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Migraine exacerbation during Ramadan fasting

Fasting for approximately 1 month is an obligatory practice for Muslims during the month of Ramadan. We attempted to evaluate the effect of the Ramadan fasting on the frequency of migraine attacks among observant Muslim migraine sufferers using a cohort cross-over study. Thirty-two observant Muslim... Full description

Journal Title: Journal of headache and pain 2010, Vol.11 (6), p.513-517
Main Author: Abu-Salameh, Ibrahim
Other Authors: Plakht, Ygal , Ifergane, Gal
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Milan: Springer Milan
ID: ISSN: 1129-2369
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3476230
title: Migraine exacerbation during Ramadan fasting
format: Article
creator:
  • Abu-Salameh, Ibrahim
  • Plakht, Ygal
  • Ifergane, Gal
subjects:
  • Adolescent
  • Adult
  • Anesthesiology
  • Beduins
  • Biological and medical sciences
  • Cardiovascular system
  • Clinical Neurology
  • Cohort Studies
  • Comorbidity
  • Cross-Over Studies
  • Fasting
  • Fasting - adverse effects
  • Fasting - physiology
  • Female
  • Health aspects
  • Humans
  • Incidence
  • Internal Medicine
  • Islam
  • Israel - epidemiology
  • Israel - ethnology
  • Male
  • Medical sciences
  • Medicine
  • Medicine & Public Health
  • Middle Aged
  • Migraine
  • Migraine Disorders - diagnosis
  • Migraine Disorders - epidemiology
  • Migraine Disorders - prevention & control
  • Muslims
  • Neurology
  • Pain Medicine
  • Pharmacology. Drug treatments
  • Ramadan
  • Rapid Communication
  • Risk factors
  • Substance Withdrawal Syndrome - diagnosis
  • Substance Withdrawal Syndrome - epidemiology
  • Vascular diseases and vascular malformations of the nervous system
  • Vasodilator agents. Cerebral vasodilators
  • Young Adult
ispartof: Journal of headache and pain, 2010, Vol.11 (6), p.513-517
description: Fasting for approximately 1 month is an obligatory practice for Muslims during the month of Ramadan. We attempted to evaluate the effect of the Ramadan fasting on the frequency of migraine attacks among observant Muslim migraine sufferers using a cohort cross-over study. Thirty-two observant Muslim migraine sufferers filled a migraine diary during the Ramadan month and the following month (control). Two patients failed to complete the fast because of migraine suffering. During the Ramadan month, the patient expressed 9.4 ± 4.3 migraine days in average (range 3–20) when compared with 3.7 ± 2.1 migraine days in average (range 1–10) during the control month ( p  
language: eng
source:
identifier: ISSN: 1129-2369
fulltext: no_fulltext
issn:
  • 1129-2369
  • 1129-2377
url: Link


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descriptionFasting for approximately 1 month is an obligatory practice for Muslims during the month of Ramadan. We attempted to evaluate the effect of the Ramadan fasting on the frequency of migraine attacks among observant Muslim migraine sufferers using a cohort cross-over study. Thirty-two observant Muslim migraine sufferers filled a migraine diary during the Ramadan month and the following month (control). Two patients failed to complete the fast because of migraine suffering. During the Ramadan month, the patient expressed 9.4 ± 4.3 migraine days in average (range 3–20) when compared with 3.7 ± 2.1 migraine days in average (range 1–10) during the control month ( p  < 0.001). This phenomenon was associated with longer duration of migraine, lower frequency of migraine attacks, and migraine with aura. It seemed to be less pronounced in patients experiencing throbbing headaches and in married patients. Previous prophylactic therapy did not dampen this. Physicians treating Muslim migraine patients should discuss potential Ramadan month exacerbation with their patients and provide counseling regarding the prevention of dehydration and caffeine withdrawal. Pharmacological prophylactic treatment should be considered.
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subjectAdolescent ; Adult ; Anesthesiology ; Beduins ; Biological and medical sciences ; Cardiovascular system ; Clinical Neurology ; Cohort Studies ; Comorbidity ; Cross-Over Studies ; Fasting ; Fasting - adverse effects ; Fasting - physiology ; Female ; Health aspects ; Humans ; Incidence ; Internal Medicine ; Islam ; Israel - epidemiology ; Israel - ethnology ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Migraine ; Migraine Disorders - diagnosis ; Migraine Disorders - epidemiology ; Migraine Disorders - prevention & control ; Muslims ; Neurology ; Pain Medicine ; Pharmacology. Drug treatments ; Ramadan ; Rapid Communication ; Risk factors ; Substance Withdrawal Syndrome - diagnosis ; Substance Withdrawal Syndrome - epidemiology ; Vascular diseases and vascular malformations of the nervous system ; Vasodilator agents. Cerebral vasodilators ; Young Adult
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descriptionFasting for approximately 1 month is an obligatory practice for Muslims during the month of Ramadan. We attempted to evaluate the effect of the Ramadan fasting on the frequency of migraine attacks among observant Muslim migraine sufferers using a cohort cross-over study. Thirty-two observant Muslim migraine sufferers filled a migraine diary during the Ramadan month and the following month (control). Two patients failed to complete the fast because of migraine suffering. During the Ramadan month, the patient expressed 9.4 ± 4.3 migraine days in average (range 3–20) when compared with 3.7 ± 2.1 migraine days in average (range 1–10) during the control month ( p  < 0.001). This phenomenon was associated with longer duration of migraine, lower frequency of migraine attacks, and migraine with aura. It seemed to be less pronounced in patients experiencing throbbing headaches and in married patients. Previous prophylactic therapy did not dampen this. Physicians treating Muslim migraine patients should discuss potential Ramadan month exacerbation with their patients and provide counseling regarding the prevention of dehydration and caffeine withdrawal. Pharmacological prophylactic treatment should be considered.
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12Fasting - physiology
13Female
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18Islam
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authorAbu-Salameh, Ibrahim ; Plakht, Ygal ; Ifergane, Gal
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abstractFasting for approximately 1 month is an obligatory practice for Muslims during the month of Ramadan. We attempted to evaluate the effect of the Ramadan fasting on the frequency of migraine attacks among observant Muslim migraine sufferers using a cohort cross-over study. Thirty-two observant Muslim migraine sufferers filled a migraine diary during the Ramadan month and the following month (control). Two patients failed to complete the fast because of migraine suffering. During the Ramadan month, the patient expressed 9.4 ± 4.3 migraine days in average (range 3–20) when compared with 3.7 ± 2.1 migraine days in average (range 1–10) during the control month ( p  < 0.001). This phenomenon was associated with longer duration of migraine, lower frequency of migraine attacks, and migraine with aura. It seemed to be less pronounced in patients experiencing throbbing headaches and in married patients. Previous prophylactic therapy did not dampen this. Physicians treating Muslim migraine patients should discuss potential Ramadan month exacerbation with their patients and provide counseling regarding the prevention of dehydration and caffeine withdrawal. Pharmacological prophylactic treatment should be considered.
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