A variety of factors
have been reported to trigger migraine attacks. Stress is probably
the most widely recognized trigger for migraine. Stress may be brought
about by emotional shock noise, glare or some other condition. Some
studies on migraine have claimed that diet is a trigger factor. Between
5 and 30 per cent of migraine sufferers believe that food plays a
part in their migraine. Much of the evidence linking diet and migraine
is scientifically unsound. It frequently relies on the patient recognizing
a link between the eating of a certain food and the attack Such links
may be difficult to establish, particularly if the food responsible
is consumed up to 24 hours before the attack The foods most commonly
associated with triggering migraine are given in Figure
42.
Many other foods
are implicated, but less frequently. There have been conflicting results
from scientific studies examining the effects of food on migraine
sufferers; probably a combination of factors is involved in triggering
an attack It may be that there is a spectrum of response to dietary
items, varying from very mild to very intense. With some sufferers,
a particular food might always precipitate an attack, while with others,
the food trigger may only be effective in combination with other factors,
such as hormonal change or stress. Diets that avoid certain foods
can have serious nutritional consequences if maintained for long periods,
depending on the number and type of foods avoided, and they should
only be followed under the supervision of a doctor or dietitian.