-023-01653-7.
4
Association between dietary habits and the risk of migraine: a Mendelian randomization study.饮食习惯与偏头痛风险之间的关联:一项孟德尔随机化研究。
Front Nutr. 2023 Jun 7;10:1123657. doi: 10.3389/fnut.2023.1123657. eCollection 2023.
5
Clinical characteristics, medication use, and impact of primary headache on daily activities: an observational study using linked online survey and medical claims data in Japan.临床特征、用药情况以及原发性头痛对日常活动的影响:一项使用日本在线调查和医疗索赔数据进行的观察性研究。
BMC Neurol. 2023 Feb 21;23(1):80. doi: 10.1186/s12883-023-03122-9.
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Alcohol as a trigger of migraine attacks in people with migraine. Results from a large prospective cohort study in English-speaking countries.酒精可诱发偏头痛患者偏头痛发作。来自英语国家的大型前瞻性队列研究结果。
Headache. 2022 Nov;62(10):1329-1338. doi: 10.1111/head.14428. Epub 2022 Nov 27.
7
Alcohol, coffee consumption, and smoking in relation to migraine: a bidirectional Mendelian randomization study.酒精、咖啡摄入和吸烟与偏头痛的关系:一项双向孟德尔随机化研究。
Pain. 2022 Feb 1;163(2):e342-e348. doi: 10.1097/j.pain.0000000000002360.
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Migraine.偏头痛。
Nat Rev Dis Primers. 2022 Jan 13;8(1):2. doi: 10.1038/s41572-021-00328-4.
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Migraine and Sleep-An Unexplained Association?偏头痛与睡眠:未解之谜?
Int J Mol Sci. 2021 May 24;22(11):5539. doi: 10.3390/ijms22115539.
10
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BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.