(P25-037-24) Nutritional Intake of Individuals With Moderate to High Frequency Episodic Migraine

Objectives: This study aimed to assess the dietary intake of individuals with moderate to high-frequency episodic migraine.

Methods: Participants with migraine who were currently experiencing between 4-14 headache days per month were enrolled. They completed online headache diaries nightly before bed for 28 days, and 8 x 24-hour dietary intake recall interviews on 8 days (2/week randomly for 4 weeks) via phone by a trained interviewer, using the Nutrient Data System for Research (NDSR) software for multi-pass interviews, which included dietary supplement intake. Calculations of nutrient intake were made controlling for the in-person correlation.

Results: Twenty-five adults with migraine completed the study (23 female, 2 male; 31.4 years ± 12.3; BMI 27.2 ± 7.1), reporting a mean 9.7 ± 4.4 days with headache during the observation period. After exclusions for missed interviews (n=1), illness (n=10), and fasting for Ramadan (n=5), 184 dietary recalls were included. Percent energy contributed by fat, protein and carbohydrates were 37, 16, and 48% of total calories. Saturated fat and sugar intake contributed 12% and 10% of energy intake, respectively, and average sodium intake was 3,047 mg/day. Average fiber intake density was 10.8 g/1,000 calories consumed. Regarding micronutrients of interest to migraine, 38% of individuals consumed levels at or above the DRI for magnesium, 23% for iron, 2.5% for Vitamin D, 68% for riboflavin, and 50% for Vitamin B12.

Conclusions: Despite a high burden of migraine, dietary intake in this small study of individuals with moderate to high-frequency episodic migraine indicates similar nutritional risks as the general American public. Further research is warranted to understand the implications of these risks in this clinical population.

Funding Sources: George Mason University College of Public Health Pilot Funding