Migraine
Lifestyle modifications
NUTRITION
Regular meals may be beneficial for controlling migrains (2)
Dehydration is a trigger for migrain 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
​
Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
​
Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
​
Evidence based on randomized controlled trials is written in plain font
​
Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid