Evidence map›Paper›PMID 33228144›Full record

ReviewJournal of clinical medicine2020

A Review on the Triggers of Pediatric Migraine with the Aim of Improving Headache Education.

Gaku Yamanaka, Shinichiro Morichi, Shinji Suzuki, Soken Go, Mika Takeshita, Kanako Kanou, Yu Ishida, Shingo Oana, Hisashi Kawashima

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Observational
  2. Parental knowledge, attitudes, and behaviors toward childhood headache: the impact of parental migraine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Evaluation of pediatric migraine triggers: a single-center study.Clinical and experimental pediatrics · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Migraine and Mood in Children.Behavioral sciences (Basel, Switzerland) · 2021
    Review
  14. Article
  15. Review
  16. A Bidirectional View of Migraine and Diet Relationship.Neuropsychiatric disease and treatment · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Gaku YamanakaDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.ORCID 0000-0002-8379-7187
Shinichiro MorichiDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.ORCID 0000-0001-9790-9808
Shinji SuzukiDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.
Soken GoDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.ORCID 0000-0003-0940-0273
Mika TakeshitaDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.
Kanako KanouDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.
Yu IshidaDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.
Shingo OanaDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.
Hisashi KawashimaDepartment of Pediatrics and Adolescent Medicine, Tokyo Medical University, Tokyo 160-0023, Japan.ORCID 0000-0003-2571-9962
Tokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although migraines are common in children and adolescents, they have a robustly negative impact on the quality of life of individuals and their families. The current treatment guidelines outline the behavioral and lifestyle interventions to correct common causative factors, such as negative emotional states, lack of exercise and sleep, and obesity; however, the evidence of their effectiveness is insufficient. To create a plan for disseminating optimal pediatric headache education, we reviewed the current evidence for factors correlated with migraine. We assessed three triggers or risk factors for migraines in children and adolescents: stress, sleep poverty, and alimentation (including diet and obesity). While there is a gradual uptick in research supporting the association between migraine, stress, and sleep, the evidence for diet-related migraines is very limited. Unless obvious dietary triggers are defined, clinicians should counsel patients to eat a balanced diet and avoid skipping meals rather than randomly limiting certain foods. We concluded that there is not enough evidence to establish a headache education plan regarding behavioral and lifestyle interventions. Clinicians should advise patients to avoid certain triggers, such as stress and sleep disorders, and make a few conservative dietary changes.

Indexed as

alimentationheadachemigrainepreventionsleep povertystress

Identifiers

PMID33228144
PMCPMC7699367
OpenAlexW3104585571

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.