The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial

Abstract Background Migraine, as a widespread neurological condition, substantially impacts quality of life, particularly among women. Therefore, this study aimed to explore the potential effects of alpha-linolenic acid (ALA) and L-carnitine co-supplementation on migraine symptoms, mental health, an...

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Main Authors: Sahar Golpour-hamedani, Mohammad Bagherniya, Fariborz Khorvash, Awat Feizi, Manoj Sharma, Gholamreza Askari
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Nutrition Journal
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Online Access:https://doi.org/10.1186/s12937-025-01107-7
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author Sahar Golpour-hamedani
Mohammad Bagherniya
Fariborz Khorvash
Awat Feizi
Manoj Sharma
Gholamreza Askari
author_facet Sahar Golpour-hamedani
Mohammad Bagherniya
Fariborz Khorvash
Awat Feizi
Manoj Sharma
Gholamreza Askari
author_sort Sahar Golpour-hamedani
collection DOAJ
description Abstract Background Migraine, as a widespread neurological condition, substantially impacts quality of life, particularly among women. Therefore, this study aimed to explore the potential effects of alpha-linolenic acid (ALA) and L-carnitine co-supplementation on migraine symptoms, mental health, and life quality in women with migraine. Methods In this randomized, triple-blind, placebo-controlled trial, 80 women with migraine were randomly assigned to receive either ALA (1000 mg) plus L-carnitine (500 mg) or matching placebos daily for 12 weeks. Migraine characteristics, mental health parameters, and quality of life measures were assessed at baseline and study end. Results The intervention group demonstrated a significant reduction in migraine frequency (-2.96; 95% CI (-3.48, -2.45) vs -0.07; 95% CI (-0.68, 0.53), P < 0.001), severity (-1.6; 95% CI (-2.05, -1.15) vs − 0.44; 95% CI (-0.91, 0.02), P = 0.001), and duration (-4.9; 95% CI (-6.34, -3.45) vs -0.5; 95% CI (-1.06, 0.66) hours, P < 0.001) compared to the placebo group. Mental health improvements were observed in depression (-7.4; 95% CI (-9.24, -5.55) vs 0.05; 95% CI (-1.16, 1.26), P < 0.001), and anxiety scores (-5.7; 95% CI (-7.26, -4.14) vs − 0.65; 95% CI (-2.33, 1.03), P < 0.001). Quality of life measures showed significant enhancement, with increased migraine-specific quality of life (9.75; 95% CI (8.01, 11.49) vs 1.22; 95% CI (-0.66, 3.11), P < 0.001) and decreased headache impact test-6 scores (-8.57; 95% CI (-11.79, -5.36) vs -1.35; 95% CI (-3.41, 0.71), P = 0.005) in the intervention group compared to the controls. Conclusion Co-supplementation with ALA and L-carnitine may offer a promising adjuvant therapy for managing migraine in women, addressing both physical symptoms and psychological burdens. Trial registration IRCT20121216011763N57.
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spelling doaj-art-3e122a256e654fb7b59901c3bea45f2a2025-08-20T03:01:42ZengBMCNutrition Journal1475-28912025-03-0124111310.1186/s12937-025-01107-7The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trialSahar Golpour-hamedani0Mohammad Bagherniya1Fariborz Khorvash2Awat Feizi3Manoj Sharma4Gholamreza Askari5Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical SciencesDepartment of Neurology, Isfahan University of Medical SciencesDepartment of Epidemiology and Biostatistics, School of Health, Clinical Toxicology Research Center and Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesSocial and Behavioral Health, School of Public Health, University of NevadaDepartment of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical SciencesAbstract Background Migraine, as a widespread neurological condition, substantially impacts quality of life, particularly among women. Therefore, this study aimed to explore the potential effects of alpha-linolenic acid (ALA) and L-carnitine co-supplementation on migraine symptoms, mental health, and life quality in women with migraine. Methods In this randomized, triple-blind, placebo-controlled trial, 80 women with migraine were randomly assigned to receive either ALA (1000 mg) plus L-carnitine (500 mg) or matching placebos daily for 12 weeks. Migraine characteristics, mental health parameters, and quality of life measures were assessed at baseline and study end. Results The intervention group demonstrated a significant reduction in migraine frequency (-2.96; 95% CI (-3.48, -2.45) vs -0.07; 95% CI (-0.68, 0.53), P < 0.001), severity (-1.6; 95% CI (-2.05, -1.15) vs − 0.44; 95% CI (-0.91, 0.02), P = 0.001), and duration (-4.9; 95% CI (-6.34, -3.45) vs -0.5; 95% CI (-1.06, 0.66) hours, P < 0.001) compared to the placebo group. Mental health improvements were observed in depression (-7.4; 95% CI (-9.24, -5.55) vs 0.05; 95% CI (-1.16, 1.26), P < 0.001), and anxiety scores (-5.7; 95% CI (-7.26, -4.14) vs − 0.65; 95% CI (-2.33, 1.03), P < 0.001). Quality of life measures showed significant enhancement, with increased migraine-specific quality of life (9.75; 95% CI (8.01, 11.49) vs 1.22; 95% CI (-0.66, 3.11), P < 0.001) and decreased headache impact test-6 scores (-8.57; 95% CI (-11.79, -5.36) vs -1.35; 95% CI (-3.41, 0.71), P = 0.005) in the intervention group compared to the controls. Conclusion Co-supplementation with ALA and L-carnitine may offer a promising adjuvant therapy for managing migraine in women, addressing both physical symptoms and psychological burdens. Trial registration IRCT20121216011763N57.https://doi.org/10.1186/s12937-025-01107-7Alpha-linolenic acidL-carnitineMigraineMental health
spellingShingle Sahar Golpour-hamedani
Mohammad Bagherniya
Fariborz Khorvash
Awat Feizi
Manoj Sharma
Gholamreza Askari
The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
Nutrition Journal
Alpha-linolenic acid
L-carnitine
Migraine
Mental health
title The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
title_full The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
title_fullStr The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
title_full_unstemmed The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
title_short The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
title_sort effects of concurrent alpha linolenic acid l carnitine supplementation on clinical symptoms mental health and quality of life in women with migraine a randomized triple blind placebo controlled trial
topic Alpha-linolenic acid
L-carnitine
Migraine
Mental health
url https://doi.org/10.1186/s12937-025-01107-7
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