Diet and Headache: Part 1
Diet and Headache: Part 1
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DOI：
10.1111/head.12953
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发表时间：
2016-10-01
期刊：
影响因子：
5
通讯作者：
Vij, Brinder
中科院分区：
文献类型：
--
作者：
Martin, Vincent T.;Vij, Brinder
背景。-饮食在头痛患者管理中的作用是头痛领域的一个有争议的话题。目标。-回顾支持特定食物或食品和饮料中的成分会引发头痛和/或偏头痛发作的假设的证据，并讨论消除饮食在预防头痛疾病中的使用方法。-这是饮食在预防偏头痛中的作用叙述性回顾的第 1 部分 和其他头痛疾病。使用以下搜索词进行 PubMed 搜索：“谷氨酸一钠”、“咖啡因”、“阿斯巴甜”、“三氯蔗糖”、“组胺不耐受综合征”、“酪胺”、“酒精”、“巧克力”、“亚硝酸盐”、“IgG 消除饮食”和“麸质”。然后将每个搜索词与“头痛”和“偏头痛”交叉引用，以识别相关研究。本综述仅纳入以英文撰写的研究。结果：多项阳性激发研究证明，戒断咖啡因和服用味精（溶解在液体中）是引发头痛发作的最有力证据。阿斯巴甜的两项正面和两项负面挑衅研究的证据相互矛盾。观察性研究提供了适度的证据，表明含麸质和组胺的食物以及酒精可能会导致部分患者出现头痛。三项随机对照试验中的两项报告称，与基线时间段相比，消除 IgG 阳性食物的饮食可显着降低治疗期间头痛/偏头痛的频率。结论：某些食物、饮料和食物中的成分可能会引发易感个体的头痛和/或偏头痛发作。消除饮食可以预防头痛患者亚群的头痛。
Background.-The role of diet in the management of the headache patient is a controversial topic in the headache field.Objectives.-To review the evidence supporting the hypothesis that specific foods or ingredients within foods and beverages trigger attacks of headache and/or migraine and to discuss the use of elimination diets in the prevention of headache disordersMethods.-This represents part 1 of a narrative review of the role of diet in the prevention of migraine and other headache disorders. A PubMed search was performed with the following search terms: "monosodium glutamate," "caffeine," "aspartame," "sucralose," "histamine intolerance syndrome," "tyramine," "alcohol," "chocolate," "nitrites," "IgG elimination diets," and "gluten." Each of these search terms was then cross-referenced with "headache" and "migraine" to identify relevant studies. Only studies that were written in English were included in this review.Results.-Caffeine withdrawal and administration of MSG (dissolved in liquid) has the strongest evidence for triggering attacks of headache as evidenced by multiple positive provocation studies. Aspartame has conflicting evidence with two positive and two negative provocation studies. Observational studies provide modest evidence that gluten-and histamine-containing foods as well as alcohol may precipitate headaches in subgroups of patients. Two of three randomized controlled trials reported that an elimination diet of IgG positive foods significantly decreased frequency of headache/migraine during the treatment as compared to baseline time period.Conclusions.-Certain foods, beverages, and ingredients within foods may trigger attacks of headache and/or migraine in susceptible individuals. Elimination diets can prevent headaches in subgroups of persons with headache disorders.