Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey

BackgroundThe aim of this study was to assess the association between dietary folate intake and severe headache or migraine.MethodsThis cross-sectional study utilized the National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2004. Weighted logistic regression models, restricted...

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Main Authors: Dehua Zhao, Xiaoqing Long, Jisheng Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1456502/full
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author Dehua Zhao
Xiaoqing Long
Jisheng Wang
author_facet Dehua Zhao
Xiaoqing Long
Jisheng Wang
author_sort Dehua Zhao
collection DOAJ
description BackgroundThe aim of this study was to assess the association between dietary folate intake and severe headache or migraine.MethodsThis cross-sectional study utilized the National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2004. Weighted logistic regression models, restricted cubic spline (RCS) regression, sensitivity analysis, and stratified analyses were performed to evaluate the association between dietary folate intake and severe headache or migraine.ResultsA total of 4,107 participants were included, with 704 individuals (17.14%) experienced severe headache or migraine. After adjusting for all covariates, an independent association was found between dietary folate intake and severe headache or migraine (OR = 0.77, 95% CI: 0.64–0.93, p = 0.005). When folate intake was categorized, individuals in Q2 (251.21–356.00 μg/d), Q3 (356.19–514.00 μg/d), and Q4 (≥515.00 μg/d) had ORs of 0.95 (95% CI: 0.75–1.20, p = 0.660), 0.86 (95% CI: 0.67–1.12, p = 0.266), and 0.65 (95% CI: 0.48–0.89, p = 0.007), respectively, compared to those in Q1 (≤251.00 μg/d). The RCS regression showed a linear negative relationship between dietary folate intake and severe headache or migraine. Stratified and sensitivity analyses yielded similar results.ConclusionThere was a linear negative relationship between dietary folate intake and migraine.
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spelling doaj-art-2913e7f4cef5403aaa5e9060d0acb81e2024-11-26T14:48:14ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-11-011110.3389/fnut.2024.14565021456502Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination SurveyDehua ZhaoXiaoqing LongJisheng WangBackgroundThe aim of this study was to assess the association between dietary folate intake and severe headache or migraine.MethodsThis cross-sectional study utilized the National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2004. Weighted logistic regression models, restricted cubic spline (RCS) regression, sensitivity analysis, and stratified analyses were performed to evaluate the association between dietary folate intake and severe headache or migraine.ResultsA total of 4,107 participants were included, with 704 individuals (17.14%) experienced severe headache or migraine. After adjusting for all covariates, an independent association was found between dietary folate intake and severe headache or migraine (OR = 0.77, 95% CI: 0.64–0.93, p = 0.005). When folate intake was categorized, individuals in Q2 (251.21–356.00 μg/d), Q3 (356.19–514.00 μg/d), and Q4 (≥515.00 μg/d) had ORs of 0.95 (95% CI: 0.75–1.20, p = 0.660), 0.86 (95% CI: 0.67–1.12, p = 0.266), and 0.65 (95% CI: 0.48–0.89, p = 0.007), respectively, compared to those in Q1 (≤251.00 μg/d). The RCS regression showed a linear negative relationship between dietary folate intake and severe headache or migraine. Stratified and sensitivity analyses yielded similar results.ConclusionThere was a linear negative relationship between dietary folate intake and migraine.https://www.frontiersin.org/articles/10.3389/fnut.2024.1456502/fullfolatesevere headache or migrainelogistic regressionrestricted cubic spline regressioncross-sectional study
spellingShingle Dehua Zhao
Xiaoqing Long
Jisheng Wang
Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey
Frontiers in Nutrition
folate
severe headache or migraine
logistic regression
restricted cubic spline regression
cross-sectional study
title Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey
title_full Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey
title_fullStr Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey
title_full_unstemmed Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey
title_short Association between dietary folate intake and severe headache or migraine in adults: a cross-sectional study of the National Health and Nutrition Examination Survey
title_sort association between dietary folate intake and severe headache or migraine in adults a cross sectional study of the national health and nutrition examination survey
topic folate
severe headache or migraine
logistic regression
restricted cubic spline regression
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1456502/full
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