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Vitamin D and tension-type headache: causal association or epiphenomenon?

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Title: Vitamin D and tension-type headache: causal association or epiphenomenon?
Authors: Liampas, Ioannis (AUTHOR), Bourlios, Stefanos (AUTHOR), Siokas, Vasileios (AUTHOR), Aloizou, Athina-Maria (AUTHOR), Dervenis, Panagiotis (AUTHOR), Nasios, Grigorios (AUTHOR), Bakirtzis, Christos (AUTHOR), Bogdanos, Dimitrios P. (AUTHOR), Dardiotis, Efthimios (AUTHOR)
Source: International Journal of Neuroscience. May2024, Vol. 134 Issue 5, p441-451. 11p.
Subjects: Vitamin D, Headache, Cellular signal transduction, Chronic pain, Research personnel
Abstract: Background-Purpose: Low serum vitamin D (VD) has been already associated with a series of highly prevalent pain-related conditions, including fibromyalgia, migraine and chronic widespread pain. Considering the potential interplay between VD and pain signalling pathways, the association of VD with tension-type headache (TTH) was reviewed. Methods: A multifaceted narrative approach assessing the relationship of serum VD with TTH and TTH parameters, as well as the efficacy of VD supplementation for the prevention of TTH, was fostered. MEDLINE, CENTRAL and EMBASE were comprehensively searched for this purpose, while Google Scholar was also explored according to a structured approach. ClinicalTrials.gov and European Union Clinical Trials Register were explored for ongoing prevention trials. Results: Although available evidence was suggestive of an association between VD and TTH, mainly of the chronic type, the causal nature of the association remains to be determined. Considering the lack of longitudinal evidence, this relationship could arguably reflect behavioural patterns of headache sufferers. On the other hand, evidence principally originated from tertiary clinical settings (severe comorbidity burden) and researchers tend to report a concomitant association of both entities with generalized musculoskeletal compromise. In this context, the association between TTH and VD may represent nothing more than a secondary by-product of the simultaneous relationship of other comorbid diseases-conditions with both TTH and low serum VD. Regarding its efficacious properties, only one ongoing trial specifically designed to explore the efficacy of VD in chronic TTH in adults was retrieved. Conclusions: There is no evidenced based indication for VD supplementation in TTH. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Neuroscience is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Vitamin D and tension-type headache: causal association or epiphenomenon?
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  Data: <searchLink fieldCode="AR" term="%22Liampas%2C+Ioannis%22">Liampas, Ioannis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bourlios%2C+Stefanos%22">Bourlios, Stefanos</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Siokas%2C+Vasileios%22">Siokas, Vasileios</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aloizou%2C+Athina-Maria%22">Aloizou, Athina-Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dervenis%2C+Panagiotis%22">Dervenis, Panagiotis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nasios%2C+Grigorios%22">Nasios, Grigorios</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bakirtzis%2C+Christos%22">Bakirtzis, Christos</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bogdanos%2C+Dimitrios+P%2E%22">Bogdanos, Dimitrios P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dardiotis%2C+Efthimios%22">Dardiotis, Efthimios</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Neuroscience%22">International Journal of Neuroscience</searchLink>. May2024, Vol. 134 Issue 5, p441-451. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Vitamin+D%22">Vitamin D</searchLink><br /><searchLink fieldCode="DE" term="%22Headache%22">Headache</searchLink><br /><searchLink fieldCode="DE" term="%22Cellular+signal+transduction%22">Cellular signal transduction</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Research+personnel%22">Research personnel</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background-Purpose: Low serum vitamin D (VD) has been already associated with a series of highly prevalent pain-related conditions, including fibromyalgia, migraine and chronic widespread pain. Considering the potential interplay between VD and pain signalling pathways, the association of VD with tension-type headache (TTH) was reviewed. Methods: A multifaceted narrative approach assessing the relationship of serum VD with TTH and TTH parameters, as well as the efficacy of VD supplementation for the prevention of TTH, was fostered. MEDLINE, CENTRAL and EMBASE were comprehensively searched for this purpose, while Google Scholar was also explored according to a structured approach. ClinicalTrials.gov and European Union Clinical Trials Register were explored for ongoing prevention trials. Results: Although available evidence was suggestive of an association between VD and TTH, mainly of the chronic type, the causal nature of the association remains to be determined. Considering the lack of longitudinal evidence, this relationship could arguably reflect behavioural patterns of headache sufferers. On the other hand, evidence principally originated from tertiary clinical settings (severe comorbidity burden) and researchers tend to report a concomitant association of both entities with generalized musculoskeletal compromise. In this context, the association between TTH and VD may represent nothing more than a secondary by-product of the simultaneous relationship of other comorbid diseases-conditions with both TTH and low serum VD. Regarding its efficacious properties, only one ongoing trial specifically designed to explore the efficacy of VD in chronic TTH in adults was retrieved. Conclusions: There is no evidenced based indication for VD supplementation in TTH. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Neuroscience is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: May2024
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