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Nutraceutical therapies for degenerative joint diseases: a critical review.

Goggs, R, Vaughan-Thomas, A, Clegg, PD, Carter, SD, Innes, JF, Mobasheri, A, Shakibaei, M, Schwab, W and Bondy, CA (2005) Nutraceutical therapies for degenerative joint diseases: a critical review. Crit Rev Food Sci Nutr, 45 (3). pp. 145-164.

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Abstract

There is growing recognition of the importance of nutritional factors in the maintenance of bone and joint health, and that nutritional imbalance combined with endocrine abnormalities may be involved in the pathogenesis of osteoarthritis (OA) and osteochondritis dissecans (OCD). Despite this, dietary programs have played a secondary role in the management of these connective tissue disorders. Articular cartilage is critically dependent upon the regular provision of nutrients (glucose and amino acids), vitamins (particularly vitamin C), and essential trace elements (zinc, magnesium, and copper). Therefore, dietary supplementation programs and nutraceuticals used in conjunction with non-steroidal, anti-inflammatory drugs (NSAIDs) may offer significant benefits to patients with joint disorders, such as OA and OCD. This article examines the available clinical evidence for the efficacy of nutraceuticals, antioxidant vitamin C, polyphenols, essential fatty acids, and mineral cofactors in the treatment of OA and related joint disorders in humans and veterinary species. This article also attempts to clarify the current state of knowledge. It also highlights the need for additional targeted research to elucidate the changes in nutritional status and potential alterations to the expression of plasma membrane transport systems in synovial structures in pathophysiological states, so that current therapy and future treatments may be better focused.

Item Type: Article
Authors :
NameEmailORCID
Goggs, RUNSPECIFIEDUNSPECIFIED
Vaughan-Thomas, AUNSPECIFIEDUNSPECIFIED
Clegg, PDUNSPECIFIEDUNSPECIFIED
Carter, SDUNSPECIFIEDUNSPECIFIED
Innes, JFUNSPECIFIEDUNSPECIFIED
Mobasheri, Aa.mobasheri@surrey.ac.ukUNSPECIFIED
Shakibaei, MUNSPECIFIEDUNSPECIFIED
Schwab, WUNSPECIFIEDUNSPECIFIED
Bondy, CAUNSPECIFIEDUNSPECIFIED
Date : 2005
Uncontrolled Keywords : Amino Acids, Animals, Anti-Inflammatory Agents, Non-Steroidal, Bivalvia, Camellia sinensis, Cartilage, Chondroitin Sulfates, Fatty Acids, Essential, Flavonoids, Glucosamine, Glucose, Humans, Nutritional Status, Obesity, Osteoarthritis, Osteochondritis Dissecans, Phenols, Polyphenols, Trace Elements, Vitamins
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:16
Last Modified : 17 May 2017 14:48
URI: http://epubs.surrey.ac.uk/id/eprint/827114

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