Chondroitin sulfate is one of the major
constituents of cartilage. Animal studies indicate that chondroitin sulfate
promotes the healing of bone. It has also been shown to help restore joint
function in people with osteoarthritis.
In addition, chondroitin sulfate may reduce the risk of atherosclerosis and
heart attacks, as well as help prevent kidney stones. Chondroitin sulfate
consists of repeating chains of molecules called mucopolysaccharides. It is a
primary part of cartilage. Classified as a type of glycosaminoglycan,
chondroitin sulfate is rich in sulfur and is a relative of Glucosamine Animal
cartilage is the only significant food source of Chondroitin sulfate.
Not only does chondroitin provide structure and holds water and nutrients,
but it allows other molecules to move through cartilage. This is a very
important property, as there is no blood supply to cartilage. As a result, joint
healing is greatly increased through supplementation. Chondroitin and similar
compounds are also exist in the bladder and lining of blood vessels. Here they
help to prevent abnormal movement of blood, urine, or components across the
barrier of the vessel or bladder wall.
Japanese researchers have found that Chondroitin sulfate in synovial fluid
collected from the temporomandibular joint provides a useful indicator of the
degree of damage there, and that chondroitin may play a role in determining the
viscosity and elasticity of tissues and fluids. A recent in vitro study done by
scientists in Belgium found that chondroitin had potentially beneficial effects
on human cartilage cells.
3. Who needs it and what are some symptoms of
deficiency?
Because the body makes chondroitin, the possibility of a dietary
deficiency is uncertain. A daily requirement has not been set. Chondroitin
sulfate may be used to rebuild and repair joint cartilage affected by
osteoarthritis and possibly other forms of arthritis.
4. How much should be taken? Are there any side effects?
For atherosclerosis, researchers have used very high amounts, such as 5
grams twice per day with meals, lowering the amount to 500 mg three times per
day after a couple of months. However, before taking such high amounts, people
should consult a nutritionally oriented doctor. For osteoarthritis, the typical
level is 400 mg three times per day. Chondroitin is often combined with the
similar arthritis-relieving supplement Chondroitin may also be combined with MSM
and glucosamine. Most products potency ranges from 400 to 600 mg. Nausea might
occur at intakes greater than 10 grams per day. No other adverse side-effects
have been reported.
Chondroitin
chondroitin sulfate, chondroitin
studies
Chondroitin sulfate consists of repeating chains of molecules called
glycosaminoglycans. Chondroitin sulfate is a major constituent of cartilage
providing structure, holding water and nutrients, and allowing other molecules
to move through cartilage—an important property, as there is no blood supply to
cartilage. Chondroitin may work by acting as a building block for proteoglycan
molecules, and may also have anti-inflammatory properties.
Chondroitin and Arthritis
In degenerative joint
disease, such as osteoarthritis, there is a loss of chondroitin sulfate as the
cartilage erodes. Animal studies indicate that chondroitin sulfate may promote
healing of bone, which is consistent with the fact that the majority of
glycosaminoglycans found in bone consist of chondroitin sulfate. Chondroitin
sulfate has been shown, in numerous trials to relieve symptoms and possibly slow
the progression of, or in some cases, reverse
osteoarthritis.
Chondroitin
Source Commmercially available chondroitin is derived
mainly from shark and cow cartilage.
Chondroitin Research Chondroitin at
800 mg a day was given in addition to naprosyn 500 mg a day for a period of two
years to a group of individuals with osteoarthritis of the hands. This group was
compared to another group who only received naprosyn. Those who took chondroitin
were found to have a slower rate of arthritis progression than those who only
took naprosyn.
Chondroitin Sulfate is a mucopolysaccharide found in cartilage, tendons
and ligaments, where it is bound to proteins such as collagen and elastin. In
our joints, it contributes to strength, flexibility and shock absorption.
Current research indicates that supplemental Chondroitin Sulfate may help
maintain proper joint function.
Is chondroitin necessary
if someone is already taking glucosamine? The
research with chondroitin is not as consistent and extensive as it is with
glucosamine. If you have arthritis, one option is to start with glucosamine 500
mg three times a day for a month. If, after a month, you haven't been helped,
double your dose of glucosamine. If, after another month, you need additional
relief, you can try chondroitin at 500 mg three times a day. Another option is
to start taking both together along with a few other nutrients and herb found
through research to be helpful for arthritis.
Are there recent studies saying chondroitin cannot be absorbed
into our bodies through oral consumption? The studies
I have come across show that chondroitin does get absorbed.
Can a diabetic take chondroitin? Yes. One study providing
a combination of glucosamine and chondroitin for a period of 90 days did not
find any change in blood sugar levels.
Chondroitin Research Update The pathobiology of
osteoarthritis and the rationale for using the chondroitin sulfate for its
treatment. Curr Drug Targets Immune Endocr Metabol Disord. 2004
Jun;4(2):119-27. Structure-modifying osteoarthritis drugs are agents that
reverse, retard, or stabilize the pathology of osteoarthritis, thereby providing
symptomatic relief in the long-term treatment. The objective of this review is
to evaluate the literature on chondroitin sulfate with respect to the
pathobiology of osteoarthritis to ascertain whether this agent should be
classified as a symptomatic slow-acting drug, a compound that has a slow onset
of action and improve OA symptoms after a couple of weeks. Chondroitin sulfate
exhibits a wide range of biological activities and from a pharmacological point
of view it produces a slow but gradual decrease of the clinical symptoms of
osteoarthritis and these benefits last for a long period after the end of
treatment. Many literature data show that chondroitin sulfate could have an
anti-inflammatory activity and a chondroprotective action by modifying the
structure of cartilage. These properties are also related to the oral adsorption
of chondroitin sulfate as high-molecular mass compounds having clusters of
sulfate groups and high charge density capable of exert their chondroprotective
activity in vivo.
A two-year study of chondroitin sulfate in erosive osteoarthritis of the
hands: behavior of erosions, osteophytes, pain and hand
dysfunction. Drugs Exp Clin Res. 2004;30(1):11-6. The aim of this study was to
evaluate the effect of 800 mg/die of chondroitin sulfate per os plus naproxen
versus naproxen over 2 years in patients with erosive osteoarthritis of the
hands. Joint count for erosions, Heberden and Bouchard nodes, Dreiser's
algofunctional index and physicians' and patients' global assessment of disease
activity were studied. A total of 24 consecutive patients (22 women and 2 men,
mean age 53.0 +/- 6) suffering from symptomatic OA with radiographic
characteristics of osteoarthritis were evaluated. The patients were divided into
two groups of 12 patients each. The first group took naproxen 500 mg only. The
second group was treated with chondroitin sulfate 800 mg orally plus naproxen
500 mg. Joint counts, radiological hand examinations and assessment of disease
activity were performed at baseline, at 12 months and at 24 months. In the
second year the treated group showed significant worsening in erosion, Heberden,
Bouchard and Dreiser scores was recorded. Physician and patient global
assessments of disease activity showed no significant difference from baseline
scores. The untreated group showed significant worsening in erosion, Heberden
and Bouchard nodes, Dreiser index and physician and patient global assessment
scores. This study confirms the partial efficacy of oral chondroitin sulfate in
improving some aspects of osteoarthritis.
Intermittent treatment of knee osteoarthritis with oral chondroitin sulfate:
a one-year, randomized, double-blind, multicenter study versus
placebo. Osteoarthritis Cartilage. 2004
Apr;12(4):269-76. OBJECTIVE: To
investigate the efficacy and tolerability of a 3-month duration, twice a-year,
intermittent treatment with oral chondroitin sulfate in knee osteoarthritis (OA)
patients. DESIGN: A total of 120 patients with symptomatic knee OA were
randomized into two groups receiving either 800mg chondroitin sulfate or placebo
per day for two periods of 3 months during 1 year. Primary efficacy outcome was
Lequesne's algo-functional index (AFI); secondary outcome parameters included
VAS, walking time, global judgment, and paracetamol consumption. Radiological
progression was assessed by automatic measurement of medial femoro-tibial joint
space width on weight-bearing X-rays of both knees. Clinical and biological
tolerability was assessed. RESULTS: AFI decreased significantly by 36% in the
chondroitin sulfate group after 1 year as compared to 23% in the placebo group.
Similar results were found for the secondary outcomes parameters. Radiological
progression at month 12 showed significantly decreased joint space width in the
placebo group with no change in the chondroitin sulfate group. Tolerability was
good with only minor adverse events identically observed in both groups.
CONCLUSION: This study provides evidences that oral chondroitin sulfate
decreased pain and improved knee function. The 3-month intermittent
administration of 800mg/day of oral chondroitin sulfate twice a year does
support the prolonged effect known with symptom-modifying agents for OA. The
inhibitory effect of chondroitin sulfate on the radiological progression of the
medial femoro-tibial joint space narrowing could suggest further evidence of its
structure-modifying properties in knee OA.
Chondroitin Useful in Osteoarthritis Back in the mid 1990s the America
public became aware of effective nutritional alternatives to standard medical
drugs for the treatment of osteoarthritis. Glucosamine was the first nutrient
that became popular. Since then, many other nutrients and herbs have been
promoted, including chondroitin. Chondroitin sulfate is a major constituent of
cartilage providing structure, holding water, and allowing other molecules to
move through cartilage—an important property, as there is no blood supply to
cartilage. In degenerative joint disease, such as osteoarthritis, there is a
loss of chondroitin sulfate as the cartilage erodes. But, few studies have
looked at the long-term benefit of oral chondroitin supplements. In a study
performed at University of Genova Medical School, in Italy, 12 individuals with
arthritis of the hands were treated with 800 mg/day of chondroitin sulfate plus
naproxen, and compared to 12 others who were given naproxen only. Naproxen is an
anti-inflammatory medicine similar to Motrin and sold over the counter as Aleve.
X-rays of the hands were done at the start of the study and again after 24
months. In both groups, degeneration of joints showed a general tendency to
increase over time, however, the damage was much lower in those treated with
chondroitin sulfate plus naproxen than in patients taking naproxen alone.
Dr. Sahelian says: Although chondroitin by itself did not stop the
continuing damage to joints, it did slow the progression of the arthritis.
Glucsosamine supplements are known to enhance joint health in those with
arthritis, and it seems reasonable to take both supplements for the treatment of
arthritis. The most common dose of glucosamine is 1500 mg a day while that of
chondroitin is 500 to 1000 mg per day.
Chondroitin sulfate in erosive osteoarthritis of the
hands. Int J Tissue React.
2002;24(1):29-32. The aim of this study was to
evaluate the joint count for erosions in patients with erosive osteoarthritis
(EOA) of the hands treated with 800 mg/day of orally administered chondroitin
sulfate plus naproxen, compared with that of patients administered naproxen
only. Twenty-four consecutive patients (22 women and two men, mean age 53.0 +/-
6) suffering from symptomatic OA and with radiographic characteristics of EOA
were studied. The patients were divided into two groups of 12 patients each. The
first group took naproxen 500 mg/day only. The second group was treated with
chondroitin sulfate 800 mg/day orally plus naproxen 500 mg/day. Radiological
hand examinations were performed at baseline and again after 12 and 24 months.
In both groups, the joint count for erosions showed a general tendency to
increase over time. Progression of erosions at 24 months was lower in patients
treated with 800 mg/day chondroitin sulfate plus naproxen than in patients
taking naproxen only (p <0.05). Chondroitin sulfate failed to stop the usual
time-associated progression in the number of finger joints presenting erosions
in EOA of the hands. It was, however, associated with a lower increase in the
number of finger joints with erosions detected after 2 years of radiological
observation.
A randomized double-blind clinical trial of the effect of chondroitin
sulfate and glucosamine hydrochloride on temporomandibular joint disorders: a
pilot study. Cranio. 2001
Apr;19(2):130-9. Previous studies have shown chondroitin sulfate and
glucosamine hydrochloride have beneficial effects on symptoms of osteoarthritis
of the knee. Our aim was to study the effect of a daily dose of 1500 mg of
glucosamine hydrochloride (GH) and 1200 mg of chondroitin sulfate taken for
twelve weeks on subjects diagnosed with capsulitis, disk displacement, disk
dislocation, or painful osteoarthritis of the temporomandibular joint (TMJ).
Forty-five subjects were enrolled in the study and were randomly assigned to
either an active medication group or a placebo group. Eleven subjects were lost
from the study for various reasons, resulting in fourteen subjects remaining in
the active medication group and twenty subjects remaining in the placebo group.
Subjects taking chondroitin sulfate-GH had improvements in their pain as
measured by one index of the McGill Pain Questionnaire, in TMJ tenderness, in
TMJ sounds, and in the number of daily over-the-counter medications needed.
Subjects taking the placebo medication had improvements in their pains as
measured by the visual analog scale and by four indices of the McGill Pain
Questionnaire. Additional studies are required to evaluate the clinical
effectiveness of chondroitin sulfate-GH and to determine the exact mechanism by
which chondroitin sulfate-GH affects the articular cartilage of synovial
joints.
To order Joint
care supplements, click here
|