Nighttime snacking,stress, and migraine activity |
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| Affiliation: | 1. Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA;2. Department of Psychology, University of Mississippi, Oxford, MS, USA;3. Head Pain Center, University of Mississippi Medical Center, Jackson, MS, USA;4. Advance Neurology and Pain, Advance, NC, USA;5. Division of General Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA;1. Dardinger Microneurosurgical Skull Base Laboratory, Department of Neurological Surgery, Ohio State University Medical Center, N1025 Doan Hall, 410 W. 10th Street, Columbus, OH 43210, USA;2. Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH, USA;1. Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;2. Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;3. Department of Internal Medicine, Division of Hematology & Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;1. Clinic of Neurology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland;2. Department of Experimental and Clinical Pharmacology, Pomeranian Medical University, Szczecin, Poland;3. Clinic of Gynaecology and Urogynaecology, Pomeranian Medical University, Police, Poland;1. Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Ein Kerem, P.O. Box 12000, Jerusalem 91120, Israel;2. Department of Endovascular Neurosurgery and Interventional Neuroradiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel;3. Department of Neurosurgery, Soroka Medical Center, Beer Sheva, Israel;1. Brain Tumor Clinic and Gamma Knife Center, Department of Neurosurgery, Chonnam National University Hwasun Hospital, 160, Ilsimri, Hwasun-eup, Hwasun-gun, Chonnam 519-809, Republic of Korea;2. Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea;3. Department of Dermatology, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea;4. Department of Pathology, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea;1. Department of Neurosurgery, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA;2. Department of Medicine, Division of Hematology/Oncology, Cedars-Sinai Medical Center, Los Angeles, CA, USA |
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| Abstract: | Missing meals and fasting have long been reported as headache triggers. Stress also has received attention for its role in precipitating headaches. This study explored the effects of eating behaviors on new-onset headache. Analyzing only the 1070 of 1648 (64.9%) diary days that followed a non-headache day, the study included 34 migraineurs who contributed a median (25th, 75th percentile) of 28 (22, 40) days of diary entries. Multivariable survival modeling with random effects was conducted, and hazards ratios and 95% confidence intervals were calculated. Nighttime snacking was associated with a 40% reduction in the odds of experiencing a headache compared to having no food (p = 0.013). Eating a late dinner was associated with a 21% reduction in the odds of headache when compared to no additional food, but this association was not statistically significant (p = 0. 22). These results demonstrate the potential for eating behaviors to be targeted in headache management, as regulated eating habits may have the potential to reduce the occurrence of headache. Although no causal relationship can be established, these results indicate that further research into the mechanisms of the association between eating behaviors and headache activity is warranted. |
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| Keywords: | Fasting Headache precipitant Headache trigger Migraine Stress |
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