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补充I型和III型胶原蛋白肽及II型水解胶原蛋白对骨关节炎相关疼痛、生活质量和身体功能的影响:一项双盲、随机、安慰剂对照研究。

Effect of supplementation with type 1 and type 3 collagen peptide and type 2 hydrolyzed collagen on osteoarthritis-related pain, quality of life, and physical function: A double-blind, randomized, placebo-controlled study.

作者信息

Genç Ahmet Serhat, Yılmaz Ali Kerim, Anıl Berna, Korkmaz Salkılıç Esra, Akdemir Enes, Sancaklı Aykut, Mor Ahmet, Ermiş Egemen, Baraz Lale Saka, Güzel Nizamettin, Kehribar Lokman

机构信息

Ondokuz Mayıs Üniversitesi, Yaşar Doğu Spor Bilimleri Fakültesi, 55280 Atakum, Samsun, Türkiye.

出版信息

Jt Dis Relat Surg. 2025 Jan 2;36(1):85-96. doi: 10.52312/jdrs.2025.1965. Epub 2024 Nov 5.

Abstract

OBJECTIVES

The aim of this study was to assess the effect of Naturagen® 4 Joint product, containing type 1, 2, and 3 collagen, on pain associated with osteoarthritis (OA) and to evaluate its effects on quality of life and physical functioning.

PATIENTS AND METHODS

This double-blind, randomized, placebo-controlled clinical study included a total of 31 patients (8 males, 23 females; mean age: 53.5±9.1 years; range, 35 to 65 years) with Grade 2-3 OA according to the Kellgren-Lawrence (KL) classification system between June 2023 and November 2023. The patients were divided into two groups: a collagen group (n=16) and a placebo group (n=15). The Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS-PS), Oxford Knee Score (OKS), Tampa Scale for Kinesiophobia (TSK), Short Form Health Survey (SF-12), Foot Function Index (FFI), Timed Up and Go (TUG), 6-Min Walking Test (6MWT), Five Repetition Sit to Stand Test (5STS), Stair Climbing Test (SCT), and Berg Balance Scale (BBS) were used. All tests were performed before and after eight weeks of collagen supplementation.

RESULTS

Eight weeks of collagen supplementation yielded notable enhancements across all osteoarthritis-related pain and quality of life scales evaluated, including VAS, WOMAC, KOOS-PS, OKS, TSK, SF-12, and FFI scores (p<0.05). In functional evaluations, there were significant positive effects of collagen use in BBS and 6MWT results (p<0.05). In TUG, 5STS, and SCT tests, no significant difference was found between the groups (p>0.05).

CONCLUSION

Our study results suggest that the eight-week collagen-based supplement exerts a favorable effect on pain and quality of life levels, as well as some functional test results.

摘要

目的

本研究旨在评估含有1型、2型和3型胶原蛋白的Naturagen® 4关节产品对骨关节炎(OA)相关疼痛的影响,并评估其对生活质量和身体功能的作用。

患者与方法

这项双盲、随机、安慰剂对照的临床研究共纳入了31例患者(8例男性,23例女性;平均年龄:53.5±9.1岁;年龄范围35至65岁),这些患者根据Kellgren-Lawrence(KL)分类系统在2023年6月至2023年11月期间被诊断为2-3级OA。患者被分为两组:胶原蛋白组(n = 16)和安慰剂组(n = 15)。使用了视觉模拟量表(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、膝关节损伤和骨关节炎结局评分(KOOS-PS)、牛津膝关节评分(OKS)、坦帕运动恐惧量表(TSK)、简短健康调查问卷(SF-12)、足部功能指数(FFI)、定时起立行走测试(TUG)、6分钟步行测试(6MWT)、五次坐立测试(5STS)、爬楼梯测试(SCT)和伯格平衡量表(BBS)。所有测试均在补充胶原蛋白八周前后进行。

结果

补充胶原蛋白八周后,在所有评估的骨关节炎相关疼痛和生活质量量表上均有显著改善,包括VAS、WOMAC、KOOS-PS、OKS、TSK、SF-12和FFI评分(p<0.05)。在功能评估中,使用胶原蛋白对BBS和6MWT结果有显著的积极影响(p<0.05)。在TUG、5STS和SCT测试中,两组之间未发现显著差异(p>0.05)。

结论

我们的研究结果表明,为期八周的基于胶原蛋白的补充剂对疼痛、生活质量水平以及一些功能测试结果具有有益影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c7/11734850/987e235857d9/JDRS-2025-36-1-085-096-F1.jpg

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