Effects of Chondroitin Sulfate on Joint Symptoms and Physical Function in Adults with Mild Knee Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled Trial.
In this 12-week randomized, double-blind, placebo-controlled trial of 100 adults with mild knee OA, chondroitin sulfate 1200 mg/day improved joint symptoms and physical function compared with placebo, with consistent benefits across self-reported outcomes and objective walking performance and no clinically meaningful safety concerns.
Key Findings
Results
Chondroitin sulfate produced a significantly greater reduction in K-WOMAC total score than placebo at week 12 in adults with mild knee OA.
K-WOMAC total score change was -19.26 ± 2.74 with CS versus -2.10 ± 1.37 with placebo (p < 0.001).
Design was a 12-week, randomized, double-blind, placebo-controlled trial with 100 adults (CS 1200 mg/day, n = 50; placebo, n = 50).
K-WOMAC total and subscale scores were the primary outcomes.
Results
CS significantly reduced all K-WOMAC subscale scores (pain, stiffness, and physical function) compared with placebo.
The abstract reports greater reductions in the pain, stiffness, and physical function subscale scores, "all p < 0.001".
Results
Pain measured by visual analog scale (VAS) decreased significantly more with CS than with placebo.
Pain VAS change was -18.82 ± 3.50 mm with CS versus -3.04 ± 3.10 mm with placebo (p < 0.001).
Pain VAS was a secondary outcome.
Results
CS improved objective walking performance, shortening 20-m walking time compared with placebo.
20-m walking time changed by -1.40 ± 0.62 s with CS versus 0.23 ± 0.32 s with placebo (p < 0.001).
The authors note consistent benefits across both self-reported outcomes and objective walking performance.
Results
Hand function and strength outcomes also improved significantly with CS compared with placebo.
K-AUSCAN scores (hand osteoarthritis index) and grip and pinch strength improved significantly compared with placebo.
These were secondary outcomes; specific values are not given in the abstract.
Results
No clinically meaningful safety concerns were observed with CS supplementation.
Safety was assessed over the 12-week supplementation period in 100 participants.
The abstract states only that no clinically meaningful safety concerns were observed.
Conclusions
The authors conclude CS supplementation may be beneficial for joint symptoms and physical function in adults with mild knee OA.
The study was motivated by inconsistent prior evidence on CS effects on joint symptoms and physical function.
The dose tested was 1200 mg/day for 12 weeks.
What This Means
This study tested whether chondroitin sulfate, a popular supplement for knee osteoarthritis, helps people with mild knee osteoarthritis. A total of 100 adults were randomly assigned to take either 1200 mg of chondroitin sulfate or a placebo daily for 12 weeks, without participants or researchers knowing who got which.
At the end of 12 weeks, the chondroitin group reported much larger improvements in knee pain, stiffness, and physical function on a standard questionnaire than the placebo group (total score drop of about 19 points versus about 2). Pain ratings on a 100-mm scale fell by about 19 mm versus 3 mm, and the chondroitin group walked 20 meters about 1.4 seconds faster, while the placebo group did not improve. Hand function questionnaire scores and grip and pinch strength also improved more with chondroitin. No clinically meaningful safety concerns were seen.
This research suggests chondroitin sulfate may help ease symptoms and improve function in people with mild knee osteoarthritis over a few months. Earlier evidence has been inconsistent, and this was a relatively small, 12-week study, so longer and larger studies would be needed to confirm how well the benefits last.
Check Your Own Numbers
Upload your bloodwork. We'll cross-reference your results against this study and 4,700 others.
Baek H, Park S. (2026). Effects of Chondroitin Sulfate on Joint Symptoms and Physical Function in Adults with Mild Knee Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled Trial.. Nutrients. https://doi.org/10.3390/nu18203391