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Migraine and dietary factors: a narrative review of current evidence and clinical implications

Ernesto Bancalari, Ursula Rosa Huerta Robles, Karol Melissa Solórzano Palacios, Katherine Zulema Bendezú Sánchez, Jorge Alberto Giglio, Cecilia Odette Cardenas Bedecarratz, Fiorella Celsi Young, Wilder Gonzales Chumbipuma

Headache Medicine/Revista Headache Medicine, 2026

Abstract

BackgroundDietary factors have been extensively examined as potential triggers or modulators of migraine episodes. Nevertheless, the current body of evidence concerning the influence of diet on the pathophysiology and management of migraines remains varied and occasionally contradictory.ObjectiveTo critically evaluate the existing evidence concerning the association between dietary factors and migraine, with a focus on potential triggers, dietary patterns, and the gut–brain axis.MethodsThis study employs a narrative review of the literature, concentrating on research that examines dietary triggers, nutritional interventions, and the pathophysiological mechanisms associated with migraine.ResultsCertain dietary components, including caffeine, chocolate, alcohol, and foods containing histamine, have been linked to the onset of migraine attacks in susceptible individuals, although findings remain inconsistent. Various dietary interventions—such as low-fat diets, ketogenic diets, low-glycemic diets, and diets enriched with omega-3 fatty acids—have demonstrated potential benefits in reducing the frequency and severity of migraines.ConclusionsDietary factors may affect migraine in a subset of patients through metabolic, inflammatory, and neurovascular pathways. Further well-designed prospective studies are necessary before definitive clinical recommendations can be formulated.

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