Skip to content


  • Letter to the Editor
  • Open Access

Is headache related with Vitamin D insufficiency?

The Journal of Headache and Pain201011:235

  • Received: 7 June 2010
  • Accepted: 20 June 2010
  • Published:


  • Hypertension
  • Multiple Sclerosis
  • Migraine
  • Autoimmune Disease
  • Seasonal Variation


In the article by Prakash et al. [1], a relation between prevalence of headache and the latitude was reviewed. Although the profile of headache matches with seasonal variations and geographical distribution of serum vitamin D levels, we believe that it is currently far-fetched to correlate headache with vitamin D insufficiency.

Several lines of epidemiological and experimental evidence have been proposed to support links of vitamin D with various conditions or diseases beyond bone health, including muscle function, autoimmune diseases, cancer, cardiovascular diseases (CVD), hypertension, diabetes, inflammatory diseases, all-cause mortality, etc. [2].

The relations between vitamin D insufficiency and human diseases, especially multiple sclerosis has been partly explained by the seasonal and geographical variations of serum vitamin D, which has further been confirmed by decreased incidence and severity of multiple sclerosis by vitamin D supplementation [3]. In this regard, either observational studies to find decreased levels of serum vitamin D in patients with headache or placebo-controlled studies to observe the therapeutic effects of vitamin D in headache are still lacking.

The geographical features of apolipoprotein E(apoE) allele [4] and serum vitamin D concentrations [5], both of which are associated with autoimmune diseases such as multiple sclerosis, also lead us to assume that there might be some correlations between apoE epsilon 4 allele and vitamin D. However, since robust evidence is lacking, from the current knowledge, we can only ascribe this to coincidence, unless new evidence can be found in future studies. Otherwise wearing more clothes may also be linked to the higher incidence of stoke in cold areas.

In summary, it is promising to confirm a positive correlation between headache and vitamin D insufficiency in that it may provide new therapeutic strategies for migraine as well as other types of headaches. However, further investigations are still needed to find out such a relation between headache and vitamin D.


Conflict of interest


Authors’ Affiliations

Department of Neurology, First Hospital of Jilin University, Changchun, China
Department of Neurobiology, Care Sciences and Society, NVS, Karolinska Institute, Novum, plan 5, 14186 Stockholm, Sweden


  1. Prakash S, Mehta NC, Dabhi AS et al (2010) The prevalence of headache may be related with the latitude: a possible role of Vitamin D insufficiency? J Headache Pain (epub ahead of print)Google Scholar
  2. Correale J, Ysrraelit MC, Gaitán MI (2009) Immunomodulatory effects of Vitamin D in multiple sclerosis. Brain 132(Pt 5):1146–1160, 10.1093/brain/awp033, 19321461View ArticlePubMedGoogle Scholar
  3. Cantorna MT, Mahon BD (2004) Mounting evidence for vitamin D as an environmental factor affecting autoimmune disease prevalence. Exp Biol Med 229(11):1136–1142, 1:CAS:528:DC%2BD2cXhtVOmtb7JGoogle Scholar
  4. Gerdes LU (2003) The common polymorphism of apolipoprotein E: Geographical aspects and new pathophysiological relations. Clin Chem Lab Med 41(5):628–631, 10.1515/CCLM.2003.094, 1:CAS:528:DC%2BD3sXksFGmsro%3D, 12812258View ArticlePubMedGoogle Scholar
  5. Beretich BD, Beretich TM (2009) Explaining multiple sclerosis prevalence by ultraviolet exposure: a geospatial analysis. Mult Scler 15(8):891–898, 10.1177/1352458509105579, 1:STN:280:DC%2BD1MrksFKgsA%3D%3D, 19667017View ArticlePubMedGoogle Scholar


© Springer-Verlag 2010


By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate. Please note that comments may be removed without notice if they are flagged by another user or do not comply with our community guidelines.