Do foods precipitate seizures? A cross-cultural comparison.
OBJECTIVE
It has been reported that a common belief of the families of the patients with epilepsy in Iran is that foods provoke seizures. Our aim in the present study was to ascertain whether a culturally different population of patients with epilepsy in the United States believe that foods precipitate seizures.


METHODS
Adults aged 18 and older with epilepsy were recruited in either the inpatient epilepsy monitoring unit or the outpatient epilepsy clinic at Thomas Jefferson University from September to December 2006. Patients completed a questionnaire asking their age, sex, education, seizure control, and beliefs about the relationship between foods and seizures.


RESULTS
One hundred ninety-three patients participated, with a mean age of 40.3 +/- 16. Only 11 (5.7%) patients reported foods as a precipitating factor for seizures. The difference between the results of the Iranian study, in which 55.2% of the families of children with epilepsy reported a relationship between specific foods and seizures, and the present results is significant (P=0.0001).


CONCLUSIONS
The perception of foods as a seizure precipitant differs greatly between a Middle Eastern country (Iran) and a Western country (United States). This discordance suggests that cultural factors may play a large role in the perception of probable precipitating factors related to seizures. Some commonly reported seizure precipitants may represent cultural beliefs, and this raises a question as to whether foods truly precipitate seizures.
Asadi-Pooya
Ali A
AA
Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA 19107, USA. aliasadipooya@yahoo.com
Sperling
Michael R
MR
D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005260:Female; D005502:Food; D005518:Food Preferences / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008877:Middle East / Q000453:epidemiology; D012189:Retrospective Studies; D012640:Seizures / Q000178:diet therapy* / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology