Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study
Objective To study Ramadan's effect on migraine from the start to the end of the month and the tolerability of patients with migraine to fasting. Background Fasting is a well‐known trigger for migraine. Whether this effect on migraine is the same throughout the whole month, or whether it varies...
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| Veröffentlicht in: | Headache 2021-11, Vol.61 (10), p.1493-1498 |
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| creator | Ragab, Amany H. Kishk, Nirmeen A. Hassan, Amr Yacoub, Osama El Ghoneimy, Lobna Elmazny, Alaa Elsawy, Enji H. Mekkawy, Doaa Othman, Alshimaa S. Rizk, Hoda Ibrahim Mohammad, Mohammad Edrees Shehata, Hatem S. Shalaby, Nevin Magdy, Rehab |
| description | Objective
To study Ramadan's effect on migraine from the start to the end of the month and the tolerability of patients with migraine to fasting.
Background
Fasting is a well‐known trigger for migraine. Whether this effect on migraine is the same throughout the whole month, or whether it varies from the first to the last days of the month, has not been studied yet.
Methods
A prospective cohort observational study was carried out on persons with migraine who fasted from 24 April to 23 May during Ramadan 2020. Each patient was asked to fill out their headache diary starting from Shaaban (the month before Ramadan) to the end of Ramadan. The Ramadan diary was divided by 10 days each, by which the patient was asked to accurately describe their migraine attacks in terms of frequency, duration, and intensity by using the Visual Analog Scale. Migraine attacks during the first day of fasting were assessed separately.
Results
A total of 292 known persons with migraine from Egypt completed the study. Their median age was 33 years; 72/292 (24.7%) were male, and 220/292 (75.3%) were female. About 126/236 (53.4%) of the patients had migraine attacks on Ramadan's first day, most of them during fasting. The frequency of migraine attacks was significantly increased in Ramadan (median 4, interquartile range [IQR] 2–7) compared with Shaaban (median 3, IQR 1–6), p = 0.009. The number of attacks was significantly reduced in both the second (median 1, IQR 0–2.25) and the third 10 days of Ramadan (median 1, IQR 1–3) compared with the first 10 days (median 3, IQR 1–5) (p |
| doi_str_mv | 10.1111/head.14231 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2592309826</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2626928017</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3571-555fef275f1396977aa24a61189daeb68889a64c90e2d4bc6cd8f5fae5c507223</originalsourceid><addsrcrecordid>eNp9kM9KHEEQhxuJ6MZ48QGkIRcRxnT3TP_ztmxMFIRASA45NbU91bstO7Nr94xh3ybP4pPZZo0HD6lLUfDx41cfISecXfAyn5YI7QVvRM33yIRLoapGcfaOTBjjujK6MYfkfc53jLFGWXVADutGC6WVnpBfsyX0C8w09rSLiwSxR-qXkMAPmGIeos90_YCJ1uzxTwvbcgX6HTpooacBCtAvLumUbtI6b9AP8QFpHsZ2-4HsB1hlPH7ZR-Tnl6sfs-vq9tvXm9n0tvK11LySUgYMQsvAa6us1gCiAcW5sS3gXBljLKjGW4aibeZe-dYEGQCll0wLUR-Rs11uaXA_Yh5cF7PH1Qp6XI_ZCWlFzawRqqAf36B36zH1pZ0TSigrTBFWqPMd5ctLOWFwmxQ7SFvHmXsW7p6Fu7_CC3z6EjnOO2xf0X-GC8B3wO-4wu1_otz11fTzLvQJw_-Kag</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2626928017</pqid></control><display><type>article</type><title>Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ragab, Amany H. ; Kishk, Nirmeen A. ; Hassan, Amr ; Yacoub, Osama ; El Ghoneimy, Lobna ; Elmazny, Alaa ; Elsawy, Enji H. ; Mekkawy, Doaa ; Othman, Alshimaa S. ; Rizk, Hoda Ibrahim ; Mohammad, Mohammad Edrees ; Shehata, Hatem S. ; Shalaby, Nevin ; Magdy, Rehab</creator><creatorcontrib>Ragab, Amany H. ; Kishk, Nirmeen A. ; Hassan, Amr ; Yacoub, Osama ; El Ghoneimy, Lobna ; Elmazny, Alaa ; Elsawy, Enji H. ; Mekkawy, Doaa ; Othman, Alshimaa S. ; Rizk, Hoda Ibrahim ; Mohammad, Mohammad Edrees ; Shehata, Hatem S. ; Shalaby, Nevin ; Magdy, Rehab</creatorcontrib><description>Objective
To study Ramadan's effect on migraine from the start to the end of the month and the tolerability of patients with migraine to fasting.
Background
Fasting is a well‐known trigger for migraine. Whether this effect on migraine is the same throughout the whole month, or whether it varies from the first to the last days of the month, has not been studied yet.
Methods
A prospective cohort observational study was carried out on persons with migraine who fasted from 24 April to 23 May during Ramadan 2020. Each patient was asked to fill out their headache diary starting from Shaaban (the month before Ramadan) to the end of Ramadan. The Ramadan diary was divided by 10 days each, by which the patient was asked to accurately describe their migraine attacks in terms of frequency, duration, and intensity by using the Visual Analog Scale. Migraine attacks during the first day of fasting were assessed separately.
Results
A total of 292 known persons with migraine from Egypt completed the study. Their median age was 33 years; 72/292 (24.7%) were male, and 220/292 (75.3%) were female. About 126/236 (53.4%) of the patients had migraine attacks on Ramadan's first day, most of them during fasting. The frequency of migraine attacks was significantly increased in Ramadan (median 4, interquartile range [IQR] 2–7) compared with Shaaban (median 3, IQR 1–6), p = 0.009. The number of attacks was significantly reduced in both the second (median 1, IQR 0–2.25) and the third 10 days of Ramadan (median 1, IQR 1–3) compared with the first 10 days (median 3, IQR 1–5) (p < 0.001 for each).
Conclusion
Ramadan's potential exacerbating effect on the frequency of migraine attacks should be discussed with patients with migraine. This effect appears to be limited to the first 10 days of Ramadan and then subsides with successive days of fasting.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/head.14231</identifier><identifier>PMID: 34726767</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Cohort Studies ; Egypt ; Fasting ; Fasting - adverse effects ; Female ; Headache ; Humans ; Islam ; Male ; Middle Aged ; Migraine ; Migraine Disorders - etiology ; Observational studies ; Patients ; Prospective Studies ; Ramadan ; the first day of fasting</subject><ispartof>Headache, 2021-11, Vol.61 (10), p.1493-1498</ispartof><rights>2021 American Headache Society</rights><rights>2021 American Headache Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3571-555fef275f1396977aa24a61189daeb68889a64c90e2d4bc6cd8f5fae5c507223</citedby><cites>FETCH-LOGICAL-c3571-555fef275f1396977aa24a61189daeb68889a64c90e2d4bc6cd8f5fae5c507223</cites><orcidid>0000-0001-6973-3956</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhead.14231$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhead.14231$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34726767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ragab, Amany H.</creatorcontrib><creatorcontrib>Kishk, Nirmeen A.</creatorcontrib><creatorcontrib>Hassan, Amr</creatorcontrib><creatorcontrib>Yacoub, Osama</creatorcontrib><creatorcontrib>El Ghoneimy, Lobna</creatorcontrib><creatorcontrib>Elmazny, Alaa</creatorcontrib><creatorcontrib>Elsawy, Enji H.</creatorcontrib><creatorcontrib>Mekkawy, Doaa</creatorcontrib><creatorcontrib>Othman, Alshimaa S.</creatorcontrib><creatorcontrib>Rizk, Hoda Ibrahim</creatorcontrib><creatorcontrib>Mohammad, Mohammad Edrees</creatorcontrib><creatorcontrib>Shehata, Hatem S.</creatorcontrib><creatorcontrib>Shalaby, Nevin</creatorcontrib><creatorcontrib>Magdy, Rehab</creatorcontrib><title>Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study</title><title>Headache</title><addtitle>Headache</addtitle><description>Objective
To study Ramadan's effect on migraine from the start to the end of the month and the tolerability of patients with migraine to fasting.
Background
Fasting is a well‐known trigger for migraine. Whether this effect on migraine is the same throughout the whole month, or whether it varies from the first to the last days of the month, has not been studied yet.
Methods
A prospective cohort observational study was carried out on persons with migraine who fasted from 24 April to 23 May during Ramadan 2020. Each patient was asked to fill out their headache diary starting from Shaaban (the month before Ramadan) to the end of Ramadan. The Ramadan diary was divided by 10 days each, by which the patient was asked to accurately describe their migraine attacks in terms of frequency, duration, and intensity by using the Visual Analog Scale. Migraine attacks during the first day of fasting were assessed separately.
Results
A total of 292 known persons with migraine from Egypt completed the study. Their median age was 33 years; 72/292 (24.7%) were male, and 220/292 (75.3%) were female. About 126/236 (53.4%) of the patients had migraine attacks on Ramadan's first day, most of them during fasting. The frequency of migraine attacks was significantly increased in Ramadan (median 4, interquartile range [IQR] 2–7) compared with Shaaban (median 3, IQR 1–6), p = 0.009. The number of attacks was significantly reduced in both the second (median 1, IQR 0–2.25) and the third 10 days of Ramadan (median 1, IQR 1–3) compared with the first 10 days (median 3, IQR 1–5) (p < 0.001 for each).
Conclusion
Ramadan's potential exacerbating effect on the frequency of migraine attacks should be discussed with patients with migraine. This effect appears to be limited to the first 10 days of Ramadan and then subsides with successive days of fasting.</description><subject>Adult</subject><subject>Cohort Studies</subject><subject>Egypt</subject><subject>Fasting</subject><subject>Fasting - adverse effects</subject><subject>Female</subject><subject>Headache</subject><subject>Humans</subject><subject>Islam</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Migraine</subject><subject>Migraine Disorders - etiology</subject><subject>Observational studies</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Ramadan</subject><subject>the first day of fasting</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9KHEEQhxuJ6MZ48QGkIRcRxnT3TP_ztmxMFIRASA45NbU91bstO7Nr94xh3ybP4pPZZo0HD6lLUfDx41cfISecXfAyn5YI7QVvRM33yIRLoapGcfaOTBjjujK6MYfkfc53jLFGWXVADutGC6WVnpBfsyX0C8w09rSLiwSxR-qXkMAPmGIeos90_YCJ1uzxTwvbcgX6HTpooacBCtAvLumUbtI6b9AP8QFpHsZ2-4HsB1hlPH7ZR-Tnl6sfs-vq9tvXm9n0tvK11LySUgYMQsvAa6us1gCiAcW5sS3gXBljLKjGW4aibeZe-dYEGQCll0wLUR-Rs11uaXA_Yh5cF7PH1Qp6XI_ZCWlFzawRqqAf36B36zH1pZ0TSigrTBFWqPMd5ctLOWFwmxQ7SFvHmXsW7p6Fu7_CC3z6EjnOO2xf0X-GC8B3wO-4wu1_otz11fTzLvQJw_-Kag</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Ragab, Amany H.</creator><creator>Kishk, Nirmeen A.</creator><creator>Hassan, Amr</creator><creator>Yacoub, Osama</creator><creator>El Ghoneimy, Lobna</creator><creator>Elmazny, Alaa</creator><creator>Elsawy, Enji H.</creator><creator>Mekkawy, Doaa</creator><creator>Othman, Alshimaa S.</creator><creator>Rizk, Hoda Ibrahim</creator><creator>Mohammad, Mohammad Edrees</creator><creator>Shehata, Hatem S.</creator><creator>Shalaby, Nevin</creator><creator>Magdy, Rehab</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6973-3956</orcidid></search><sort><creationdate>202111</creationdate><title>Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study</title><author>Ragab, Amany H. ; Kishk, Nirmeen A. ; Hassan, Amr ; Yacoub, Osama ; El Ghoneimy, Lobna ; Elmazny, Alaa ; Elsawy, Enji H. ; Mekkawy, Doaa ; Othman, Alshimaa S. ; Rizk, Hoda Ibrahim ; Mohammad, Mohammad Edrees ; Shehata, Hatem S. ; Shalaby, Nevin ; Magdy, Rehab</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3571-555fef275f1396977aa24a61189daeb68889a64c90e2d4bc6cd8f5fae5c507223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Cohort Studies</topic><topic>Egypt</topic><topic>Fasting</topic><topic>Fasting - adverse effects</topic><topic>Female</topic><topic>Headache</topic><topic>Humans</topic><topic>Islam</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Migraine</topic><topic>Migraine Disorders - etiology</topic><topic>Observational studies</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Ramadan</topic><topic>the first day of fasting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ragab, Amany H.</creatorcontrib><creatorcontrib>Kishk, Nirmeen A.</creatorcontrib><creatorcontrib>Hassan, Amr</creatorcontrib><creatorcontrib>Yacoub, Osama</creatorcontrib><creatorcontrib>El Ghoneimy, Lobna</creatorcontrib><creatorcontrib>Elmazny, Alaa</creatorcontrib><creatorcontrib>Elsawy, Enji H.</creatorcontrib><creatorcontrib>Mekkawy, Doaa</creatorcontrib><creatorcontrib>Othman, Alshimaa S.</creatorcontrib><creatorcontrib>Rizk, Hoda Ibrahim</creatorcontrib><creatorcontrib>Mohammad, Mohammad Edrees</creatorcontrib><creatorcontrib>Shehata, Hatem S.</creatorcontrib><creatorcontrib>Shalaby, Nevin</creatorcontrib><creatorcontrib>Magdy, Rehab</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ragab, Amany H.</au><au>Kishk, Nirmeen A.</au><au>Hassan, Amr</au><au>Yacoub, Osama</au><au>El Ghoneimy, Lobna</au><au>Elmazny, Alaa</au><au>Elsawy, Enji H.</au><au>Mekkawy, Doaa</au><au>Othman, Alshimaa S.</au><au>Rizk, Hoda Ibrahim</au><au>Mohammad, Mohammad Edrees</au><au>Shehata, Hatem S.</au><au>Shalaby, Nevin</au><au>Magdy, Rehab</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2021-11</date><risdate>2021</risdate><volume>61</volume><issue>10</issue><spage>1493</spage><epage>1498</epage><pages>1493-1498</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><abstract>Objective
To study Ramadan's effect on migraine from the start to the end of the month and the tolerability of patients with migraine to fasting.
Background
Fasting is a well‐known trigger for migraine. Whether this effect on migraine is the same throughout the whole month, or whether it varies from the first to the last days of the month, has not been studied yet.
Methods
A prospective cohort observational study was carried out on persons with migraine who fasted from 24 April to 23 May during Ramadan 2020. Each patient was asked to fill out their headache diary starting from Shaaban (the month before Ramadan) to the end of Ramadan. The Ramadan diary was divided by 10 days each, by which the patient was asked to accurately describe their migraine attacks in terms of frequency, duration, and intensity by using the Visual Analog Scale. Migraine attacks during the first day of fasting were assessed separately.
Results
A total of 292 known persons with migraine from Egypt completed the study. Their median age was 33 years; 72/292 (24.7%) were male, and 220/292 (75.3%) were female. About 126/236 (53.4%) of the patients had migraine attacks on Ramadan's first day, most of them during fasting. The frequency of migraine attacks was significantly increased in Ramadan (median 4, interquartile range [IQR] 2–7) compared with Shaaban (median 3, IQR 1–6), p = 0.009. The number of attacks was significantly reduced in both the second (median 1, IQR 0–2.25) and the third 10 days of Ramadan (median 1, IQR 1–3) compared with the first 10 days (median 3, IQR 1–5) (p < 0.001 for each).
Conclusion
Ramadan's potential exacerbating effect on the frequency of migraine attacks should be discussed with patients with migraine. This effect appears to be limited to the first 10 days of Ramadan and then subsides with successive days of fasting.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34726767</pmid><doi>10.1111/head.14231</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6973-3956</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Cohort Studies Egypt Fasting Fasting - adverse effects Female Headache Humans Islam Male Middle Aged Migraine Migraine Disorders - etiology Observational studies Patients Prospective Studies Ramadan the first day of fasting |
| title | Changes in migraine characteristics over 30 days of Ramadan fasting: A prospective study |
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