title: Resistance training exercise and creatine in patients with Charcot-Marie-Tooth disease.
abstract: Resistance exercise and creatine supplementation independently improve strength and function in patients with certain neuromuscular diseases. The purpose of this study was to examine the effects of resistance training with and without creatine supplementation on muscle, strength, and function in patients with Charcot-Marie-Tooth (CMT) disease. Twenty patients with CMT consumed 5 g/day creatine or placebo while participating in resistance training for 12 weeks. Energy metabolites, muscle fiber type and size, strength, and timed activities of daily living were measured before and after training. There were no differences between creatine or placebo groups for any outcome. For the groups combined, exercise training increased type I muscle fiber diameter (48.2 +/- 14.2 microm vs. 55.4 +/- 14.8 microm), strength, and activities of daily living (ADL) times. Thus, patients respond to resistance training with muscle fiber adaptations, and improvements in strength and function. Creatine was not beneficial.
authors.affiliation: Department of Human Performance and Applied Exercise Science, West Virginia University, P.O. Box 9139, Morgantown, West Virginia 26506-9139, USA. rchetlin@hsc.wvu.edu
authors.forename: Robert D
authors.initials: RD
authors.lastname: Chetlin
authors.forename: Laurie
authors.initials: L
authors.lastname: Gutmann
authors.forename: Mark A
authors.initials: MA
authors.lastname: Tarnopolsky
authors.forename: Irma H
authors.initials: IH
authors.lastname: Ullrich
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Yeater
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001706:Biopsy; D002607:Charcot-Marie-Tooth Disease / Q000188:drug therapy* / Q000503:physiopathology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D003404:Creatinine / Q000008:administration & dosage*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology / Q000502:physiology; D010349:Patient Compliance
chemical_list: D003404:Creatinine