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Data · collection · 2015

Relationship of creatine kinase to body composition, disease state, and longevity in ALS

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Our objective was to explore if creatine kinase (CK) levels correlate with survival in amyotrophic lateral sclerosis (ALS), and whether a correlation is independent of other well-studied predictors such as location of onset, gender, age, fat free mass, spasticity, cramps, and fasciculations.

Description

We analyzed data from 80 ALS patients from a 48-week non-interventional longitudinal multicenter nutrition study with long term follow-up.

The overall mean CK was 214 ± 191.8 U/l (range 22–1992 U/l). Forty-five percent of patients had at least one high CK value (> 200 U/l), and about half maintained a high CK value, but there was no trend over the study period. Male gender and extremity onset were significantly associated with high CK.

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In univariate analysis, age, bioelectric impedance spectroscopy (BIS) fat free mass, spasticity, and fasciculations were not associated with CK level. There was an association between CK and muscle cramps ( p < 0.001). In survival analysis, low CK (≤ 200 U/l) was associated with a longer overall survival ( p = 0.02), when adjusting for location of onset, age, race, gender, BIS fat free mass, and study site.

In conclusion, CK may be a useful marker for ALS survival, which has implications for clinical care and the design of future clinical trials.

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Inferred from text
Disease 75% · Longitudinal study 65%
Provenance · 2 source records, 17 field assertions
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DataCite10.6084/m9.figshare.c.211186713 d agoJSON v1
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