title: Movardol® (N-acetylglucosamine, Boswellia serrata, ginger) supplementation in the management of knee osteoarthritis: preliminary results from a 6-month registry study.
abstract: Knee Osteoarthritis (OA) is a chronic disease caused by the deterioration of cartilage in joints, which results in activation of the inflammatory response, pain, and impaired movement. Complementary therapies, particularly supplementation, in the management of moderate/severe knee OA have been gaining attention. This registry study aimed at evaluating the synergistic effect of Movardol®, a supplementation containing active ingredients with recognized anti-inflammatory activities on symptoms and levels of circulating biomarkers of knee OA.
  
  
  
  54 subjects with symptomatic, moderate knee OA freely decided to follow either a standard management (SM) (n = 26) or SM plus oral supplementation with Movardol® (n = 28). Movardol® supplementation containing N-acetyl-D-glucosamine, ginger, and Boswellia Serrata extract was taken at the following dosage: 3 tablets/day for one week and then 2 tablets/day. Several parameters were assessed at inclusion and after 1, 3 and 6 months: functional impairment by the Karnofsky Performance Scale Index; pain, stiffness, physical, social and emotional functions by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); total and pain-free walking distance; circulating biomarkers of inflammation and oxidative stress.
  
  
  
  Significant improvements in the functional outcomes and pain-free walking distance were observed after 1, 3 and 6 months in OA patients supplemented with Movardol®. Moreover, all the signs/symptoms of disease assessed by the WOMAC tended to regress over a 6-month period in patients following SM+supplementation. Inflammatory markers and plasmatic content of reactive oxygen species decreased over 6 months, in supplemented patients. Movardol® supplementation resulted to be safe and well tolerated, also showing the beneficial effect in term of a decrease in pharmacological and non-pharmacological treatments and, consequently, reduction in management costs.
  
  
  
  These preliminary results indicate the efficacy and safety of Movardol® supplementation in the management of moderate knee OA.
authors.affiliation: Leonardo Medica srl, Vinci, Florence, Italy. cardres@abol.it.
authors.forename: G
authors.initials: G
authors.lastname: Bolognesi
authors.forename: G
authors.initials: G
authors.lastname: Belcaro
authors.forename: B
authors.initials: B
authors.lastname: Feragalli
authors.forename: U
authors.initials: U
authors.lastname: Cornelli
authors.forename: R
authors.initials: R
authors.lastname: Cotellese
authors.forename: S
authors.initials: S
authors.lastname: Hu
authors.forename: M
authors.initials: M
authors.lastname: Dugall
mesh_terms: D000117:Acetylglucosamine / Q000008:administration & dosage; D029743:Boswellia / Q000737:chemistry; D000529:Complementary Therapies; D020939:Zingiber officinale / Q000737:chemistry; D006801:Humans; D020370:Osteoarthritis, Knee / Q000628:therapy*; D010147:Pain Measurement; D012042:Registries; D016896:Treatment Outcome
chemical_list: D000117:Acetylglucosamine