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Revisión sistemática2026Financiación no declaradaAcceso abierto

The impact of caffeine consumption on migraine: a systematic review

Makhlouf HA, Khelifa H, Batarseh SF, Alfahmi FK, Mansour A, Awadalla YF, Abdelmohsen N, El Arabawy MY, Shaheen O, Kassar O

BMC neurology · 0 citas

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Cómo se estudió

Diseño
Revisión sistemática (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2026-05-19 · BMC Neurol · vol. 26 · número 1
Editorial
BioMed Central
Citado
0 citas · más que el 26% de estudios similares · 0.0× el promedio de su campo
Referencias
49 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC-ND
Áreas de investigación
Migraine and Headache Studies · Coffee research and impacts · Traumatic Brain Injury Research
Palabras clave
caffeine, migraine, migraine with aura, caffeine withdrawal, caffeine consumption, migraine risk, genetic susceptibility, coffee consumption, headache triggers, migraine burden
MeSH
humans, caffeine, coffee, migraine disorders, mendelian randomization analysis

10 autores

  • Hamdy A. Makhlouf🇪🇬 · autor de correspondenciaMinia University
  • Hamza Khelifa🇩🇿Université Oran 1 Ahmed Ben Bella
  • Suhel F Batarseh🇯🇴Jordan University of Science and Technology
  • Fawaz K Alfahmi🇸🇦Taif University
  • Anas Mansour🇪🇬Al-Azhar University
  • Yasein Fadel Awadalla🇪🇬Al-Azhar University
  • nada abdelmohsen🇪🇬South Valley University
  • M. Yahya El Arabawy🇪🇬Al-Azhar University
  • Omar Shaheen🇪🇬Alexandria University
  • Omar Kassar🇪🇬Alexandria University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Migraine is a common, disabling neurological disorder affecting over one billion people worldwide, characterized by recurrent unilateral, pulsating headaches lasting 4-72 h. Caffeine, a widely consumed psychoactive alkaloid found in coffee, tea, and other beverages, is frequently implicated as both a trigger and a treatment for attacks.

Objectives

We aim to comprehensively evaluate the association between caffeine exposure and migraine by integrating observational evidence with Mendelian Randomization (MR) studies.

Methods

A comprehensive search was conducted through PubMed, Scopus, Web of Science, and the Cochrane Library till August 2025. We included primary studies assessing the impact of caffeine exposure on migraine risk.

Results

19 studies (nine cross-sectional, seven MR, and three cohort) were included in our review. MR studies included over one million participants, while cross-sectional studies involved over 43,000 participants, and the cohort studies included 421 migraine cases. MR reflected lifelong genetic liability (population-level, chronic exposure) and associated with a reduced risk with overall odds ratio (OR) ranging from 0.53 to 0.71, with stronger associations reported in migraine with aura (ORs as low as 0.37-0.39). Observational studies captured short-term, acute effects and showed that abrupt withdrawal or acute excessive intake (≥ 3 drinks/day) can trigger attacks in some people (P = 0.024). While habitual moderate use was generally not linked to higher average migraine burden.

Conclusions

Lifelong genetic liability to higher coffee/caffeine intake is associated with a reduced risk of migraine especially for migraines with aura. However, acute excessive intake or sudden changes in caffeine habits can trigger attacks in some people. More future large, well prospective cohorts and carefully designed MR studies are needed to confirm our results and clarify the precise impact of caffeine on migraine risk.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).

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