Koike Masato, Nagao Masashi, Iwase Yoshiyuki, Kaneko Kazuo, Ishijima Muneaki, Nojiri Hidetoshi
Department of Orthopaedic Surgery, Juntendo Tokyo Koto Geriatric Medical Center, Tokyo 136-0075, Japan.
Department of Orthopaedic Surgery, Juntendo University Graduate School of Medicine, Tokyo 113-8421, Japan.
J Clin Med. 2022 May 12;11(10):2747. doi: 10.3390/jcm11102747.
Locomotive syndrome is a concept proposed in Japan involving decreased mobility due to osteoarthritis, osteoporosis, and sarcopenia. This double-blind, randomized study aimed to investigate the effects of superoxide dismutase (SOD)-rich melon extract (Melon GliSODin) on locomotive syndrome.
For 6 months, we administered oral Melon GliSODin (500.4 mg/day) or a placebo to 24 and 22 women, respectively (aged 50-80 years), with knee or lower back discomfort or pain. Using baseline and 6-month data, changes in the Verbal Rating Scale and in subjective symptoms (determined using the Japanese Knee Osteoarthritis Measure, Locomo 25, the Roland-Morris Disability questionnaire, and the Chalder Fatigue Scale) were assessed, along with various oxidative markers, antioxidants, inflammatory markers, renal and liver function biochemical markers, bone metabolism markers, body composition, and motor function.
Oral Melon GliSODin administration tended to be associated with a larger improvement in subjective symptom scores, a reduction in oxidative markers (malondialdehyde and diacron reactive oxygen metabolites) and tumor necrosis factor-α, and a significant increase in non-fat mass between baseline and 6 months. However, no statistically significant differences were observed between the groups for outcomes at 6 months.
Melon GliSODin tended to improve the subjective symptoms of participants who had knee or lower back pain or discomfort. Melon GliSODin administration may help to prevent the progression of locomotive syndrome. Future studies involving larger sample sizes and more stringent randomization protocols are needed to determine differences between the placebo and Melon GliSODin groups.
机车综合征是日本提出的一个概念,指因骨关节炎、骨质疏松症和肌肉减少症导致的活动能力下降。这项双盲随机研究旨在调查富含超氧化物歧化酶(SOD)的甜瓜提取物(Melon GliSODin)对机车综合征的影响。
我们分别对24名和22名年龄在50 - 80岁、有膝盖或下背部不适或疼痛的女性口服Melon GliSODin(500.4毫克/天)或安慰剂,为期6个月。利用基线数据和6个月时的数据,评估了视觉模拟评分量表的变化以及主观症状(使用日本膝关节骨关节炎测量法、Locomo 25、罗兰 - 莫里斯残疾问卷和查尔德疲劳量表确定),同时还评估了各种氧化标志物、抗氧化剂、炎症标志物、肾和肝功能生化标志物、骨代谢标志物、身体成分和运动功能。
口服Melon GliSODin往往与主观症状评分的更大改善、氧化标志物(丙二醛和二聚体活性氧代谢产物)和肿瘤坏死因子-α的降低以及基线至6个月期间非脂肪量的显著增加有关。然而,两组在6个月时的结果没有观察到统计学上的显著差异。
Melon GliSODin倾向于改善有膝盖或下背部疼痛或不适的参与者的主观症状。服用Melon GliSODin可能有助于预防机车综合征的进展。需要未来进行涉及更大样本量和更严格随机化方案的研究来确定安慰剂组和Melon GliSODin组之间的差异。