SCIENCE  |  SUPPLEMENTS

Chondroitin sulfate is a supplement commonly used to manage osteoarthritis, especially in the knee. It helps reduce pain, improve joint function, and slow the progression of joint space narrowing. Studies have shown its effectiveness in providing moderate pain relief and enhancing physical function, with long-term use potentially delaying the radiological progression of osteoarthritis.

Chondroitin

Recent studies highlight the significant therapeutic potential of glucosamine and chondroitin, particularly in managing osteoarthritis (OA) and reducing cancer risk. A meta-analysis revealed that intake of glucosamine and chondroitin was associated with a lower risk of colorectal and lung cancers, suggesting their anti-inflammatory properties may offer protective effects (Nutr Cancer. 2023). In the context of knee osteoarthritis, the combination of glucosamine and chondroitin has been shown to significantly improve symptoms, including reductions in pain and joint space narrowing, without notable adverse effects (Arch Orthop Trauma Surg. 2023).

Chondroitin sulfate alone has demonstrated a moderate benefit for pain relief and functional improvement in knee OA patients, though inconsistencies exist among trial results. Pharmaceutical-grade chondroitin sulfate showed the greatest benefits (Adv Ther. 2019). Furthermore, long-term use of glucosamine sulfate and chondroitin sulfate has been found to delay radiological progression of knee OA, with glucosamine showing a protective effect after three years and chondroitin after two years (Rheumatol Int. 2010). Overall, these findings support the efficacy and safety of glucosamine and chondroitin as viable options for OA management and potential cancer prevention.

PUBLICATIONS

  1. Role of Glucosamine and Chondroitin in the Prevention of Cancer: A Meta-Analysis.
          • Nutr Cancer. 2023;75(3):785-794.
          • Design: Meta-analysis of studies assessing the protective function of glucosamine and chondroitin intake against cancer risk.
          • Summary: Intake of glucosamine and chondroitin was associated with a lower risk of colorectal cancer (OR = 0.91) and lung cancer (OR = 0.84). NSAIDs use may have a synergistic protective effect.
  2. Efficacy and Safety of the Combination of Glucosamine and Chondroitin for Knee Osteoarthritis: A Systematic Review and Meta-Analysis.
          • Arch Orthop Trauma Surg. 2023;143(1):409-421.
          • Design: Systematic review and meta-analysis of randomized controlled trials (RCTs) evaluating glucosamine and chondroitin combination in knee osteoarthritis treatment.
          • Summary: The combination showed significant improvement in WOMAC scores and joint space narrowing (JSN), with no significant differences in VAS scores or adverse events compared to placebo.
  3. Efficacy of Chondroitin Sulfate in Patients with Knee Osteoarthritis: A Comprehensive Meta-Analysis Exploring Inconsistencies in Randomized, Placebo-Controlled Trials.
          • Adv Ther. 2019;36(5):1085-1099.
          • Design: Meta-analysis of randomized placebo-controlled trials exploring the efficacy of chondroitin sulfate in knee osteoarthritis patients.
          • Summary: Chondroitin sulfate significantly reduced pain and improved function, although inconsistencies were noted among trials. The pharmaceutical grade CS of IBSA origin showed the greatest benefit.
  4. Effects of Oral Chondroitin Sulfate on Osteoarthritis-Related Pain and Joint Structural Changes: Systematic Review and Meta-Analysis.
          • J Spec Oper Med. 2019 Spring;19(1):113-124.
          • Design: Systematic review and meta-analysis of RCTs assessing the effects of oral chondroitin sulfate on osteoarthritis-related pain and joint structural changes.
          • Summary: Chondroitin sulfate demonstrated small to moderate effectiveness in reducing OA-related pain but had minimal effects on joint space narrowing and no effect on cartilage volume.
  5. Effect of Glucosamine and Chondroitin Sulfate in Symptomatic Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials.
          • Rheumatol Int. 2018;38(8):1413-1428.
          • Design: Systematic review and meta-analysis of RCTs investigating the efficacy of glucosamine and chondroitin sulfate in knee osteoarthritis symptoms.
          • Summary: Glucosamine and chondroitin sulfate significantly reduced pain in VAS, but their combination did not show additional benefits. Neither treatment showed significant effects on the total WOMAC index.
  6. Effectiveness and Safety of Glucosamine and Chondroitin for the Treatment of Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials.
          • J Orthop Surg Res. 2018;13(1):170.
          • Design: Meta-analysis of RCTs evaluating the effectiveness and safety of glucosamine and chondroitin in osteoarthritis treatment.
          • Summary: Oral chondroitin was more effective than placebo in relieving pain and improving function. Glucosamine showed effectiveness in stiffness improvement. The combination therapy’s effectiveness requires further investigation.
  7. Structure-Modifying Effects of Chondroitin Sulfate in Knee Osteoarthritis: An Updated Meta-Analysis of Randomized Placebo-Controlled Trials of 2-Year Duration.
          • Osteoarthritis Cartilage. 2010;18 Suppl 1:S28-31.
          • Design: Meta-analysis of RCTs assessing the structure-modifying effects of chondroitin sulfate in knee osteoarthritis over two years.
          • Summary: Chondroitin sulfate showed a small but significant effect on reducing the rate of decline in minimum joint space width, indicating its effectiveness in modifying knee osteoarthritis structure.
  8. Effect of Glucosamine or Chondroitin Sulfate on the Osteoarthritis Progression: A Meta-Analysis.
          • Rheumatol Int. 2010;30(3):357-363.
          • Design: Meta-analysis of studies assessing the structural efficacy of daily glucosamine sulfate and chondroitin sulfate in knee osteoarthritis patients.
          • Summary: Glucosamine sulfate showed a small to moderate protective effect on joint space narrowing after 3 years, while chondroitin sulfate had a small but significant protective effect after 2 years.
STAY INFORMED

    Be up to date with
    new research