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HA - Hyaluronic Acid PDF Print E-mail
by Rehan Jalali



Do you have joint problems, need to improve your skin or desire anti-aging effects? If so, hyaluronic acid (HA) may be the answer to your prayers. Ever since ABC News did a special on HA, calling it the “fountain of youth,” its popularity has soared.

In the village of Yuzurihara, Japan (also know as “village of long life”), there seems to exist a population that has the longest life span in the world. As featured on ABC, this village had one common thread—maintenance of hyaluronic acid levels in their bodies. The people of this village were living to old ages without wrinkles and common age-related diseases. The ability to produce HA from within decreases with age and therefore supplementation is the best way to normalize levels. The breakdown of collagen in joints is facilitated by an enzyme, hyaluronidase, that specifically attacks HA. This causes joint degradation and other problems in the body.

I think a little background on joint health is in order before we look at the positive effects of HA. If you think osteoarthritis is something that af.icts only ripening baby boomers and nursing home residents, sit down and talk with former worldclass gymnast Bart Conner someday, if the opportunity ever presents itself. Conner, who fewer than 20 years ago took home two Olympic gold medals and was considered one of America’s top all-around athletes, today can hardly take out the garbage. “It hurts to bend down and pull weeds in my yard,” says the 44-year-old Conner, who was diagnosed with osteoarthritis in his mid-20s. Indeed, a growing number of athletes in their 20s and 30s are discovering, .rst hand, that osteoarthritis isn’t just a problem for grandma or grandpa any more. A new study from the University of Washington supports many other studies that show athletes, including and especially resistance-training athletes who hit it hard day in and day out, are at high risk for the debilitating joint disease. At present, doctors believe that osteoarthritis af.icts more than 20 million Americans. By 2020, that number is expected to reach 40 million. Indeed, some researchers think we’re headed for a full-blown epidemic of degenerative joint disease. Results of an October 2002 nationwide survey from the Centers for Disease Control and Prevention show that 69.9 million adults—or one-third of the U.S. adult population—suffer from arthritis or chronic joint pain symptoms.

Osteoarthritis is a degenerative joint condition characterized by the erosion of the cartilage at the ends of the bones. Cartilage is the shock absorber of the joint and without it, joint problems can occur. Due to wear and tear on the joints, the once tough and slippery cartilage that separates the bones may become soft, frayed and thinned—it basically wears through like an old sock, leaving rough, bony surfaces to grind on one another every time the joint moves. Scientists have also recently identified a host of other things that can cause cartilage degradation and osteoarthritis. Weak quadriceps muscles (in the knees) can stress the joint. Eroding cartilage can cause painful bone spurs but changes in bone structure can actually erode cartilage as well. When cartilage erodes, certain immune cells come in and help get rid of that tissue but they also seem to attack healthy joint tissue, which can cause inflammation. Finally, certain genes play a role in predetermining cartilage status. Left untreated and unchecked, this can become very debilitating.

Hyaluronic acid is an endogenous uronic acid that is classified as a glycosaminoglycan (GAG). HA has been studied by scientists for over 40 years. It is a key component to many normal bodily functions and has hundreds of research studies showing its value in skin and joint health.

It is naturally occurring in the body and the highest concentration is found in the soft connective tissue where it is a major component of the extracellular joint matrix. HA is present in cartilage, in synovial joint fluid, and in the skin tissue, both dermis and epidermis. Due to its composition and properties, it can have anti-aging and joint supporting properties. As mentioned earlier, joint health is not only vital to older individuals with joint problems but also for hard training athletes. HA may be important in supporting optimal joint function.

HA also supports healthy skin function and in one study published in the Journal of Cellular Physiology in 1998, HA was shown to help proliferate healthy skin cells in a collagen matrix. HA enhances skin moisture (hydration) and functions as a lubricant between the collagen matrix of the skin. Since it is a component of the skin structure and declines with age, supplementation can insure that adequate levels remain in the skin to support its healthy appearance and function. Dry skin can lead to many skin problems and HA addresses this issue. Hey, who couldn’t use “good looking” skin? In fact, many people have successfully used this nutrient to reduce the appearance of wrinkles—sure beats facial injections.

HA specifically is a key nutrient in joint health. In a review by R. W. Moskowitz from Case Western Reserve University entitled “Hyaluronic acid supplementation” and published in 2000, he states that “Hyaluronan preparations have been shown to decrease pain and increase function in patients with osteoarthritis of the knee.” HA seems to work through several mechanisms of action including restoration of more normal synovial fluid with improved viscoelasticity, effects on cartilage biosynthesis and degradation, anti-inflammatory effects, and direct analgesic effects. This is the most important effect it has for athletes. It can actually be taken to support healthy joints (preventative maintenance), not only to support recovery from joint injury. What’s interesting is that The American College of Rheumatology actually recommends intra-articular injection of hyaluronans, which are available as several distinct therapeutic products, as an alternative to oral analgesics or nonsteroidal anti-inflammatory drugs for the symptomatic treatment of pain associated with osteoarthritis of the knee. A large body of literature supports the clinical efficacy and safety of this therapeutic class for this indication. According to a 2003 published study by R. D. Altman entitled “Status of hyaluronan supplementation therapy in osteoarthritis,” the researcher states that “compared with currently approved nonoperative therapies for osteoarthritis, hyaluronans may also have beneficial effects on the disease process in osteoarthritis.” This is definitely solid validation of HA from a credible source.

Although it’s not a well-known benefit of HA, wound healing is another positive effect of HA. Hyaluronic acid has been shown to support wound healing in a big way. In a study entitled “The properties of hyaluronan and its role in wound healing,” published in 2001, HA is discussed as having wound healing properties. It seems to work through its water retaining properties.

A good source for HA is BioCell Collagen II®. There are 14 different types of collagen found in the body but only type II is the most abundant in the joint matrix. BioCell Collagen II and its components can have a powerful impact on joints and conditions associated with abnormal joint function. This nutrient, derived from the cartilage of chicken, has been shown in a number of studies to help ease symptoms of certain arthritic conditions including osteoarthritis. In a 1993 study of 60 patients published in the journal Science, researchers from Boston’s Beth Israel Hospital found that 80 percent of the subjects experienced decreased joint swelling and tenderness after three months of supplementation, compared to only 13 percent in the placebo group. “Four patients in the collagen group had complete remission of the disease,” the researchers report. Reinforcing this idea is yet another study in the FASEB Journal of Experimental Biology that published the results of a double-blind clinical trial in 2003 of subjects taking 100 mg twice of day of BioCell Collagen II. The subjects after eight weeks reported a decrease in joint pain and stiffness in their knee, hip and hands as well as overall improvements to their quality of life. It seems that HA in combination with collagen type II and chrondroitin sulfate is not only helpful for joint health but actually lessens the familiar pain and stiffness associated with osteoarthritis and degenerative diseases.

One other study published in 2000 entitled “Role of collagen hydrolysate in bone and joint disease,” reviews how collagen can be a powerful tool in helping with osteoarthritis and even osteoporosis. The researchers of this study state: “Its high level of safety (hydrolyzed collagen) makes it attractive as an agent for long-term use in these chronic disorders.” The components of BioCell Collagen II including chondroitin sulfate, HA, and glucosamine sulfate can support proteoglycans and glycosaminoglycans (GAGs) in the joint matrix, thereby increasing synovial (joint) fluid and supporting cartilage synthesis in the joints. This can enhance a joint’s shock absorption capabilities as well as lower the chance for deterioration. BioCell Collagen II contains highly efficacious and naturally occurring levels of hyaluronic acid (HA), glucosamine sulfate, depolymerized chondroitin sulfate (higher absorption rate), protein and cartilage matrix glycoprotein. BioCell Collagen II is the only hydrolyzed 100 percent pure chicken sternum derived collagen type II ingredient shown to be safe and effective. It provides low molecular weight compounds which are readily and easily absorbed into the bloodstream. It has high levels of the anti-aging nutrient hyaluronic acid. This powerful

HA Absorption

Recently, there has been some discussion on the absorption rate of oral hyaluronic acid. Some previously published studies showed that certain forms of pure HA were not absorbed and thus unavailable for use by the human body.

There is some exciting research that confirms the absorption of oral HA in the BioCell Collagen II matrix. Dr. William Judy, senior scientist at SIBR Research, conducted a double-blind study and noted that BioCell Technology’s product containing HA, manufactured using a patented technology, is absorbed orally and is readily available for use by the body. The solid absorption rate was not only evident after a single dose but also at a steady dose daily for 28 days. This study showed high bioavailability for HA in this form. Since previous studies showed very poor absorption rate of HA, taking it in this special collagen matrix seems to solve that problem and allows HA to be absorbed well. With high absorption, HA can do its magic in the body.

and research proven ingredient contains key components like glucosamine and chondroitin sulfate which can help support healthy skin and joint function to combat the degenerative effects of aging. This product is hydrolyzed and denatured to low molecular weight compounds that increase bioavailability and absorption into the bloodstream after an oral dose. Other native or undenatured products DO NOT have this high absorption rate due to their lager molecule size. BioCell Collagen II is so effective that it has been awarded a United States Patent (US patent #6,025,327) for the treatment of connective tissue disorder, osteoarthritis, degenerative joint disease, joint defects, vascular disease and cartilage injuries.

Whether you’re an athlete looking to boost joint function or address joint problems or a weekend warrior who has stressed the joints over the years, HA may be the treatment option that your customers have been looking for. Plus the healthy skin benefits and possible anti-aging effects only make this nutrient more attractive. A good dose of HA is 200 mg taken in divided doses daily. Taking HA can really have an impact on your joints and make you look better too!

Rehan Jalali is a sports nutritionist and president of the Supplement Research Foundation (www.tsrf.com).
 
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