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Ginger supplementation in children with oligoarticular juvenile idiopathic arthritis: A triple-blind randomized
Mahsa Bozorgvar1, Abbas Akhgari2,3, Abdolreza Malek4
1Department of Clinical Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Insights
Ginger supplementation significantly improved treatment responses in children with oligoarticular juvenile idiopathic arthritis (oligo-JIA). This natural anti-inflammatory may enhance therapy for oligo-JIA patients.
Area of Science:
- Rheumatology
- Pediatrics
- Pharmacology
Background:
- Juvenile idiopathic arthritis (JIA) is a chronic autoimmune disease affecting children.
- Oligoarticular JIA (oligo-JIA) is the most common subtype, characterized by inflammation in a few joints.
- Current treatments aim to reduce inflammation and prevent joint damage, but novel therapeutic strategies are needed.
Purpose of the Study:
- To investigate the efficacy of ginger (Zingiber officinale) supplementation as an adjunct therapy for oligoarticular juvenile idiopathic arthritis (oligo-JIA).
- To evaluate the impact of ginger on treatment response criteria in pediatric patients with oligo-JIA.
Main Methods:
- A randomized controlled trial involving 40 children (ages 6-16) diagnosed with oligo-JIA.
- Participants received either ginger capsules (250 mg twice daily) or a placebo for three months, alongside standard treatment.
- Treatment response was assessed using American College of Rheumatology Pediatric (ACR-Pedi) 30, 50, 70, and 90 criteria.
Main Results:
- Ginger supplementation led to statistically significant improvements in ACR-Pedi 30, 50, 70, and 90 response rates compared to placebo (p<0.001 for 30, 50, 70; p=0.001 for 90).
- These findings indicate enhanced therapeutic outcomes with the addition of ginger.
Conclusions:
- Ginger supplementation demonstrated a positive effect on improving ACR-Pedi response criteria in pediatric patients with oligo-JIA.
- Ginger's anti-inflammatory and immunomodulatory properties suggest its potential as a safe and effective complementary therapy.
- Further research is warranted to confirm these findings and explore optimal dosing and long-term effects.
Objective:
This study aimed to investigate the effect of ginger supplementation on treatment responses in children with oligoarticular juvenile idiopathic arthritis (oligo-JIA).
Materials And Methods:
A total of forty children between the ages of 6 and 16 years with oligo-JIA were randomly assigned to receive either a ginger capsule (containing 250 mg of powdered Zingiber officinale rhizomes) or a placebo twice daily for three months, along with standard treatment. The response to therapy was measured using the American College of Rheumatology Pediatric 30, 50, 70, and 90 response criteria (ACR-Pedi 30, 50, 70, and 90) after three months of supplementation.
Results:
ACR-Pedi 30, 50, 70, and 90 responses were significantly higher among those receiving ginger supplement (p<0.001, p<0.001, p<0.001, and p=0.001, respectively).
Conclusion:
In this study, ginger supplementation improved ACR-Pedi 30, 50, 70 and 90 responses in pediatric patients with oligo-JIA. Given its safety profile and anti-inflammatory and immunomodulatory properties, ginger supplementation may enhance therapeutic responses in this clinical setting. However, due to certain limitations within our study, further research is essential to confirm these promising findings.
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