Apurba Ganguly
Department of Biochemistry, Techno India University, Salt Lake, Kolkata, India.
Caspian J Intern Med. 2024 Winter;15(1):1-27. doi: 10.22088/cjim.15.1.1.
Osteoarthritis (OA) is characterized by cartilage and synovial inflammation as well as anomalous lower extremity leading to joint pain, and impairment in lifestyle and epidemic of obesity. This study aimed to use the Jumpstart Nutrition® supplement (JNS) for achieving symmetry of aberrant lower extremity and improving the outcome measures in the management of OA.
This week-twelve registry included 108 patients treated with JNS mainly comprised of calcium, phosphorus, magnesium, vitamin-K, coenzyme-Q, vitamin-C, boswellic acids, and curcumin mixed with soy and whey proteins (experimental group) and 72 were treated with symptomatic slow-acting drugs (control group) for chronic OA confirmed with radiological images. The outcome measures (Visual analogue scale, Western Ontario and McMaster Universities Osteoarthritis Index, Knee-injury Osteoarthritis Outcomes Scale, and Body mass index), and anomalous lower extremity included bilateral: knee gaps between biceps femoris-short head and surface of the bed, diameters of muscles at the calf, the thigh, 4cm above and below the patella, angles of straight leg raising, knee- flexion and-extension in supine were evaluated with appropriate protocol at week-0 and at week-12 for both the groups.
After week-12, risk ratios of studied lower extremity, and mean ±standard deviation of all outcome measures were significantly improved (p<0.0001), and Kellgren-Lawrence scale (KLS) was upgraded to ≥2 in experimental group compared to control.
This registry study indicates that JNS can be used to achieve symmetry of studied lower extremity and to improve the outcome measures safely as an effective management of OA patients confirmed with radiological images correlated with KLS.
骨关节炎(OA)的特征是软骨和滑膜炎症以及下肢异常,导致关节疼痛、生活方式受损和肥胖流行。本研究旨在使用Jumpstart Nutrition®补充剂(JNS)来实现异常下肢的对称,并改善OA管理中的结果指标。
这项为期12周的登记研究纳入了108例接受JNS治疗的患者,JNS主要由钙、磷、镁、维生素K、辅酶Q、维生素C、乳香酸和姜黄素与大豆和乳清蛋白混合而成(实验组),72例接受症状性慢作用药物治疗(对照组),这些患者均经放射影像确诊为慢性OA。在第0周和第12周,采用适当方案对两组患者的结果指标(视觉模拟量表、西安大略和麦克马斯特大学骨关节炎指数、膝关节损伤骨关节炎结果量表和体重指数)以及异常下肢进行评估,异常下肢包括双侧:股二头肌短头与床面之间的膝关节间隙、小腿、大腿、髌骨上下4厘米处的肌肉直径、直腿抬高角度、仰卧位膝关节屈伸角度。
第12周后,研究下肢的风险比以及所有结果指标的均值±标准差均有显著改善(p<0.0001),与对照组相比,实验组的凯尔格伦-劳伦斯量表(KLS)升级至≥2级。
这项登记研究表明,JNS可用于实现研究下肢的对称,并作为一种有效的OA患者管理方法安全地改善结果指标,这些患者经放射影像确诊且与KLS相关。