Ketogenic Diet Improves Sleep Quality and Daytime Sleepiness in Chronic Migraine: A Pilot Study
The aim of this study is to assess the sleep quality and daytime sleepiness improvement in chronic migraineurs after 6 months of a 2:1 KD (ketogenic diet) and LGID (low-glycemic-index diet). Twenty-six patients underwent 2:1 KD (11 patients) and LGID (15 patients). PSQI (Pittsburgh sleep quality ind...
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| Veröffentlicht in: | Neurology international 2024-10, Vol.16 (6), p.1203-1213 |
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| creator | Tereshko, Yan Dal Bello, Simone Belgrado, Enrico Di Lorenzo, Cherubino Pittino, Alice Filippi, Francesca Valdemarin, Francesca Lettieri, Christian Gigli, Gian Luigi Nilo, Annacarmen Pellitteri, Gaia Merlino, Giovanni Valente, Mariarosaria |
| description | The aim of this study is to assess the sleep quality and daytime sleepiness improvement in chronic migraineurs after 6 months of a 2:1 KD (ketogenic diet) and LGID (low-glycemic-index diet).
Twenty-six patients underwent 2:1 KD (11 patients) and LGID (15 patients). PSQI (Pittsburgh sleep quality index) and ESS (Epworth sleepiness scale) were administered at the baseline and the 3-month and 6-month follow-up. MIDAS (Migraine Disability Assessment), HIT-6 (Headache Impact Test 6), migraine frequency (migraine days per month), migraine intensity, BMI (Body Mass Index), FM (Fat Mass), and FFM (Fat-Free Mass) were also assessed.
PSQI (F
= 7.250;
= 0.004), ESS (F
= 9.938;
< 0.001), HIT-6 (F
= 12.693;
< 0.001), migraine frequency (F
= 23.070;
< 0.001), migraine intensity (F
= 18.798;
< 0.001), BMI (F
= 38.191;
< 0.001), and FM (F
= 45.487;
< 0.001) improved significantly. The MIDAS (F
= 3.037;
= 0.093) and the FMM (F
= 1.741;
= 0.197) did not improve significantly. The ESS (
= 0.712) and PSQI (
= 0.776) data at 3-month and 6-month follow-ups did not differ significantly, as well as for migraine frequency, migraine intensity, BMI, FM, and HIT-6. A mild correlation emerged between the mean FM and mean ESS reduction during the 6 months (
= 0.497,
= 0.010).
Six months of LGID and 2:1 KD can improve sleep quality and daytime sleepiness in patients with chronic migraine. The effectiveness on migraine, sleep quality, and daytime sleepiness does not differ significantly between the 3-month and 6-month follow-up periods. |
| doi_str_mv | 10.3390/neurolint16060091 |
| format | Article |
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Twenty-six patients underwent 2:1 KD (11 patients) and LGID (15 patients). PSQI (Pittsburgh sleep quality index) and ESS (Epworth sleepiness scale) were administered at the baseline and the 3-month and 6-month follow-up. MIDAS (Migraine Disability Assessment), HIT-6 (Headache Impact Test 6), migraine frequency (migraine days per month), migraine intensity, BMI (Body Mass Index), FM (Fat Mass), and FFM (Fat-Free Mass) were also assessed.
PSQI (F
= 7.250;
= 0.004), ESS (F
= 9.938;
< 0.001), HIT-6 (F
= 12.693;
< 0.001), migraine frequency (F
= 23.070;
< 0.001), migraine intensity (F
= 18.798;
< 0.001), BMI (F
= 38.191;
< 0.001), and FM (F
= 45.487;
< 0.001) improved significantly. The MIDAS (F
= 3.037;
= 0.093) and the FMM (F
= 1.741;
= 0.197) did not improve significantly. The ESS (
= 0.712) and PSQI (
= 0.776) data at 3-month and 6-month follow-ups did not differ significantly, as well as for migraine frequency, migraine intensity, BMI, FM, and HIT-6. A mild correlation emerged between the mean FM and mean ESS reduction during the 6 months (
= 0.497,
= 0.010).
Six months of LGID and 2:1 KD can improve sleep quality and daytime sleepiness in patients with chronic migraine. The effectiveness on migraine, sleep quality, and daytime sleepiness does not differ significantly between the 3-month and 6-month follow-up periods.]]></description><identifier>ISSN: 2035-8385</identifier><identifier>ISSN: 2035-8377</identifier><identifier>EISSN: 2035-8377</identifier><identifier>DOI: 10.3390/neurolint16060091</identifier><identifier>PMID: 39585050</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>2:1 ketogenic diet ; Body mass index ; Carbohydrates ; Chronic illnesses ; Diet ; Glucose ; Glycemic index ; headache ; Headaches ; Insomnia ; ketogenic diet ; low-glycemic index diet ; Migraine ; migraine prevention ; Nutritionists ; Patients ; Performance evaluation ; Pilot projects ; Proteins ; Sleep disorders ; Statistical analysis</subject><ispartof>Neurology international, 2024-10, Vol.16 (6), p.1203-1213</ispartof><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c404t-1db0bf927faf6141e96f4e02542ee716bac8545ce60bdc7b1fd4df8942868aca3</cites><orcidid>0000-0001-9048-7227 ; 0009-0006-4952-136X ; 0000-0001-9827-8059 ; 0000-0003-3526-1414 ; 0000-0002-6525-9529 ; 0000-0003-0845-5694 ; 0000-0003-2062-2547 ; 0000-0002-4200-761X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587072/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587072/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39585050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tereshko, Yan</creatorcontrib><creatorcontrib>Dal Bello, Simone</creatorcontrib><creatorcontrib>Belgrado, Enrico</creatorcontrib><creatorcontrib>Di Lorenzo, Cherubino</creatorcontrib><creatorcontrib>Pittino, Alice</creatorcontrib><creatorcontrib>Filippi, Francesca</creatorcontrib><creatorcontrib>Valdemarin, Francesca</creatorcontrib><creatorcontrib>Lettieri, Christian</creatorcontrib><creatorcontrib>Gigli, Gian Luigi</creatorcontrib><creatorcontrib>Nilo, Annacarmen</creatorcontrib><creatorcontrib>Pellitteri, Gaia</creatorcontrib><creatorcontrib>Merlino, Giovanni</creatorcontrib><creatorcontrib>Valente, Mariarosaria</creatorcontrib><title>Ketogenic Diet Improves Sleep Quality and Daytime Sleepiness in Chronic Migraine: A Pilot Study</title><title>Neurology international</title><addtitle>Neurol Int</addtitle><description><![CDATA[The aim of this study is to assess the sleep quality and daytime sleepiness improvement in chronic migraineurs after 6 months of a 2:1 KD (ketogenic diet) and LGID (low-glycemic-index diet).
Twenty-six patients underwent 2:1 KD (11 patients) and LGID (15 patients). PSQI (Pittsburgh sleep quality index) and ESS (Epworth sleepiness scale) were administered at the baseline and the 3-month and 6-month follow-up. MIDAS (Migraine Disability Assessment), HIT-6 (Headache Impact Test 6), migraine frequency (migraine days per month), migraine intensity, BMI (Body Mass Index), FM (Fat Mass), and FFM (Fat-Free Mass) were also assessed.
PSQI (F
= 7.250;
= 0.004), ESS (F
= 9.938;
< 0.001), HIT-6 (F
= 12.693;
< 0.001), migraine frequency (F
= 23.070;
< 0.001), migraine intensity (F
= 18.798;
< 0.001), BMI (F
= 38.191;
< 0.001), and FM (F
= 45.487;
< 0.001) improved significantly. The MIDAS (F
= 3.037;
= 0.093) and the FMM (F
= 1.741;
= 0.197) did not improve significantly. The ESS (
= 0.712) and PSQI (
= 0.776) data at 3-month and 6-month follow-ups did not differ significantly, as well as for migraine frequency, migraine intensity, BMI, FM, and HIT-6. A mild correlation emerged between the mean FM and mean ESS reduction during the 6 months (
= 0.497,
= 0.010).
Six months of LGID and 2:1 KD can improve sleep quality and daytime sleepiness in patients with chronic migraine. The effectiveness on migraine, sleep quality, and daytime sleepiness does not differ significantly between the 3-month and 6-month follow-up periods.]]></description><subject>2:1 ketogenic diet</subject><subject>Body mass index</subject><subject>Carbohydrates</subject><subject>Chronic illnesses</subject><subject>Diet</subject><subject>Glucose</subject><subject>Glycemic index</subject><subject>headache</subject><subject>Headaches</subject><subject>Insomnia</subject><subject>ketogenic diet</subject><subject>low-glycemic index diet</subject><subject>Migraine</subject><subject>migraine prevention</subject><subject>Nutritionists</subject><subject>Patients</subject><subject>Performance evaluation</subject><subject>Pilot projects</subject><subject>Proteins</subject><subject>Sleep disorders</subject><subject>Statistical analysis</subject><issn>2035-8385</issn><issn>2035-8377</issn><issn>2035-8377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNplkk1vEzEQhlcIRKvSH8AFWeLCJeDPtc0FVSm0EUWACmfLa49TR7vr1PZWyr9nS0pEwZexZt730dgzTfOS4LeMafxuhCmnPo6VtLjFWJMnzTHFTCwUk_Lp4a7EUXNaygbPh0kqKXneHDEtlMACHzfmM9S0hjE6dB6hotWwzekOCrruAbbo-2T7WHfIjh6d212NA-wrcYRSUBzR8iane_eXuM52zr5HZ-hb7FNF13XyuxfNs2D7AqcP8aT5-enjj-Xl4urrxWp5drVwHPO6IL7DXdBUBhtawgnoNnDAVHAKIEnbWacEFw5a3HknOxI890FpTlWrrLPspFntuT7ZjdnmONi8M8lG8zuR8trYXKPrwXCPJXbKk6AwZ9J3QVDQtAMsNfEWZtaHPWs7dQN4B2PNtn8EfVwZ441ZpztDiFASSzoT3jwQcrqdoFQzxOKg7-0IaSqGEUZbQghWs_T1P9JNmvI4_9Ws4loSrVs2q8he5XIqJUM4dEOwuV8H8986zJ5Xfz_j4PgzfPYLzOyzbg</recordid><startdate>20241025</startdate><enddate>20241025</enddate><creator>Tereshko, Yan</creator><creator>Dal Bello, Simone</creator><creator>Belgrado, Enrico</creator><creator>Di Lorenzo, Cherubino</creator><creator>Pittino, Alice</creator><creator>Filippi, Francesca</creator><creator>Valdemarin, Francesca</creator><creator>Lettieri, Christian</creator><creator>Gigli, Gian Luigi</creator><creator>Nilo, Annacarmen</creator><creator>Pellitteri, Gaia</creator><creator>Merlino, Giovanni</creator><creator>Valente, Mariarosaria</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M2M</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9048-7227</orcidid><orcidid>https://orcid.org/0009-0006-4952-136X</orcidid><orcidid>https://orcid.org/0000-0001-9827-8059</orcidid><orcidid>https://orcid.org/0000-0003-3526-1414</orcidid><orcidid>https://orcid.org/0000-0002-6525-9529</orcidid><orcidid>https://orcid.org/0000-0003-0845-5694</orcidid><orcidid>https://orcid.org/0000-0003-2062-2547</orcidid><orcidid>https://orcid.org/0000-0002-4200-761X</orcidid></search><sort><creationdate>20241025</creationdate><title>Ketogenic Diet Improves Sleep Quality and Daytime Sleepiness in Chronic Migraine: A Pilot Study</title><author>Tereshko, Yan ; Dal Bello, Simone ; Belgrado, Enrico ; Di Lorenzo, Cherubino ; Pittino, Alice ; Filippi, Francesca ; Valdemarin, Francesca ; Lettieri, Christian ; Gigli, Gian Luigi ; Nilo, Annacarmen ; Pellitteri, Gaia ; Merlino, Giovanni ; Valente, Mariarosaria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-1db0bf927faf6141e96f4e02542ee716bac8545ce60bdc7b1fd4df8942868aca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>2:1 ketogenic diet</topic><topic>Body mass index</topic><topic>Carbohydrates</topic><topic>Chronic illnesses</topic><topic>Diet</topic><topic>Glucose</topic><topic>Glycemic index</topic><topic>headache</topic><topic>Headaches</topic><topic>Insomnia</topic><topic>ketogenic diet</topic><topic>low-glycemic index diet</topic><topic>Migraine</topic><topic>migraine prevention</topic><topic>Nutritionists</topic><topic>Patients</topic><topic>Performance evaluation</topic><topic>Pilot projects</topic><topic>Proteins</topic><topic>Sleep disorders</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tereshko, Yan</creatorcontrib><creatorcontrib>Dal Bello, Simone</creatorcontrib><creatorcontrib>Belgrado, Enrico</creatorcontrib><creatorcontrib>Di Lorenzo, Cherubino</creatorcontrib><creatorcontrib>Pittino, Alice</creatorcontrib><creatorcontrib>Filippi, Francesca</creatorcontrib><creatorcontrib>Valdemarin, Francesca</creatorcontrib><creatorcontrib>Lettieri, Christian</creatorcontrib><creatorcontrib>Gigli, Gian Luigi</creatorcontrib><creatorcontrib>Nilo, Annacarmen</creatorcontrib><creatorcontrib>Pellitteri, Gaia</creatorcontrib><creatorcontrib>Merlino, Giovanni</creatorcontrib><creatorcontrib>Valente, Mariarosaria</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Psychology</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Neurology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tereshko, Yan</au><au>Dal Bello, Simone</au><au>Belgrado, Enrico</au><au>Di Lorenzo, Cherubino</au><au>Pittino, Alice</au><au>Filippi, Francesca</au><au>Valdemarin, Francesca</au><au>Lettieri, Christian</au><au>Gigli, Gian Luigi</au><au>Nilo, Annacarmen</au><au>Pellitteri, Gaia</au><au>Merlino, Giovanni</au><au>Valente, Mariarosaria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ketogenic Diet Improves Sleep Quality and Daytime Sleepiness in Chronic Migraine: A Pilot Study</atitle><jtitle>Neurology international</jtitle><addtitle>Neurol Int</addtitle><date>2024-10-25</date><risdate>2024</risdate><volume>16</volume><issue>6</issue><spage>1203</spage><epage>1213</epage><pages>1203-1213</pages><issn>2035-8385</issn><issn>2035-8377</issn><eissn>2035-8377</eissn><abstract><![CDATA[The aim of this study is to assess the sleep quality and daytime sleepiness improvement in chronic migraineurs after 6 months of a 2:1 KD (ketogenic diet) and LGID (low-glycemic-index diet).
Twenty-six patients underwent 2:1 KD (11 patients) and LGID (15 patients). PSQI (Pittsburgh sleep quality index) and ESS (Epworth sleepiness scale) were administered at the baseline and the 3-month and 6-month follow-up. MIDAS (Migraine Disability Assessment), HIT-6 (Headache Impact Test 6), migraine frequency (migraine days per month), migraine intensity, BMI (Body Mass Index), FM (Fat Mass), and FFM (Fat-Free Mass) were also assessed.
PSQI (F
= 7.250;
= 0.004), ESS (F
= 9.938;
< 0.001), HIT-6 (F
= 12.693;
< 0.001), migraine frequency (F
= 23.070;
< 0.001), migraine intensity (F
= 18.798;
< 0.001), BMI (F
= 38.191;
< 0.001), and FM (F
= 45.487;
< 0.001) improved significantly. The MIDAS (F
= 3.037;
= 0.093) and the FMM (F
= 1.741;
= 0.197) did not improve significantly. The ESS (
= 0.712) and PSQI (
= 0.776) data at 3-month and 6-month follow-ups did not differ significantly, as well as for migraine frequency, migraine intensity, BMI, FM, and HIT-6. A mild correlation emerged between the mean FM and mean ESS reduction during the 6 months (
= 0.497,
= 0.010).
Six months of LGID and 2:1 KD can improve sleep quality and daytime sleepiness in patients with chronic migraine. The effectiveness on migraine, sleep quality, and daytime sleepiness does not differ significantly between the 3-month and 6-month follow-up periods.]]></abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39585050</pmid><doi>10.3390/neurolint16060091</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9048-7227</orcidid><orcidid>https://orcid.org/0009-0006-4952-136X</orcidid><orcidid>https://orcid.org/0000-0001-9827-8059</orcidid><orcidid>https://orcid.org/0000-0003-3526-1414</orcidid><orcidid>https://orcid.org/0000-0002-6525-9529</orcidid><orcidid>https://orcid.org/0000-0003-0845-5694</orcidid><orcidid>https://orcid.org/0000-0003-2062-2547</orcidid><orcidid>https://orcid.org/0000-0002-4200-761X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2035-8385 |
| ispartof | Neurology international, 2024-10, Vol.16 (6), p.1203-1213 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11587072 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | 2:1 ketogenic diet Body mass index Carbohydrates Chronic illnesses Diet Glucose Glycemic index headache Headaches Insomnia ketogenic diet low-glycemic index diet Migraine migraine prevention Nutritionists Patients Performance evaluation Pilot projects Proteins Sleep disorders Statistical analysis |
| title | Ketogenic Diet Improves Sleep Quality and Daytime Sleepiness in Chronic Migraine: A Pilot Study |
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