Integrated Approach to Migraine Management: A narrative review of the Pillars of Lifestyle Medicine
DOI:
https://doi.org/10.48208/HeadacheMed.2024.15Keywords:
Migrain disorder, Quality Of Life, Healthy Lifestyle, Headache Disorders, LifestyleAbstract
Introduction
Migraine is a debilitating neurological disorder characterized by recurrent episodes of severe headaches, often accompanied by nausea and other autonomic symptoms. It affects a significant portion of the global population, with estimates suggesting a prevalence of approximately 58.2%. Beyond the immediate pain and discomfort, migraine can have a substantial impact on quality of life and productivity. Lifestyle medicine, which emphasizes the power of modifiable lifestyle factors to prevent, manage, and potentially reverse chronic diseases, offers a promising approach to migraine management.
Objective
This narrative review aims to map recent findings on the potential of lifestyle medicine pillars as effective strategies for managing migraine.
Methods
A comprehensive narrative review was conducted using the PubMed database. Articles published within the past 10 years that investigate the intersection of migraine and lifestyle medicine were included.
Results
Interventions such as diet, physical exercise, stress management, sleep quality, healthy relationships, and cessation of alcohol and smoking can reduce the frequency and severity of attacks.
Conclusion
This review highlights the potential of lifestyle medicine strategies to improve the management of migraine. By integrating interventions focused on diet, physical activity, stress management, sleep hygiene, healthy relationships, and substance cessation, migraine sufferers may experience a significant reduction in attack frequency and severity, ultimately leading to an enhanced quality of life.
Downloads
References
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia Int J Headache. janeiro de 2018;38(1):1–211. DOI: https://doi.org/10.1177/0333102417738202
Steinmetz JD, Seeher KM, Schiess N, Nichols E, Cao B, Servili C, et al. Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Neurol. 1o de abril de 2024;23(4):344–81.
Phillips EM, Frates EP, Park DJ. Lifestyle Medicine. Phys Med Rehabil Clin N Am. novembro de 2020;31(4):515–26. DOI: https://doi.org/10.1016/j.pmr.2020.07.006
Lianov LS, Adamson K, Kelly JH, Matthews S, Palma M, Rea BL. Lifestyle Medicine Core Competencies: 2022 Update. Am J Lifestyle Med. 31 de agosto de 2022;16(6):734–9. DOI: https://doi.org/10.1177/15598276221121580
Montazeri A, Mohammadi S, M Hesari P, Ghaemi M, Riazi H, Sheikhi-Mobarakeh Z. Preliminary guideline for reporting bibliometric reviews of the biomedical literature (BIBLIO): a minimum requirements. Syst Rev. 15 de dezembro de 2023;12(1):239. DOI: https://doi.org/10.1186/s13643-023-02410-2
Buse DC, Rains JC, Pavlovic JM, Fanning KM, Reed ML, Adams AM, et al. Sleep Disorders Among People With Migraine: Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study. Headache. janeiro de 2019;59(1):32–45. DOI: https://doi.org/10.1111/head.13435
Tiseo C, Vacca A, Felbush A, Filimonova T, Gai A, Glazyrina T, et al. Migraine and sleep disorders: a systematic review. J Headache Pain. 27 de outubro de 2020;21(1):126. DOI: https://doi.org/10.1186/s10194-020-01192-5
Andrijauskis D, Ciauskaite J, Vaitkus A, Pajediene E. Primary Headaches and Sleep Disturbances: A Cause or a Consequence? [Internet]. 2020 [citado 12 de abril de 2024]. Disponível em: https://www.jofph.com/articles/10.11607/ofph.2405 DOI: https://doi.org/10.11607/ofph.2405
Im HJ, Hong YH, Cho SJ. Neck Pain Disability on Headache Impact and the Association between Sleep Disturbance and Neck Pain in Migraine. J Clin Med. 12 de junho de 2023;12(12):3989. DOI: https://doi.org/10.3390/jcm12123989
DIGITAL-revistasono-ed35-21FEV2024.pdf [Internet]. [citado 13 de abril de 2024]. Disponível em: https://absono.com.br/wp-content/uploads/2024/03/DIGITAL-revistasono-ed35-21FEV2024.pdf
Hindiyeh NA, Zhang N, Farrar M, Banerjee P, Lombard L, Aurora SK. The Role of Diet and Nutrition in Migraine Triggers and Treatment: A Systematic Literature Review. Headache. julho de 2020;60(7):1300–16.
Seng EK, Martin PR, Houle TT. Lifestyle factors and migraine. Lancet Neurol. outubro de 2022;21(10):911–21.
Gazerani P. Migraine and Diet. Nutrients. 3 de junho de 2020;12(6):1658. DOI: https://doi.org/10.3390/nu12061658
Bunner AE, Agarwal U, Gonzales JF, Valente F, Barnard ND. Nutrition intervention for migraine: a randomized crossover trial. J Headache Pain. 23 de outubro de 2014;15(1):69. DOI: https://doi.org/10.1186/1129-2377-15-69
Silva-Néto RP, Bezerra GL, Araújo NRA, Silva SF, Pereira SKS, Lima LKF, et al. Migraine Attacks Triggered by Ingestion of Watermelon. Eur Neurol. 2023;86(4):250–5. DOI: https://doi.org/10.1159/000531286
Hindiyeh NA, Zhang N, Farrar M, Banerjee P, Lombard L, Aurora SK. The Role of Diet and Nutrition in Migraine Triggers and Treatment: A Systematic Literature Review. Headache J Head Face Pain. julho de 2020;60(7):1300–16. DOI: https://doi.org/10.1111/head.13836
Seng EK, Martin PR, Houle TT. Lifestyle factors and migraine. Lancet Neurol. outubro de 2022;21(10):911–21. DOI: https://doi.org/10.1016/S1474-4422(22)00211-3
Pellegrino ABW, Davis-Martin RE, Houle TT, Turner DP, Smitherman TA. Perceived triggers of primary headache disorders: A meta-analysis. Cephalalgia Int J Headache. maio de 2018;38(6):1188–98. DOI: https://doi.org/10.1177/0333102417727535
Papetti L, Moavero R, Ferilli MAN, Sforza G, Tarantino S, Ursitti F, et al. Truths and Myths in Pediatric Migraine and Nutrition. Nutrients. 6 de agosto de 2021;13(8):2714. DOI: https://doi.org/10.3390/nu13082714
Robblee J, Starling AJ. SEEDS for success: Lifestyle management in migraine. Cleve Clin J Med. novembro de 2019;86(11):741–9.
Lu S, Wei F, Li G. The evolution of the concept of stress and the framework of the stress system. Cell Stress. junho de 2021;5(6):76. DOI: https://doi.org/10.15698/cst2021.06.250
Stubberud A, Buse DC, Kristoffersen ES, Linde M, Tronvik E. Is there a causal relationship between stress and migraine? Current evidence and implications for management. J Headache Pain. 20 de dezembro de 2021;22(1):155. DOI: https://doi.org/10.1186/s10194-021-01369-6
Martin PR. Stress and Primary Headache: Review of the Research and Clinical Management. Curr Pain Headache Rep. 23 de maio de 2016;20(7):45. DOI: https://doi.org/10.1007/s11916-016-0576-6
Lipton RB, Buse DC, Nahas SJ, Tietjen GE, Martin VT, Löf E, et al. Risk factors for migraine disease progression: a narrative review for a patient-centered approach. J Neurol. 2023;270(12):5692–710. DOI: https://doi.org/10.1007/s00415-023-11880-2
Kurtses Gürsoy B, Köseoğlu Toksoy C. Psychological Resilience and Stress Coping Styles in Migraine Patients. Neuropsychiatr Dis Treat. 5 de janeiro de 2023;19:63–72. DOI: https://doi.org/10.2147/NDT.S398838
Alwhaibi M, Balkhi B, AlRuthia Y. Anxiety and depression and health-related quality of life among adults with migraine: a National Population-Based Study. Front Public Health. 4 de outubro de 2023;11:1241800. DOI: https://doi.org/10.3389/fpubh.2023.1241800
Estave PM, Beeghly S, Anderson R, Margol C, Shakir M, George G, et al. Learning the full impact of migraine through patient voices: A qualitative study. Headache. julho de 2021;61(7):1004. DOI: https://doi.org/10.1111/head.14151
Buse DC, Fanning KM, Reed ML, Murray S, Dumas PK, Adams AM, et al. Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study. Headache. setembro de 2019;59(8):1286. DOI: https://doi.org/10.1111/head.13613
Battista S, Lazzaretti A, Coppola I, Falsiroli Maistrello L, Rania N, Testa M. Living with migraine: A meta-synthesis of qualitative studies. Front Psychol. 28 de março de 2023;14:1129926. DOI: https://doi.org/10.3389/fpsyg.2023.1129926
Agbetou M, Adoukonou T. Lifestyle Modifications for Migraine Management. Front Neurol. 2022;13:719467. DOI: https://doi.org/10.3389/fneur.2022.719467
Demır ÜF, Bozkurt O. Effects of Perceived Social Support, Depression and Anxiety Levels on Migraine. Arch Neuropsychiatry. 17 de agosto de 2020;57(3):210–5. DOI: https://doi.org/10.29399/npa.25000
Błaszczyk B, Straburzyński M, Więckiewicz M, Budrewicz S, Niemiec P, Staszkiewicz M, et al. Relationship between alcohol and primary headaches: a systematic review and meta-analysis. J Headache Pain. 23 de agosto de 2023;24(1):116. DOI: https://doi.org/10.1186/s10194-023-01653-7
Waldie KE, McGee R, Reeder AI, Poulton R. Associations between frequent headaches, persistent smoking, and attempts to quit. Headache. abril de 2008;48(4):545–52. DOI: https://doi.org/10.1111/j.1526-4610.2007.01037.x
Weinberger AH, Seng EK. The Relationship of Tobacco Use and Migraine: A Narrative Review. Curr Pain Headache Rep. abril de 2023;27(4):39–47. DOI: https://doi.org/10.1007/s11916-023-01103-8
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults: Guidance for Prescribing Exercise. Med Sci Sports Exerc. julho de 2011;43(7):1334. DOI: https://doi.org/10.1249/MSS.0b013e318213fefb
Woldeamanuel YW, Oliveira ABD. What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials. J Headache Pain. 13 de outubro de 2022;23(1):134. DOI: https://doi.org/10.1186/s10194-022-01503-y
Lemmens J, De Pauw J, Van Soom T, Michiels S, Versijpt J, van Breda E, et al. The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. J Headache Pain. 14 de fevereiro de 2019;20(1):16. DOI: https://doi.org/10.1186/s10194-019-0961-8
La Touche R, Fernández Pérez JJ, Proy Acosta A, González Campodónico L, Martínez García S, Adraos Juárez D, et al. Is aerobic exercise helpful in patients with migraine? A systematic review and meta-analysis. Scand J Med Sci Sports. 2020;30(6):965–82. DOI: https://doi.org/10.1111/sms.13625
Barber M, Pace A. Exercise and Migraine Prevention: a Review of the Literature. Curr Pain Headache Rep. 11 de junho de 2020;24(8):39. DOI: https://doi.org/10.1007/s11916-020-00868-6
Robblee J, Starling AJ. SEEDS for success: Lifestyle management in migraine. Cleve Clin J Med. 1o de novembro de 2019;86(11):741–9. DOI: https://doi.org/10.3949/ccjm.86a.19009
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Maria Ivone Oliveira Dantas, Narel Moita Carneiro, Suellen Abib (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
