显著的食物触发偏头痛,药物过度使用头痛和易怒肠综合征
Merve Ceren Akgor1,2, Doga Vuralli1,2,3, Damla Hazal Sucu4
1Department of Neurology and Algology, Faculty of Medicine, Gazi University, Ankara 06560, Türkiye.
Journal of clinical medicine
|October 28, 2023
概括
刺激性肠综合征 (IBS) 在药物过度使用头痛 (MOH) 患者中更为常见. 识别特定的食物触发因素,如MOH的多巴胺基食物,是管理这些疾病的关键.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 营养学 营养学 营养学
背景情况:
- 刺激性肠综合征 (IBS) 是一种普遍影响生活质量的疾病.
- 偏头痛和IBS经常同时发生,并分享食物触发的机制.
- 药物过度使用头痛 (MOH) 是频繁头痛的常见并发症.
研究的目的:
- 确定MOH患者中IBS的患病率.
- 在MOH和偏头痛患者中识别特定的食物触发因素和避免行为.
- 探索IBS,认知功能和头痛疾病之间的关系.
主要方法:
- 对1118名参与者进行了一项横截面在线调查.
- 收集的数据包括人口统计,并发症,药物使用,头痛和IBS诊断,认知症状 (MigSCog) 和详细的食物消费/触发信息.
- 参与者被分为非头痛,偏头痛和MOH组.
主要成果:
- 偏头痛和MOH分别在88%和30.7%的参与者中被诊断出.
- IBS症状的流行率为35.8% (非头痛),52% (偏头痛) 和65% (MOH).
- 特定于MOH的触发因素包括多巴胺作用的食物 (例如香,果,冰淋);偏头痛触发因素是组织胺作用/加工食品. 在患有并存IBS的患者中观察到较高的MigSCog得分.
结论:
- 在MOH患者中,IBS的发生率明显高于偏头痛患者.
- 同时存在的IBS会对偏头痛和MOH的认知功能产生负面影响.
- 针对特定食物触发因素的个性化饮食干预措施对于可持续管理MOH和偏头痛至关重要.
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