Tu Yi-Hsien, Chang Ching-Mao, Yang Cheng-Chia, Tsai I-Ju, Chou Ying-Chen, Yang Chun-Pai
Department of Neurology, An Nan Hospital, China Medical University, Tainan 709, Taiwan.
Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.
Nutrients. 2025 Feb 13;17(4):669. doi: 10.3390/nu17040669.
Migraine is a prevalent neurological disorder characterized by significant disability and triggered by various factors, including dietary habits. This review explores the complex relationship between diet and migraine, highlighting both triggering and protective roles of dietary patterns and specific nutrients. Evidence suggests that certain foods, such as alcohol, caffeine, chocolate, MSG, nitrates, and tyramine, can trigger migraines in susceptible individuals. Conversely, dietary interventions, including carbohydrate-restricted diets, ketogenic diets, vitamin D3 supplementation, omega-3 fatty acids, Mediterranean dietary patterns, and increased water intake, have shown potential in reducing migraine frequency and severity. Observational studies also indicate that maintaining a healthy diet, rich in fruits and vegetables and low in processed foods, is associated with better migraine outcomes. The effectiveness of these interventions varies among individuals, underscoring the importance of personalized approaches. Future studies should further explore the role of diet in migraine management, focusing on randomized trials to establish causality and refine dietary recommendations for patients.
偏头痛是一种常见的神经系统疾病,其特征是严重的功能障碍,并由多种因素引发,包括饮食习惯。本综述探讨了饮食与偏头痛之间的复杂关系,强调了饮食模式和特定营养素的触发和保护作用。有证据表明,某些食物,如酒精、咖啡因、巧克力、味精、硝酸盐和酪胺,可在易感个体中引发偏头痛。相反,饮食干预措施,包括低碳水化合物饮食、生酮饮食、补充维生素D3、摄入ω-3脂肪酸、采用地中海饮食模式以及增加饮水量,已显示出降低偏头痛发作频率和严重程度的潜力。观察性研究还表明,保持富含水果和蔬菜且加工食品含量低的健康饮食与更好的偏头痛治疗效果相关。这些干预措施的效果因人而异,凸显了个性化方法的重要性。未来的研究应进一步探索饮食在偏头痛管理中的作用,重点是进行随机试验以确定因果关系并完善针对患者的饮食建议。