Serum Homocysteine, Pyridoxine, Folate, and Vitamin B12 Levels in Migraine: Systematic Review and Meta-Analysis.


Journal

Headache
ISSN: 1526-4610
Titre abrégé: Headache
Pays: United States
ID NLM: 2985091R

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 24 03 2020
revised: 10 05 2020
accepted: 11 05 2020
pubmed: 3 7 2020
medline: 9 11 2021
entrez: 3 7 2020
Statut: ppublish

Résumé

Migraine, especially migraine with aura (MA), has been linked to increased risk for ischemic cerebrovascular disease. The possible role of elevated serum homocysteine (Hcy, a cause of thrombophilia) in migraine has been demonstrated by several studies. The present study aims to review and meta-analyze data from studies investigating the difference of serum Hcy and Hcy lowering vitamins between migraine patients and healthy controls (HC), as well as between patients with MA and migraine without aura (MO). Literature search involved MEDLINE, Embase, CENTRAL, Google Scholar, and trial registries. The Newcastle-Ottawa Scale was used to evaluate the quality of the retrieved studies. Standardized mean differences (SMDs) and 95% confidence intervals (95%CIs) were calculated. Funnel-plots were utilized for the evaluation of publication bias. Overall, 29 (28 case-control and 1 cross-sectional) studies were retrieved. Meta-analysis was indicative of higher Hcy concentration in migraine patients vs HC overall [adults and children: 16 studies, I Our results suggest that there is a possible link between migraine, mainly MA, and elevated serum Hcy.

Sections du résumé

BACKGROUND BACKGROUND
Migraine, especially migraine with aura (MA), has been linked to increased risk for ischemic cerebrovascular disease. The possible role of elevated serum homocysteine (Hcy, a cause of thrombophilia) in migraine has been demonstrated by several studies.
OBJECTIVE OBJECTIVE
The present study aims to review and meta-analyze data from studies investigating the difference of serum Hcy and Hcy lowering vitamins between migraine patients and healthy controls (HC), as well as between patients with MA and migraine without aura (MO).
METHODS METHODS
Literature search involved MEDLINE, Embase, CENTRAL, Google Scholar, and trial registries. The Newcastle-Ottawa Scale was used to evaluate the quality of the retrieved studies. Standardized mean differences (SMDs) and 95% confidence intervals (95%CIs) were calculated. Funnel-plots were utilized for the evaluation of publication bias.
RESULTS RESULTS
Overall, 29 (28 case-control and 1 cross-sectional) studies were retrieved. Meta-analysis was indicative of higher Hcy concentration in migraine patients vs HC overall [adults and children: 16 studies, I
CONCLUSIONS CONCLUSIONS
Our results suggest that there is a possible link between migraine, mainly MA, and elevated serum Hcy.

Identifiants

pubmed: 32615014
doi: 10.1111/head.13892
doi:

Substances chimiques

Homocysteine 0LVT1QZ0BA
Folic Acid 935E97BOY8
Pyridoxine KV2JZ1BI6Z
Vitamin B 12 P6YC3EG204

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1508-1534

Informations de copyright

© 2020 American Headache Society.

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Auteurs

Ioannis Liampas (I)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Vasileios Siokas (V)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Alexios-Fotios A Mentis (AA)

Department of Microbiology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.
Public Health Laboratories, Hellenic Pasteur Institute, Athens, Greece.

Athina-Maria Aloizou (AM)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Metaxia Dastamani (M)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Zisis Tsouris (Z)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Paraskevi Aslanidou (P)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Alexandros Brotis (A)

Department of Neurosurgery, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Efthimios Dardiotis (E)

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

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