| ND: |
ME10050562 |
| PMID: |
10050562 |
| LR: |
20061115 |
| CED: |
19990311 |
| DCO: |
19990311 |
| Autoren: |
Leffler CT; Philippi AF; Leffler SG; Mosure JC; Kim PD |
| Titel: |
Glucosamine, chondroitin, and manganese ascorbate for degenerative joint disease of the knee or low back: a randomized, double-blind, placebo-controlled pilot study. |
| Quelle: |
Military medicine; VOL: 164 (2); p. 85-91 /199902/ |
| PM: |
Print |
| SU: |
IM |
| Sprache: |
English |
| CY: |
UNITED STATES |
| JID: |
2984771R |
| ISSN: |
0026-4075 |
| CO: |
MMEDA9 |
| Institution: |
Medical Department, Naval Special Warfare Group Two, Naval Amphibious Base Little Creek, Norfolk, VA 23521, USA. occdr@aol.com |
| DT: |
Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
| Schlagwörter |
| CT: |
ACTIVITIES OF DAILY LIVING; ADULT; ASCORBIC ACID/*therapeutic use; CHONDROITIN SULFATES/*therapeutic use; CHRONIC DISEASE; CROSS-OVER STUDIES; DOUBLE-BLIND METHOD; DRUG COMBINATIONS; GLUCOSAMINE/*therapeutic use; HUMANS; LUMBAR VERTEBRAE/*; MALE; MANGANESE COMPOUNDS/*therapeutic use; MIDDLE AGED; MILITARY PERSONNEL/*; NAVAL MEDICINE; OSTEOARTHRITIS/*drug therapy; OSTEOARTHRITIS/radiography; OSTEOARTHRITIS, KNEE/*drug therapy; OSTEOARTHRITIS, KNEE/radiography; PAIN/etiology; PILOT PROJECTS; QUESTIONNAIRES; RUNNING |
| CTG: |
AKTIVITÄTEN DES TÄGLICHEN LEBENS; ERWACHSENER; ASCORBINSÄURE/*therapeutische Anwendung; CHONDROITINSULFATE/*therapeutische Anwendung; CHRONISCHE KRANKHEIT; CROSS-OVER-STUDIEN; DOPPELBLINDMETHODE; ARZNEIMITTELKOMBINATIONSPRÄPARATE; GLUCOSAMIN/*therapeutische Anwendung; MENSCH; LENDENWIRBEL/*; MÄNNLICH; MANGANVERBINDUNGEN/*therapeutische Anwendung; MENSCHEN IM MITTLEREN LEBENSALTER; MILITÄRPERSONAL/*; SCHIFFAHRTSMEDIZIN; OSTEOARTHROSE/*Arzneimitteltherapie; OSTEOARTHROSE/Röntgenuntersuchung; OSTEOARTHROSE, KNIE/*Arzneimitteltherapie; OSTEOARTHROSE, KNIE/Röntgenuntersuchung; SCHMERZEN/Ätiologie; PILOTPROJEKTE; FRAGEBOGEN; RENNEN |
| TE: |
Drug Combinations; Manganese Compounds; Glucosamine/3416-24-8; Ascorbic Acid/50-81-7; Chondroitin Sulfates/9007-28-7 |
| CR: |
3416-24-8; 50-81-7; 9007-28-7 |
| AB: |
OBJECTIVE: A 16-week randomized, double-blind, placebo-controlled crossover trial of a combination of glucosamine HCl (1,500 mg/day), chondroitin sulfate (1,200 mg/day), and manganese ascorbate (228 mg/day) in degenerative joint disease (DJD) of the knee or low back was conducted. METHODS: Thirty-four males from the U.S. Navy diving and special warfare community with chronic pain and radiographic DJD of the knee or low back were randomized. A summary disease score incorporated results of pain and functional questionnaires, physical examination scores, and running times. Changes were presented as a percentage of the patient's average score. RESULTS: Knee osteoarthritis symptoms were relieved as demonstrated by the summary disease score (-16.3%; p = 0.05), patient assessment of treatment effect (p = 0.02), visual analog scale for pain recorded at clinic visits (-26.6%; p = 0.05) and in a diary (-28.6%; p = 0.02), and physical examination score (-43.3%; p = 0.01). Running times did not change. The study neither demonstrated, nor excluded, a benefit for spinal DJD. Side effect frequency was similar to that at baseline. There were no hematologic effects. CONCLUSIONS: The combination therapy relieves symptoms of knee osteoarthritis. A larger data set is needed to determine the value of this therapy for spinal DJD. Short-term combination therapy appears safe in this setting. |