Epilepsy

Lifestyle modifications

NUTRITION

  • Alcohol intake of 3 or more drinks per day increases the risk of seizures, particularly 7-48 hours after intake (1)
  • A ketogenic diet may reduce seizure frequency (2)
  • Omega-3 fatty acid supplementation, < 1500mg/day for min 16 weeks, may reduce seizure frequency (3)

PHYSICAL ACTIVITY

  • People with epilepsy should avoid certain types of physical activity such as swimming alone, diving, rock climbing, hang gliding and surfing (4)
  • Regular physical activity may prevent seizures in 30-40% of people with epilepsy. In 10% of people with epilepsy intense physical activity may increase the risk of seizures (4)

SLEEP

  • Avoid poor sleep (4)

STRESS

  • Avoid too much stress (4)

SUNLIGHT

  • Flickering light may increase the risk of seizures in a minority (5%) of people with epilepsy (4)

References

1) https://www.uptodate.com/contents/overview-of-the-management-of-epilepsy-in-adults

2) https://www.nature.com/articles/s41430-021-01060-8

3) https://www.tandfonline.com/doi/abs/10.1080/1028415X.2021.1959100

4) Norwegian Electronic Medical Handbook: https://legehandboka.no/handboken/kliniske-kapitler/nevrologi/tilstander-og-sykdommer/kramper/epilepsi#terapi-egenbehandling


Resources

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

Evidence based on observational / cohort studies is written in CURSIVE font