Food and migraine in adolescents

Magda Bouhairet; Muhammad Ali; Bistok Saing; Johannes Harlan Saing; Yazid Dimyati

doi:10.14238/pi51.4.2011.223-6

Magda Bouhairet Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Muhammad Ali Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Bistok Saing Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Johannes Harlan Saing Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Yazid Dimyati Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera

DOI: https://doi.org/10.14238/pi51.4.2011.223-6

Keywords: migraine, food trigger, adolescents

Abstract

Background Migraine headaches are a common problem worldwide, especially in adolescents. They are usually chronic, with frequent relapses. Therefore, any dietary risk factor for headaches has important implications on migraineurs. However, the association between migraine and diet needs to be examined further.

Objective To investigate the association between diet and migraine in adolescents.

Methods We conducted a cross-sectional study in August to September 2009 on 13 - 18 year old adolescents in a senior high school in Medan, North Sumatera. We included subjects diagnosed with migraine, according to the International Headache Society (IHS) criteria. Ninety participants completed the questionnaire. Foods we observed for a link to migraine included milk, chocolate, ice cream, cheese, bread, instant noodles, meatballs, chili sauce, sweetener, yoghurt, pizza, and other foods and beverages.

Results Of the 90 participants with migraines, there were more females (61.1%) than males. There were statistically significant associations between migraine and triggering foods (P = 0.045, 95% CI 0.59 to 0.79) as well as between migraine and family history of migraine (P = 0.043, 95% CI 0.46 to 0.66). Stress (P = 0.164), menstruation (P = 0.369), and sound or light (P= 0.577) had no significant association with migraine. A wide variety of foods and beverages were implicated as migraine precipitants. The most common were chili sauce (75.8%), ice cream (71.0%), milk (67.7%), instant noodles (67.7%), chocolate (61.3%), peanuts (59.7%), cheese (54.8%) and meatballs (54.8%).

Conclusion Food and family history have a significant association with the occurrence of migraine in adolescents.Â

References

1. Lewis D, Ashwal S, Hershey A, Hirtz D, Yonker M, Silberstein S. Practice parameter: pharmacological treatment of migraine headache in children and adolescents. Neurology. 2004;63:2215-24.
2. Millichap JG, Yee MM. The diet factor in pediatric and adolescent migraine. Pediatrics Neurol. 2003;28:9-15.
3. Haslam RH. Headache. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 17th ed. Philadelphia: WB Saunders; 2004.p.2012-4.
4. Lazuardi S. Nyeri kepala pada anak dan remaja. In: Soetomenggolo TS, Ismael S, editors. Buku ajar neurologi anak. 2nd ed. Jakarta: Balai Publisher IDAI; 2000.p.78-86.
5. Rees T, Watson D, Lipscombe S, Speight H, Cousins P, Hardman G. A prospective audit of food intolerance among migraine patients in primary care clinical practice. Headache Care. 2005;2:11-4.
6. Lewis DW. Pediatric migraine. Pediatrics in Review. 2007;28:43-53.
7. ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ ï¿½ Bren Linda. Managing migraines. [cited 2010 June 2]. Available from: http://www.migraines.org/vpr1/FDAConsumer.
8. Goadsby PJ, Lipton RB, Ferrari MD. Migraine-current understanding and treatment. N Engl J Med. 2002;346:257-61.
9. Rossi LN, Cortinovis I, Menegazzo L, Brunelli G, Bossi A, Macchi M. Classification criteria and distinction between migraine and tension-type headache in children. Dev Med & Child Neurol. 2001;43:45-51.
10. Wober C, Holzhammer J, Zeitlhofer J, Wessely P. Trigger factors of migraine and tension-type headache: experience and knowledge of the patients. J Headache Pain. 2006;7:188-95.
11. Kunkel RS. Clinical manifestations of migraine. Clin Cornerstone. 2001;4:18-25.
12. Fukui PT, Goncalves TR, Stabelli CG, Lucchino NM, Matos FC, Santos JM, et al. Trigger factor in migraine patients. Arq Neuropsiquiatr. 2008;66:494-9.
13. Martin PR. Managing headache triggers: think â€²copingâ€² not â€²avoidanceâ€². Cephalalgia. 2010;30:634-7.
14. M Martin PR, Macleod C. Behavioral management of headache triggers: avoidance of triggers is an inadequate strategy. Clin Psychol Rev. 2009;29:483-95.
15. Lewis DW. Preventive therapy for migraine. Curr Management in Child Neurol. 2005;3:53-7.
16. Harle DE, Shepherd AJ, Evans BJW. Visual stimuli are common trigger of migraine and are associated with pattern glare. Headache. 2006;46:1431-40.
17. Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia. 2007;27:394-402.
18. Alpay K, Ertas M, Orhan EK, Ustay DK, Lieners, Baykan B. Diet restriction in migraine, based on IgG against foods: a clinical double-blind, randomized, cross-over trial. Cephalalgia. 2010;10:1177-85.
19. Sinclair S. Migraine headaches: nutritional, botanical and other alternative approaches. Alterm Med Rev. 1999;4:86-95.
20. Marcus DA, Scharff L, Turk D, Gourly LM. A double-blind provocative study chocolate as a trigger of headache. Cephalalgia. 1997;17:855-62.
21. Loj J, Solomon GD. Migraine prophylaxis: who, why, and how. Cleveland Clinic J of Medicine. 2006;73:793-816.
22. Taylor FR. Lifestyle changes, dietary restrictions, and nutraceuticals in migraine prevention. Techniques in regional anesthesia and pain management. 2009;13:28-36.