Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis

Background. Osteoarthritis (OA) is one of the most common joint diseases worldwide. The search for effective treatment regimens to reduce symptoms and improve joint function is essential. The purpose was to compare the effectiveness of different regimens of bioactive marine fish concentrate (BMFC) i...

Full description

Saved in:
Bibliographic Details
Main Authors: D.G. Rekalov, I.O. Daniuk, R.L. Kulinich, T.M. Tarasenko, E.Yu. Samofal, O.Ye. Akimov, V.O. Kostenko
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2024-12-01
Series:Bolʹ, Sustavy, Pozvonočnik
Subjects:
Online Access:https://pjs.zaslavsky.com.ua/index.php/journal/article/view/435
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841544676939661312
author D.G. Rekalov
I.O. Daniuk
R.L. Kulinich
T.M. Tarasenko
E.Yu. Samofal
O.Ye. Akimov
V.O. Kostenko
author_facet D.G. Rekalov
I.O. Daniuk
R.L. Kulinich
T.M. Tarasenko
E.Yu. Samofal
O.Ye. Akimov
V.O. Kostenko
author_sort D.G. Rekalov
collection DOAJ
description Background. Osteoarthritis (OA) is one of the most common joint diseases worldwide. The search for effective treatment regimens to reduce symptoms and improve joint function is essential. The purpose was to compare the effectiveness of different regimens of bioactive marine fish concentrate (BMFC) in the treatment of knee OA with oral glucosamine sulfate (GS) and chondroitin sulfate (CS). Materials and methods. The study involved 60 patients with stage II knee OA. The patients were divided into three groups: the first group received 1 ml of BMFC daily (20 injections), the second group received 2 ml every other day (10 injections), and the third group received GS and CS in tablet form. Clinical efficacy was assessed using the WOMAC scale on days 3, 7, 14, and 21. Results. In the group that received BMFC daily, pain decreased by 41.4 % on day 7 and by 58.7 % on day 21. Joint stiffness decreased by 51.9 %, and range of motion increased by 51.3 %. In the group receiving 2 ml of BMFC every other day, pain reduction was 37.1 % on day 7 and 55.7 % on day 21. Joint stiffness decreased by 49.2 %, and range of motion improved by 46.0 % by the end of treatment. Both BMFC groups demonstrated similar efficacy. Patients receiving GS and CS showed less pronounced improvements. Conclusions. Injectable BMFC demonstrated higher efficacy in treating OA compared to oral GS and CS. Both ­BMFC administration regimens (daily administration of 1 ml and administration of 2 ml every other day) proved effective in reducing pain, alleviating joint stiffness, and improving functional capacity. The 2 ml every-other-day regimen achieved comparable efficacy with fewer injections, enhancing convenience and improving adherence to therapy.
format Article
id doaj-art-7bdb388e10c847c09afb8e1563895910
institution Kabale University
issn 2224-1507
2307-1133
language English
publishDate 2024-12-01
publisher Zaslavsky O.Yu.
record_format Article
series Bolʹ, Sustavy, Pozvonočnik
spelling doaj-art-7bdb388e10c847c09afb8e15638959102025-01-12T12:21:47ZengZaslavsky O.Yu.Bolʹ, Sustavy, Pozvonočnik2224-15072307-11332024-12-0114419319810.22141/pjs.14.4.2024.435435Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritisD.G. Rekalov0https://orcid.org/0000-0002-5793-2322I.O. Daniuk1https://orcid.org/0000-0002-4596-5709R.L. Kulinich2T.M. Tarasenko3https://orcid.org/0000-0002-9142-3492E.Yu. Samofal4O.Ye. Akimov5https://orcid.org/0000-0002-4958-3695V.O. Kostenko6https://orcid.org/0000-0002-3965-1826State Institution “National scientific center “Institute of Cardiology named after academician M.D. Strazhesko” National Academy of Medical Sciences of Ukraine, Kyiv, UkraineZaporizhzhia State Medical and Pharmaceutical University, Zaporizhzhia, UkraineZaporizhzhia State Medical and Pharmaceutical University, Zaporizhzhia, UkraineClinic of Rheumatology of Professor Rekalov, Dnipro, UkraineClinic of Rheumatology of Professor Rekalov, Dnipro, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkraineBackground. Osteoarthritis (OA) is one of the most common joint diseases worldwide. The search for effective treatment regimens to reduce symptoms and improve joint function is essential. The purpose was to compare the effectiveness of different regimens of bioactive marine fish concentrate (BMFC) in the treatment of knee OA with oral glucosamine sulfate (GS) and chondroitin sulfate (CS). Materials and methods. The study involved 60 patients with stage II knee OA. The patients were divided into three groups: the first group received 1 ml of BMFC daily (20 injections), the second group received 2 ml every other day (10 injections), and the third group received GS and CS in tablet form. Clinical efficacy was assessed using the WOMAC scale on days 3, 7, 14, and 21. Results. In the group that received BMFC daily, pain decreased by 41.4 % on day 7 and by 58.7 % on day 21. Joint stiffness decreased by 51.9 %, and range of motion increased by 51.3 %. In the group receiving 2 ml of BMFC every other day, pain reduction was 37.1 % on day 7 and 55.7 % on day 21. Joint stiffness decreased by 49.2 %, and range of motion improved by 46.0 % by the end of treatment. Both BMFC groups demonstrated similar efficacy. Patients receiving GS and CS showed less pronounced improvements. Conclusions. Injectable BMFC demonstrated higher efficacy in treating OA compared to oral GS and CS. Both ­BMFC administration regimens (daily administration of 1 ml and administration of 2 ml every other day) proved effective in reducing pain, alleviating joint stiffness, and improving functional capacity. The 2 ml every-other-day regimen achieved comparable efficacy with fewer injections, enhancing convenience and improving adherence to therapy.https://pjs.zaslavsky.com.ua/index.php/journal/article/view/435osteoarthritismarine bioactive concentratechondroitin sulfateglucosamine sulfatewomac
spellingShingle D.G. Rekalov
I.O. Daniuk
R.L. Kulinich
T.M. Tarasenko
E.Yu. Samofal
O.Ye. Akimov
V.O. Kostenko
Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis
Bolʹ, Sustavy, Pozvonočnik
osteoarthritis
marine bioactive concentrate
chondroitin sulfate
glucosamine sulfate
womac
title Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis
title_full Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis
title_fullStr Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis
title_full_unstemmed Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis
title_short Efficacy of various regimens of bioactive marine fish concentrate, glucosamine sulfate, and chondroitin sulfate in treating knee osteoarthritis
title_sort efficacy of various regimens of bioactive marine fish concentrate glucosamine sulfate and chondroitin sulfate in treating knee osteoarthritis
topic osteoarthritis
marine bioactive concentrate
chondroitin sulfate
glucosamine sulfate
womac
url https://pjs.zaslavsky.com.ua/index.php/journal/article/view/435
work_keys_str_mv AT dgrekalov efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis
AT iodaniuk efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis
AT rlkulinich efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis
AT tmtarasenko efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis
AT eyusamofal efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis
AT oyeakimov efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis
AT vokostenko efficacyofvariousregimensofbioactivemarinefishconcentrateglucosaminesulfateandchondroitinsulfateintreatingkneeosteoarthritis