Dietary zinc intake and migraine in adults: a cross‐sectional analysis of the National Health and Nutrition Examination Survey 1999–2004

Objective The study examined the relationship between dietary zinc intake and migraine. Background Neuroinflammatory and oxidative stress are involved in the pathogenesis of migraine. Little is known about the effects of zinc, an anti‐inflammatory and antioxidant trace element, on migraine. Methods...

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Veröffentlicht in:Headache 2023-01, Vol.63 (1), p.127-135
Hauptverfasser: Liu, Huanxian, Wang, Qi, Dong, Zhao, Yu, Shengyuan
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Wang, Qi
Dong, Zhao
Yu, Shengyuan
description Objective The study examined the relationship between dietary zinc intake and migraine. Background Neuroinflammatory and oxidative stress are involved in the pathogenesis of migraine. Little is known about the effects of zinc, an anti‐inflammatory and antioxidant trace element, on migraine. Methods The US National Health and Nutrition Examination Survey data from 1999 to 2004 were analyzed for this cross‐sectional study. Participants who had severe headache or migraine were classified as having migraine. Dietary zinc intake was evaluated using the 24 h dietary recall system. Results A total of 11,088 participants were included, of whom, 20.2% (2236/11,088) reported having migraine disease. Compared to the lowest dietary zinc intake quintile (Q1, ≤5.9 mg/day), the adjusted odds ratios for migraine in Q2 (6.0–8.4 mg/day), Q3 (8.5–11.2 mg/day), Q4 (11.3–15.7 mg/day), and Q5 (≥15.8 mg/day) were 0.73 (95% confidence interval [CI]: 0.61–0.88, p = 0.004), 0.71 (95% CI: 0.56–0.91, p = 0.013), 0.71 (95% CI: 0.57–0.90, p = 0.008), and 0.70 (95% CI: 0.52–0.94, p = 0.029), respectively. Sensitivity analysis of zinc supplementation survey participants also showed an association between dietary zinc intake and migraine. Compared to the lowest total zinc intake quintile (Q1: 0.5–9.6 mg/day), the adjusted odds ratios for migraine in Q3 (19.3–24.3 mg/day) and Q4 (24.4–32.5 mg/day) were 0.62 (95% CI: 0.46–0.83, p = 0.019) and 0.67 (95% CI: 0.49–0.91, p = 0.045), respectively. Conclusions Our findings indicate an inverse association between dietary zinc intake and migraine in adult Americans.
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Background Neuroinflammatory and oxidative stress are involved in the pathogenesis of migraine. Little is known about the effects of zinc, an anti‐inflammatory and antioxidant trace element, on migraine. Methods The US National Health and Nutrition Examination Survey data from 1999 to 2004 were analyzed for this cross‐sectional study. Participants who had severe headache or migraine were classified as having migraine. Dietary zinc intake was evaluated using the 24 h dietary recall system. Results A total of 11,088 participants were included, of whom, 20.2% (2236/11,088) reported having migraine disease. Compared to the lowest dietary zinc intake quintile (Q1, ≤5.9 mg/day), the adjusted odds ratios for migraine in Q2 (6.0–8.4 mg/day), Q3 (8.5–11.2 mg/day), Q4 (11.3–15.7 mg/day), and Q5 (≥15.8 mg/day) were 0.73 (95% confidence interval [CI]: 0.61–0.88, p = 0.004), 0.71 (95% CI: 0.56–0.91, p = 0.013), 0.71 (95% CI: 0.57–0.90, p = 0.008), and 0.70 (95% CI: 0.52–0.94, p = 0.029), respectively. Sensitivity analysis of zinc supplementation survey participants also showed an association between dietary zinc intake and migraine. Compared to the lowest total zinc intake quintile (Q1: 0.5–9.6 mg/day), the adjusted odds ratios for migraine in Q3 (19.3–24.3 mg/day) and Q4 (24.4–32.5 mg/day) were 0.62 (95% CI: 0.46–0.83, p = 0.019) and 0.67 (95% CI: 0.49–0.91, p = 0.045), respectively. Conclusions Our findings indicate an inverse association between dietary zinc intake and migraine in adult Americans.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/head.14431</identifier><identifier>PMID: 36588459</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Cross-Sectional Studies ; cross‐sectional study ; Diet ; Dietary intake ; dietary zinc intake ; Headache ; Humans ; Inflammation ; Migraine ; Migraine Disorders - epidemiology ; National Health and Nutrition Examination Survey ; Nutrition ; Nutrition Surveys ; Oxidative stress ; Pathogenesis ; Sensitivity analysis ; Surveys ; Trace elements ; Trace elements (nutrients) ; United States - epidemiology ; Zinc</subject><ispartof>Headache, 2023-01, Vol.63 (1), p.127-135</ispartof><rights>2022 American Headache Society.</rights><rights>2023 American Headache Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3571-19aab6b4544bf9c992defaaf979e54280da3b7ec630b09480da493332ca16d713</citedby><cites>FETCH-LOGICAL-c3571-19aab6b4544bf9c992defaaf979e54280da3b7ec630b09480da493332ca16d713</cites><orcidid>0000-0003-0276-1009 ; 0000-0001-8933-088X ; 0000-0002-6356-2938 ; 0000-0002-4581-2569</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.14431$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhead.14431$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36588459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Huanxian</creatorcontrib><creatorcontrib>Wang, Qi</creatorcontrib><creatorcontrib>Dong, Zhao</creatorcontrib><creatorcontrib>Yu, Shengyuan</creatorcontrib><title>Dietary zinc intake and migraine in adults: a cross‐sectional analysis of the National Health and Nutrition Examination Survey 1999–2004</title><title>Headache</title><addtitle>Headache</addtitle><description>Objective The study examined the relationship between dietary zinc intake and migraine. Background Neuroinflammatory and oxidative stress are involved in the pathogenesis of migraine. Little is known about the effects of zinc, an anti‐inflammatory and antioxidant trace element, on migraine. Methods The US National Health and Nutrition Examination Survey data from 1999 to 2004 were analyzed for this cross‐sectional study. Participants who had severe headache or migraine were classified as having migraine. Dietary zinc intake was evaluated using the 24 h dietary recall system. Results A total of 11,088 participants were included, of whom, 20.2% (2236/11,088) reported having migraine disease. Compared to the lowest dietary zinc intake quintile (Q1, ≤5.9 mg/day), the adjusted odds ratios for migraine in Q2 (6.0–8.4 mg/day), Q3 (8.5–11.2 mg/day), Q4 (11.3–15.7 mg/day), and Q5 (≥15.8 mg/day) were 0.73 (95% confidence interval [CI]: 0.61–0.88, p = 0.004), 0.71 (95% CI: 0.56–0.91, p = 0.013), 0.71 (95% CI: 0.57–0.90, p = 0.008), and 0.70 (95% CI: 0.52–0.94, p = 0.029), respectively. Sensitivity analysis of zinc supplementation survey participants also showed an association between dietary zinc intake and migraine. Compared to the lowest total zinc intake quintile (Q1: 0.5–9.6 mg/day), the adjusted odds ratios for migraine in Q3 (19.3–24.3 mg/day) and Q4 (24.4–32.5 mg/day) were 0.62 (95% CI: 0.46–0.83, p = 0.019) and 0.67 (95% CI: 0.49–0.91, p = 0.045), respectively. Conclusions Our findings indicate an inverse association between dietary zinc intake and migraine in adult Americans.</description><subject>Adult</subject><subject>Cross-Sectional Studies</subject><subject>cross‐sectional study</subject><subject>Diet</subject><subject>Dietary intake</subject><subject>dietary zinc intake</subject><subject>Headache</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Migraine</subject><subject>Migraine Disorders - epidemiology</subject><subject>National Health and Nutrition Examination Survey</subject><subject>Nutrition</subject><subject>Nutrition Surveys</subject><subject>Oxidative stress</subject><subject>Pathogenesis</subject><subject>Sensitivity analysis</subject><subject>Surveys</subject><subject>Trace elements</subject><subject>Trace elements (nutrients)</subject><subject>United States - epidemiology</subject><subject>Zinc</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAURi1E1Q5DNzwAssQGIaW1Y8eO2VXtlEGq2gXtOrpJbhiX_LR2AkxXfQAWSLzhPAlOZuiCRb2xfH10ZH8fIW84O-JhHa8QyiMupeAvyIwnsYqk4uwlmTHGdZRqmR6QV97fMsakMmqfHAiVpKlMzIz8OrPYg1vTB9sW1LY9fEMKbUkb-9WBbTHMKJRD3fuPFGjhOu83j789Fr3tWqgDC_XaW0-7ivYrpJewu1gi1P1qcl0OvbPjmC5-QmPbCaFfBvcd15QbYzaPf-LwuNdkr4La4-Fun5Ob88X16TK6uPr0-fTkIipEonnEDUCucplImVemMCYusQKojDaYyDhlJYhcY6EEy5mR41kaIURcAFel5mJO3m-9d667H9D3WWN9gXUNLXaDz2KtQnKxUSP67j_0thtc-N9IaSa0EBP1YUtN-TissjtnmxBrxlk2dpSNHWVTRwF-u1MOeYPlE_qvlADwLfDD1rh-RpUtFydnW-lfp2adeA</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Liu, Huanxian</creator><creator>Wang, Qi</creator><creator>Dong, Zhao</creator><creator>Yu, Shengyuan</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/0000-0003-0276-1009</orcidid><orcidid>https://orcid.org/0000-0001-8933-088X</orcidid><orcidid>https://orcid.org/0000-0002-6356-2938</orcidid><orcidid>https://orcid.org/0000-0002-4581-2569</orcidid></search><sort><creationdate>202301</creationdate><title>Dietary zinc intake and migraine in adults: a cross‐sectional analysis of the National Health and Nutrition Examination Survey 1999–2004</title><author>Liu, Huanxian ; Wang, Qi ; Dong, Zhao ; Yu, Shengyuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3571-19aab6b4544bf9c992defaaf979e54280da3b7ec630b09480da493332ca16d713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Cross-Sectional Studies</topic><topic>cross‐sectional study</topic><topic>Diet</topic><topic>Dietary intake</topic><topic>dietary zinc intake</topic><topic>Headache</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Migraine</topic><topic>Migraine Disorders - epidemiology</topic><topic>National Health and Nutrition Examination Survey</topic><topic>Nutrition</topic><topic>Nutrition Surveys</topic><topic>Oxidative stress</topic><topic>Pathogenesis</topic><topic>Sensitivity analysis</topic><topic>Surveys</topic><topic>Trace elements</topic><topic>Trace elements (nutrients)</topic><topic>United States - epidemiology</topic><topic>Zinc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Huanxian</creatorcontrib><creatorcontrib>Wang, Qi</creatorcontrib><creatorcontrib>Dong, Zhao</creatorcontrib><creatorcontrib>Yu, Shengyuan</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 &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Huanxian</au><au>Wang, Qi</au><au>Dong, Zhao</au><au>Yu, Shengyuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary zinc intake and migraine in adults: a cross‐sectional analysis of the National Health and Nutrition Examination Survey 1999–2004</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2023-01</date><risdate>2023</risdate><volume>63</volume><issue>1</issue><spage>127</spage><epage>135</epage><pages>127-135</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><abstract>Objective The study examined the relationship between dietary zinc intake and migraine. Background Neuroinflammatory and oxidative stress are involved in the pathogenesis of migraine. Little is known about the effects of zinc, an anti‐inflammatory and antioxidant trace element, on migraine. Methods The US National Health and Nutrition Examination Survey data from 1999 to 2004 were analyzed for this cross‐sectional study. Participants who had severe headache or migraine were classified as having migraine. Dietary zinc intake was evaluated using the 24 h dietary recall system. Results A total of 11,088 participants were included, of whom, 20.2% (2236/11,088) reported having migraine disease. Compared to the lowest dietary zinc intake quintile (Q1, ≤5.9 mg/day), the adjusted odds ratios for migraine in Q2 (6.0–8.4 mg/day), Q3 (8.5–11.2 mg/day), Q4 (11.3–15.7 mg/day), and Q5 (≥15.8 mg/day) were 0.73 (95% confidence interval [CI]: 0.61–0.88, p = 0.004), 0.71 (95% CI: 0.56–0.91, p = 0.013), 0.71 (95% CI: 0.57–0.90, p = 0.008), and 0.70 (95% CI: 0.52–0.94, p = 0.029), respectively. Sensitivity analysis of zinc supplementation survey participants also showed an association between dietary zinc intake and migraine. Compared to the lowest total zinc intake quintile (Q1: 0.5–9.6 mg/day), the adjusted odds ratios for migraine in Q3 (19.3–24.3 mg/day) and Q4 (24.4–32.5 mg/day) were 0.62 (95% CI: 0.46–0.83, p = 0.019) and 0.67 (95% CI: 0.49–0.91, p = 0.045), respectively. Conclusions Our findings indicate an inverse association between dietary zinc intake and migraine in adult Americans.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36588459</pmid><doi>10.1111/head.14431</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0276-1009</orcidid><orcidid>https://orcid.org/0000-0001-8933-088X</orcidid><orcidid>https://orcid.org/0000-0002-6356-2938</orcidid><orcidid>https://orcid.org/0000-0002-4581-2569</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Cross-Sectional Studies
cross‐sectional study
Diet
Dietary intake
dietary zinc intake
Headache
Humans
Inflammation
Migraine
Migraine Disorders - epidemiology
National Health and Nutrition Examination Survey
Nutrition
Nutrition Surveys
Oxidative stress
Pathogenesis
Sensitivity analysis
Surveys
Trace elements
Trace elements (nutrients)
United States - epidemiology
Zinc
title Dietary zinc intake and migraine in adults: a cross‐sectional analysis of the National Health and Nutrition Examination Survey 1999–2004
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