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Metaanálisis2017Financiación no declarada

Meta-Analysis of Creatine for Neuroprotection Against Parkinson's Disease

Attia, Ahmed H, Gadelkarim M, Morsi M, Morsi M, Awad K, Elnenny M, Ghanem E, El-Jaafary S, Negida A

CNS & neurological disorders drug targets · 10 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2016-12-02 · CNS Neurol Disord Drug Targets · vol. 16 · número 2 · págs. 169–175
Editorial
Bentham Science Publishers
Citado
19 citas · más que el 55% de estudios similares · 0.7× el promedio de su campo
Referencias
0 trabajos
Acceso
De pago
Áreas de investigación
Parkinson's Disease Mechanisms and Treatments · Muscle metabolism and nutrition · Nutrition and Health in Aging
Palabras clave
Neuroprotection, Parkinson's disease, Creatine, Meta-analysis, Medicine, Stroke (engine), Disease, Randomized controlled trial, Clinical trial, Internal medicine
MeSH
animals, humans, parkinson disease, creatine, antiparkinson agents, neuroprotective agents, randomized controlled trials as topic

9 autores

  • Attia Attia🇪🇬Scientific Research Group in Egypt
  • Hussien Ahmed🇪🇬Scientific Research Group in Egypt
  • Mohamed Gadelkarim🇪🇬Scientific Research Group in Egypt
  • Mahmoud Morsi🇪🇬Scientific Research Group in Egypt
  • Kamal Awad🇪🇬Scientific Research Group in Egypt
  • Mohamed Elnenny🇪🇬Scientific Research Group in Egypt
  • Esraa Ghanem🇪🇬Scientific Research Group in Egypt
  • Shaimaa Ibrahim El-Jaafary🇪🇬Scientific Research Group in Egypt
  • Ahmed Negida🇪🇬Zagazig University

Resumen

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

Background

Creatine is an antioxidant agent that showed neuroprotective effects in animal models of Parkinson's disease (PD). Creatine was selected by the National Institute of Neurological Disorders and Stroke as a possible disease modifying agent for Parkinson's disease. Therefore, many clinical trials evaluated the efficacy of creatine for patients with PD. The aim of this systematic review and meta-analysis is to synthesize evidence from published randomized controlled trials (RCTs) about the efficacy of Creatine for patients with PD.

Methods

We followed PRISMA statement guidelines during the preparation of this systematic review and meta-analysis. A computer literature search for PubMed, EBSCO, web of science and Ovid Midline was carried out. We included RCTs comparing creatine with placebo in terms of motor functions and quality of life. Outcomes of total Unified Parkinson's Disease Rating Scale (UPDRS), UPDRS I, UPDRS II, and UPDRS III were pooled as mean difference (MD) between two groups from baseline to the endpoint. Statistical heterogeneity was assessed by visual inspection of the forest plot and measured by chi-square and I square tests.

Results

Three RCTs (n=1935) were included in this study. The overall effect did not favor either of the two groups in terms of: UPDRS total score (MD 1.07, 95% CI [3.38 to 1.25], UPDRS III (MD 0.62, 95% CI [2.27 to 1.02]), UPDRS II (MD 0.03, 95% CI [0.81 to 0.86], or UPDRS I (MD 0.03, 95% CI [0.33 to 0.28]).

Conclusion

Current evidence does not support the use of creatine for neuroprotection against PD. Future well-designed, randomized controlled trials are needed.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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