Evidence map›Paper›PMID 41731789›Full record

ArticleMedicine2026

Air pollution and migraine: causal association or epiphenomenon?

Qian Zhu, Jin Yang, Lei Shi, Jieying Zhang, Xiaohu Zhang, Lina Ma, Gang Huang, Xuancheng Zhou, Xiaoli Song

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Qian ZhuDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jin YangDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Lei ShiDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jieying ZhangDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xiaohu ZhangDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Lina MaDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Gang HuangClinical Medical College, Southwest Medical University, Luzhou, China.
Xuancheng ZhouClinical Medical College, Southwest Medical University, Luzhou, China.
Xiaoli SongDepartment of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.ORCID 0009-0000-0164-4973

Funding

Cross-sectional survey on the development status and treatment diseases of acupuncture in North China, Scientific Research Fund of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine ZJZXPT2020001
6 · The paper itself

Abstract

Migraine is a common chronic neurological disorder that poses a significant burden to global health. Investigating the risk factors for migraine is crucial for its prevention and management. Air pollution, one of the greatest environmental risks to public health today, has not yet been conclusively linked to migraine, and the quality of existing studies varies widely. To avoid potential confounders in observational studies, this research utilizes the 2-sample Mendelian randomization (MR) approach for the first time to reassess the causal relationship between air pollution indicators such as PM2.5, PM10, PM2.5 to 10, nitrogen dioxide (NO2), and nitrogen oxides (NOx), and migraine. This study employs a 2-sample MR design, utilizing genome-wide association summary data on air pollution and migraine from the IEU and FinnGen databases. The primary method used is inverse-variance weighting, combined with 4 other MR analysis techniques, to thoroughly investigate the data. Concurrently, a series of sensitivity analyses are conducted using Cochran Q test, MR-Egger intercept regression, and MR-PRESSO. The combined MR and sensitivity analysis of various air pollutants and migraine showed a high degree of robustness across all data except for the PM10 results. After applying the Bonferroni correction, all MR analysis results did not reach the significance threshold for p-values, indicating no statistically significant causal relationship between air pollution and migraine. This study did not find a significant causal relationship between air pollution and migraine. Combining previous studies, we speculated on the potential reasons behind our analysis results. Considering the limitations of this study, we recommend further research to validate our analysis results and to explore this topic more deeply.

Indexed as

Air PollutionEnvironmental ExposureMigraine DisordersCausalityEnvironmental MonitoringFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisNitrogen DioxideNitrogen OxidesParticulate MatterPolymorphism, Single NucleotideNitrogen DioxideNitrogen OxidesParticulate Matter2-sample Mendelian randomizationair pollutionmigrainenitrogen oxidesparticulate matter

Identifiers

PMID41731789
PMCPMC12928860

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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.