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Efficacy and safety of creatine supplementation in juvenile dermatomyositis: A randomized,double‐blind,placebo‐controlled crossover trial
Authors:Marina Yazigi Solis PhD  Ana Paula Hayashi MS  Guilherme Giannini Artioli PhD  Hamilton Roschel PhD  Marcelo Tatit Sapienza PhD  Maria Concepción Otaduy PhD  Ana Lucia De Sã Pinto PhD  Clovis Artur Silva PhD  Adriana Maluf Elias Sallum PhD  Rosa Maria R. Pereira PhD  Bruno Gualano PhD
Affiliation:1. School of Medicine, University of S?o Paulo, Sao Paulo, Brazil;2. School of Physical Education and Sport, University of S?o Paulo, Sao Paulo, Brazil
Abstract:Introduction: It has been suggested that creatine supplementation is safe and effective for treating idiopathic inflammatory myopathies, but no pediatric study has been conducted to date. The objective of this study was to examine the efficacy and safety of creatine supplementation in juvenile dermatomyositis (JDM) patients. Methods: In this study, JDM patients received placebo or creatine supplementation (0.1 g/kg/day) in a randomized, crossover, double‐blind design. Subjects were assessed at baseline and after 12 weeks. The primary outcome was muscle function. Secondary outcomes included body composition, aerobic conditioning, health‐related quality of life, and muscle phosphocreatine (PCr) content. Safety was assessed by laboratory parameters and kidney function measurements. Results: Creatine supplementation did not affect muscle function, intramuscular PCr content, or any other secondary outcome. Kidney function was not affected, and no side effects were reported. Conclusions: Twelve weeks of creatine supplementation in JDM patients were well‐tolerated and free of adverse effects, but treatment did not affect muscle function, intramuscular PCr, or any other parameter. Muscle Nerve 53 : 58–66, 2016
Keywords:creatine supplementation  juvenile dermatomyositis  muscle metabolism  phosphocreatine  physical function
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