Aerobic exercise training for migraine prevention: A trigger-based analysis

Authors

  • Arão Belitardo Oliveira
  • Diego Belandrino Swerts
  • Mario Fernando Prieto Peres

DOI:

https://doi.org/10.48208/HeadacheMed.2019.4

Keywords:

Physical Activity, Exercise, Stress, Treatment, Triggers

Abstract

Background: Although aerobic exercise has been recommended for migraine management, no study has yet explored the effects of regular aerobic exercise on migraine triggers profile. Objective: To evaluate the effects of a 12-week aerobic exercise intervention on migraine triggers profile. Methods: We conducted a secondary, post hoc analysis of a randomized, controlled clinical trial. Triggers were recorded in a paper-based headache diary with a formal list including 8 common migraine triggers. Results: Twenty-five patients concluded the protocol and were analysed (exercise: n = 12; waitlist: n = 13). In the whole cohort, the most common triggers were stress/irritability (60 %), sleep deprivation (60 %), fasting (28 %), and foods (28 %). Most patients (52 %) had ≥ 3 triggers. The exercise group showed a higher baseline proportion of patients with ≥ 3 triggers (69 %) compared to waitlist group (25 %) (p = 0.041). After intervention period, there was no difference in the proportion of patients with ≥ 3 triggers between waitlist (16.6 %) and exercise (30 %) groups (p = 0.502). The exercise group showed greater numeric reductions (from group’s sum) than waitlist group for triggers stress/irritability (-14 vs -9), fatigue (-12 vs -6), and menstruation (-9 vs -5). This seemed to reflect the reduced number of attacks in the exercise group [mean (CI95 %): -2.5 (-3.7, -1), p = 0.002] vs waitlist [0.9 (2.4, -0.8), p = 0.341]. Conclusion: Tracking migraine triggers during exercise interventions may help to unravel specific clinical effects of regular exercise. Trial registration: #NCT01972607.

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Author Biographies

Arão Belitardo Oliveira

Universidade de São Paulo, Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina, 785, Rua Dr. Ovídio Pires de Campos, CEP: 05403-903, São Paulo - SP, Brazil.

Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, 669, Pedro de Toledo, CEP 04039-032 São Paulo, Brazil.

Diego Belandrino Swerts

Hospital Israelita Albert Einstein, Brain Institute, 627/701, Avenida Albert Einstein, CEP 05652-900, São Paulo, Brazil.

Mario Fernando Prieto Peres

Universidade de São Paulo, Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina, 785, Rua Dr. Ovídio Pires de Campos, CEP: 05403-903, São Paulo - SP, Brazil.

Hospital Israelita Albert Einstein, Brain Institute, 627/701, Avenida Albert Einstein, CEP 05652-900, São Paulo, Brazil.

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Published

31/03/2019

How to Cite

1.
Oliveira AB, Swerts DB, Peres MFP. Aerobic exercise training for migraine prevention: A trigger-based analysis. HM [Internet]. 2019 Mar. 31 [cited 2021 Sep. 26];10(1):10-5. Available from: https://headachemedicine.com.br/index.php/hm/article/view/60

Issue

Section

Original

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