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