Migraine

Lifestyle modifications

NUTRITION

  • Regular meals may be beneficial for controlling migraine (2)
  • Dehydration is a trigger for migraine attacks, and staying well hydrated may fasten the resolution of migraine attacks (1)
  • High caffeine intake may trigger migraine attacks as well as sudden caffeine withdrawal (1)
  • Alcohol and certain foods may trigger migraine attacks in some people (1)

MENTAL HEALTH

  • Anxiety and depression may increase the risk of migraine attacks (1)

PHYSICAL ACTIVITY

  • Regular aerob exercise may reduce the frequency and number of days with migraine attacks (1, 2)

SLEEP

  • Adequate sleep may be beneficial for controlling migraine attacks (2)
  • Reduced sleep may increase the risk of migraine attacks (1)

STRESS

  • Stress may increase the risk of migraine attacks (1)

OTHER

  • Changes in weather, temperature and high altitude may trigger migraine attacks (1)

References

1) https://bestpractice.bmj.com/topics/en-gb/10/management-approach

2) https://www.uptodate.com/contents/preventive-treatment-of-episodic-migraine-in-adults


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