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Effects of l‐Carnosine Supplementation on Sleep Disorders and Disease Severity in Autistic Children: A Randomized, Controlled Clinical Trial

Basic & Clinical Pharmacology & Toxicology
Jul 2018
Citations: 48
Influential: 1
Interventional (Human) Studies
69

What this study found

Carnosine appeared to improve sleep disturbances in autistic children, with the clearest benefits for sleep duration, parasomnias, daytime sleepiness, and the overall sleep score. In the carnosine group, sleep duration improved from 6.24 AE 1.48 to 6.00 AE 1.04 (p = 0.044), parasomnias from 9.24 AE 2.16 to 8.57 AE 1.74 (p = 0.022), daytime sleepiness from 11.76 AE 2.38 to 10.71 AE 1.82 (p = 0.022), and total sleep disorders score from 50.10 AE 6.07 to 46.00 AE 4.18 (p < 0.001). End-of-treatment values were also significantly lower than placebo for sleep duration, parasomnias, and total sleep…

Study & population
Randomized, controlled clinical trial in autistic children with sleep disturbances aged 4 to 16 years.
Intervention
L-carnosine 500 mg capsules were taken orally once daily for 2 months, compared with placebo.
Key limitation
The trial was small, with only 43 completers, and the intervention lasted just 2 months.
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Original abstract

Sleep disorders are frequently reported in autistic patients. Evidences suggest that increased oxidative stress and reduced antioxidants may play a major role in the pathogenesis of these disorders. Carnosine acts as an antioxidant, antitoxic and neuroprotective agent. The aim of this trial study was to examine the effects of carnosine supplementation on the sleep disorders and severity of autism core symptoms in autistic patients. In this double‐blind, randomized clinical trial, 43 autistic patients (31 boys and 12 girls; aged 4 to 16 years) were divided into two groups of carnosine and control that received 500 mg of carnosine and 500 mg of placebo per day for 2 months, respectively. Sleep disorders were measured using Children's Sleep Habits Questionnaires. Gilliam Autism Rating Scale 2 was used to assess the effects of carnosine supplementation on the autism severity. Carnosine supplementation did not change anthropometric indices (p > 0.05) and showed no effect on autism severity (p > 0.05), whereas it significantly reduced sleep duration (p = 0.04), parasomnias (p = 0.02) and total sleep disorders score by 7.59% (p = 0.006) when compared with the control group. The results suggest that carnosine supplementation could be effective in improving sleep disturbances, in particular sleep duration and parasomnias subscales.