Osteoarthritis and nutrition. From nutraceuticals to functional foods: a systematic review of the scientific evidence |
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Authors: | Laurent G Ameye Winnie SS Chee |
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Institution: | Nutrition and Health Department, Nestlé Research Center, Vers-chez-les-Blanc, 1000 Lausanne 26, Switzerland. laurent.ameye@rdls.nestle.com |
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Abstract: | The scientific and medical community remains skeptical regarding the efficacy of nutrition for osteoarthritis despite their
broad acceptation by patients. In this context, this paper systematically reviews human clinical trials evaluating the effects
of nutritional compounds on osteoarthritis. We searched the Medline, Embase, and Biosis databases from their inception to
September 2005 using the terms random, double-blind method, trial, study, placebo, and osteoarthritis. We selected all peer-reviewed
articles reporting the results of randomised human clinical trials (RCTs) in osteoarthritis that investigated the effects
of oral interventions based on natural molecules. Studies on glucosamine and chondroitin sulfate were excluded. The quality
of the RCTs was assessed with an osteoarthritic-specific standardised set of 12 criteria and a validated instrument. A best-evidence
synthesis was used to categorise the scientific evidence behind each nutritional compound as good, moderate, or limited. A
summary of the most relevant in vitro and animal studies is used to shed light on the potential mechanisms of action. Inclusion criteria were met by 53 RCTs out
of the 2,026 identified studies. Good evidence was found for avocado soybean unsaponifiables. Moderate evidence was found
for methylsulfonylmethane and SKI306X, a cocktail of plant extracts. Limited evidence was found for the Chinese plant extract
Duhuo Jisheng Wan, cetyl myristoleate, lipids from green-lipped mussels, and plant extracts from Harpagophytum procumbens. Overall, scientific evidence exists for some specific nutritional interventions to provide symptom relief to osteoarthritic
patients. It remains to be investigated whether nutritional compounds can have structure-modifying effects. |
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