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    Chondroitin Info

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FEATURED PRODUCTS

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.

 

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