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The Healthy Eating Plate Advice for Migraine Prevention: An Interventional Study.
Nutrients. 2020 May 28; 12(6)N

Abstract

We aimed at evaluating the effect of the Healthy Eating Plate (HEP) education on migraine frequency and disability. At three evaluation times (T-12 = screening, 12 weeks before the intervention; T0 = time of the educational HEP intervention; and T12 = 12-week follow-up), the enrolled subjects underwent assessment of anthropometric and dietary patterns, monthly migraine days (MMDs), and disability scales (Migraine Disability Assessment score (MIDAS), MIDAS A, MIDAS B). The HEP score estimated adherence to dietary advice. We enrolled 204 out of 240 screened migraineurs, of these, 97 patients completed the follow-up. We defined ADHERENTS as patients presenting an increase in HEP scores from T0 to T12 and RESPONDERS as those with a reduction of at least 30% in MMDs. ADHERENTS presented a significant decrease in MMDs from T0 to T12. In particular, RESPONDERS reduced red, processed meat and carb intake compared to NON-RESPONDERS. Reduction in carb consumption also related to a decrease in perceived disability (MIDAS) and headache pain intensity (MIDAS B). Logistic regression confirmed that the HEP score increase and total carb decrease were related to a reduction in MMDs. This study showed that adherence to the HEP advice, particularly the reduction in carb, red and processed meat consumption, is useful in migraine management, reducing migraine frequency and disability. Trial registration: ISRCTN14092914.

Authors+Show Affiliations

Headache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, 00128 Rome, Italy.Headache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, 00128 Rome, Italy.Master's Degree Course in Food Science and Human Nutrition (SANUM), Campus Bio-Medico University of Rome, 00128 Rome, Italy.Headache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, 00128 Rome, Italy.Unit of Geriatrics, Department of Medicine, Campus Bio-Medico University Hospital, 00128 Rome, Italy.Master's Degree Course in Food Science and Human Nutrition (SANUM), Campus Bio-Medico University of Rome, 00128 Rome, Italy.Master's Degree Course in Food Science and Human Nutrition (SANUM), Campus Bio-Medico University of Rome, 00128 Rome, Italy.Headache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, 00128 Rome, Italy.Master's Degree Course in Food Science and Human Nutrition (SANUM), Campus Bio-Medico University of Rome, 00128 Rome, Italy.Headache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, 00128 Rome, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32481555

Citation

Altamura, Claudia, et al. "The Healthy Eating Plate Advice for Migraine Prevention: an Interventional Study." Nutrients, vol. 12, no. 6, 2020.
Altamura C, Cecchi G, Bravo M, et al. The Healthy Eating Plate Advice for Migraine Prevention: An Interventional Study. Nutrients. 2020;12(6).
Altamura, C., Cecchi, G., Bravo, M., Brunelli, N., Laudisio, A., Caprio, P. D., Botti, G., Paolucci, M., Khazrai, Y. M., & Vernieri, F. (2020). The Healthy Eating Plate Advice for Migraine Prevention: An Interventional Study. Nutrients, 12(6). https://doi.org/10.3390/nu12061579
Altamura C, et al. The Healthy Eating Plate Advice for Migraine Prevention: an Interventional Study. Nutrients. 2020 May 28;12(6) PubMed PMID: 32481555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Healthy Eating Plate Advice for Migraine Prevention: An Interventional Study. AU - Altamura,Claudia, AU - Cecchi,Gianluca, AU - Bravo,Maria, AU - Brunelli,Nicoletta, AU - Laudisio,Alice, AU - Caprio,Paola Di, AU - Botti,Giorgia, AU - Paolucci,Matteo, AU - Khazrai,Yeganeh Manon, AU - Vernieri,Fabrizio, Y1 - 2020/05/28/ PY - 2020/4/14/received PY - 2020/5/14/revised PY - 2020/5/26/accepted PY - 2020/6/3/entrez PY - 2020/6/3/pubmed PY - 2021/2/27/medline KW - carb KW - healthy diet KW - migraine JF - Nutrients JO - Nutrients VL - 12 IS - 6 N2 - We aimed at evaluating the effect of the Healthy Eating Plate (HEP) education on migraine frequency and disability. At three evaluation times (T-12 = screening, 12 weeks before the intervention; T0 = time of the educational HEP intervention; and T12 = 12-week follow-up), the enrolled subjects underwent assessment of anthropometric and dietary patterns, monthly migraine days (MMDs), and disability scales (Migraine Disability Assessment score (MIDAS), MIDAS A, MIDAS B). The HEP score estimated adherence to dietary advice. We enrolled 204 out of 240 screened migraineurs, of these, 97 patients completed the follow-up. We defined ADHERENTS as patients presenting an increase in HEP scores from T0 to T12 and RESPONDERS as those with a reduction of at least 30% in MMDs. ADHERENTS presented a significant decrease in MMDs from T0 to T12. In particular, RESPONDERS reduced red, processed meat and carb intake compared to NON-RESPONDERS. Reduction in carb consumption also related to a decrease in perceived disability (MIDAS) and headache pain intensity (MIDAS B). Logistic regression confirmed that the HEP score increase and total carb decrease were related to a reduction in MMDs. This study showed that adherence to the HEP advice, particularly the reduction in carb, red and processed meat consumption, is useful in migraine management, reducing migraine frequency and disability. Trial registration: ISRCTN14092914. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/32481555/full_citation DB - PRIME DP - Unbound Medicine ER -