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.
Abstract

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