Orthopedic Surgeon-Sports Medicine, Medical Staff FC Barcelona, CIMETIR-Althaia, Manresa, Barcelona, Spain.
Traumatology and Sports Surgery Department, Centre for Sports Medicine, Traumatology and Rehabilitation, Clinic Sant Josep, Manresa, Barcelona, Spain.
J Diet Suppl. 2024;21(3):374-388. doi: 10.1080/19390211.2023.2284982. Epub 2024 Jan 5.
Osteoarthritis (OA) is an age-related degenerative joint disease with a great impact on patients' well-being and quality of life. This is an observational, open, single-arm multicenter study aimed to evaluate the effectiveness of a nutritional supplement in patients with knee and/or hip OA. A total of 186 patients were recruited from Spanish centers and received a supplement containing hydrolyzed collagen (3000 mg), chondroitin sulfate (800 mg), glucosamine sulfate (700 mg), turmeric extract (250 mg) and devil's claw (150 mg), once daily during 6 months. The primary outcome was the patients' self-perceived pain in the affected joints measured with a visual analogue scale (VAS). Secondary outcome was the patient's functioning, measured with the Lequesne Functional Index and the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Participants showed a significant reduction in self-perceived pain after 3 (mean reduction ± standard deviation, 1.99 ± 1.05) and 6 months (3.57 ± 1.39) of treatment ( < 0.0001 in both comparisons). Lequesne Functional Index score was significantly reduced at 3 months (3.86 ± 2.94) and at 6 months (6.73 ± 4.30) of treatment ( < 0.0001 in both comparisons). The WOMAC index was also significantly reduced after 3 (14.24 ± 10.04) and 6 months (26.43 ± 17.35) of treatment ( < 0.0001 in both comparisons). Significant reductions in WOMAC subdomains ( < 0.0001 in all comparisons) were observed. No severe adverse events were reported during the study. The main results arising from this study show that this nutritional supplementation can improve OA-related symptoms and physical function with a good safety profile in patients with hip and/or knee OA.
骨关节炎(OA)是一种与年龄相关的退行性关节疾病,对患者的幸福感和生活质量有很大影响。这是一项观察性、开放性、单臂多中心研究,旨在评估一种营养补充剂对膝和/或髋 OA 患者的疗效。186 名患者从西班牙各中心招募,每天接受一次含有水解胶原蛋白(3000mg)、硫酸软骨素(800mg)、硫酸氨基葡萄糖(700mg)、姜黄提取物(250mg)和魔鬼爪(150mg)的补充剂治疗,持续 6 个月。主要结局是患者使用视觉模拟量表(VAS)自我评估受影响关节的疼痛程度。次要结局是患者的功能,使用 Lequesne 功能指数和西部安大略省和麦克马斯特大学关节炎指数(WOMAC)进行评估。参与者在治疗 3 个月(平均减少±标准差,1.99±1.05)和 6 个月(3.57±1.39)后自我评估的疼痛明显减轻(在这两种比较中均<0.0001)。Lequesne 功能指数评分在治疗 3 个月(3.86±2.94)和 6 个月(6.73±4.30)时显著降低(在这两种比较中均<0.0001)。WOMAC 指数在治疗 3 个月(14.24±10.04)和 6 个月(26.43±17.35)时也显著降低(在这两种比较中均<0.0001)。WOMAC 子域的显著降低(在所有比较中均<0.0001)。在研究期间未报告严重不良事件。本研究的主要结果表明,这种营养补充剂可以改善髋和/或膝 OA 患者的 OA 相关症状和身体功能,具有良好的安全性。