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Hydrolyzed collagen and hyaluronic acid for joint and skin health
Collagen: the protein that holds us together.
Collagen is the most abundant protein in the body, important for the integrity and health of our skin, hair, bones, tendons, ligaments, and cartilage. It isn’t merely a metaphor to say collagen holds us together; 75 to 80% of our skin and 30% of our total body protein is made of collagen.[1]
Found in the articular cartilage that covers the ends of our bones where they come together to form joints,[2] collagen enables the joints to withstand forces of compression, thus protecting the bones from injury.[3] Our bodies have limited ability, however, to repair and replace cartilage, which is why joint integrity tends to decline with age.[4]
There are over 60 scientific studies demonstrating the effects of hydrolysated collagen (HC) on a host of ailments from joint pain and degeneration (osteoarthritis), to bone density (osteoporosis), to skin ageing. A recent review of these studies concludes that ingestion of collagen hydrolysate “helps to reduce and prevent joint pain, bone density loss and skin ageing. These results as well as its high level of tolerance and safety make HC ingestion attractive for a long-term use in bone and joint degenerative diseases and in the fight against skin ageing.”[5]
A recent review of these studies concludes that ingestion of collagen hydrolysate “helps to reduce and prevent joint pain, bone density loss and skin ageing.
In a study performed in healthy, competitive male mountain bikers and female basketball players, the athletes consumed 10 grams of HC enriched with B vitamins and magnesium daily for six months. At the end of the six months, ultrasounds were performed on the shoulders and knees of the athletes and demonstrated statistically significant increases of cartilage thickness. The control subjects, on the other hand, either had no improvements in cartilage thickness, or a decrease.[6]
In another study, 84 German athletes with an average age of 41 years consumed 10 grams of HC daily for 12 weeks. Of the athletes – all of whom had joint pain in either the knee, hip, and/or shoulder at the beginning of the trial – most reported reduced pain both at rest and during test exercises after supplementing with HC.[7]
Because it is sourced from animal collagen, the amino-acid composition of the peptides found in HC is similar to that of the collagen in the cartilage of our joints. Those peptides are well absorbed by the gut after ingestion, making their way into the bloodstream and eventually accumulating in the cartilage.[8] Preliminary evidence suggests that HC activates collagen biosynthesis in chondrocytes, the cells in the body that make cartilage.[9] Research has demonstrated these effects particularly in conditions in where the cartilage is stressed.[10]
Although eating meat – whether it’s from a chicken, cow, fish, or other animal – provides us with many amino acids, it doesn’t support connective tissue health in quite the same manner as collagen. Collagen is rich in the amino acid glycine, containing up to 20 times more glycine than meat. In addition to helping build connective tissue like tendons and muscle,[11] glycine has also been shown to support mood, sleep, and metabolism.[12] With respect to skin health, HC has further been shown to support the integrity, moisture, elasticity, and suppleness of the skin, and even decrease wrinkles and other signs of aging.[13],[14]
In order to extract collagen for at-home consumption, the bones and/or skin of an animal must be boiled for hours and the broth consumed. This can create a tasty soup base, but is also a time-consuming task that can be hard to do on a daily basis. Fortunately, collagen supplements offer us a convenient alternative to help us quickly and easily get collagen into our bodies. Furthermore, it has been shown that the collagen hydrolysate found in good quality supplements is easier to absorb than the collagen found in home-cooked preparations.[15]
Hyaluronic acid: nature’s moisturizer.
Like collagen, hyaluronic acid is found throughout the body, but is particularly abundant in the eyes, the synovial fluid found in joints, and the skin.[16] In addition to being a powerful antioxidant, hyaluronic acid plays an essential role in cushioning and lubricating the body. It is well known for its ability to bind water, drawing moisture into our tissues and keeping them hydrated.
Cartilage is comprised mainly of water, making the moisturizing effects of hyaluronic acid indispensable to joint health. Because cartilage contains no blood vessels, it has no direct supply from which to draw nutrients. Instead, the cartilage is bathed synovial fluid, which supplies the cartilage with nutrients, removes waste, and provides continuous lubrication between the layers of cartilage. Synovial health – and the hyaluronic acid replete within it – is therefore essential to joint health.[17] In addition to supporting joint health and reducing the pain associated with osteoarthritis,[18] hyaluronic acid is even used in eye, tendon, and plastic surgeries, as well as in tissue engineering.[19]
Yet hyaluronic acid is perhaps best known for its use in supporting skin health. Oral supplementation of the water-absorbing nutrient has been shown to improve skin elasticity, enhance skin hydration, and significantly decrease skin roughness and wrinkle depths.[20] For this reason it’s commonly used in moisturizers and other skincare products and is known as “nature’s moisturizer.”[21]
Hyaluronic acid is perhaps best known for its use in supporting skin health. Oral supplementation of the water-absorbing nutrient has been shown to improve skin elasticity, enhance skin hydration, and significantly decrease skin roughness and wrinkle depths.
A recent review of numerous studies exploring the skin supporting and wound healing effects of hyaluronic acid concludes: “Hyaluronic acid extracts are safe and efficacious products to be used in skin repair.”[22]
When the demands of gravity, physical stress, and injury chip away at the body, we can thankfully turn to the basic connective-tissue-building-blocks found in collagen, hyaluronic acid, and the naturally derived, easy-to-absorb products in which they’re found. These are, after all, the nutrients that hold us together.
Click here to see References
[1] Proksch E, Jensen J. Skin as an organ of protection. In: Goldsmith LA, et al. Fitzpatrick’s Dermatology in General Medicine. 8th ed. New York: McGraw-Hill; 2012. [2] Mow VC, et al. Cartilage and diarthrodial joints as paradigms for hierarchical materials and structures. Biomaterials. 1992;13:67-97. [3] Buckwalter JA, Mankin HJ. Articular cartilage: tissue design and chondrocytes-matrix interactions. Instr Course Lect. 1998;47:477-86. [4] Hou A, et al. Cellular senescence in osteoarthritis and anti-aging strategies. Mech Ageing Dev. 2018 Aug 11. [5] Figueres Juher T, Basés Pérez E. [An overview of the beneficial effects of hydrolyzed collagen intake on joint and bone health and on skin aging]. Nutr Hosp. 2015 Jul 18;32 Suppl 1:62-6. [6] Fernandez JL, Perez OM. Effects of gelatine hydrolysates in the prevention of athletic injuries. Archivos de Medicina del Deporte. 1998;15:277-82. [7] Flechsenhar KR, Alf D. Results of a postmarketing surveillance study. Orthopaedische Praxis. 2005;41:486-94. [8] Oesser S, et al. Oral administration of 14C labeled gelatin hydrolysate leads to an accumulation of radioactivity in cartilage of mice (C57/BL). J Nutr. 1999;129:1891-5. [9] Kasper, H. Nutrition and degenerative joint disease: the chondroprotective effect of gelatine. Med Welt. 2003;3(54):47-9. [10] Bello AE, Oesser S. Collagen hydrolysate for the treatment of osteoarthritis and other joint disorders: a review of the literature. Curr Med Res Opin. 2006;22:2221-32. [11] Tack C, et al. The physiological mechanisms of effect of vitamins and amino acids on tendon and muscle healing: a systematic review. Int J Sport Nutr Exerc Metab. 2018 May 1;28(3):294-311. [12] Bannai M, Kawai N. New therapeutic strategy for amino acid medicine: glycine improves the quality of sleep. J Pharmacol Sci. 2012;118(2):145-8. [13] Shimizu J, et al. Oral collagen-derived dipeptides, prolyl-hydroxyproline and hydroxyprolyl-glycine, ameliorate skin barrier dysfunction and alter gene expression profiles in the skin. Biochem Biophys Res Commun. 2015 Jan 9;456(2):626-30. [14] Inoue N, et al. Ingestion of bioactive collagen hydrolysates enhance facial skin moisture and elasticity and reduce facial aging signs in a randomized double-blind placebo-controlled clinical study. J Sci Food Agric. 2016 Sep;96(12):4077-81. [15] Alcock RD, et al. Bone broth unlikely to provide reliable concentrations of collagen precursors compared to supplemental sources of collagen used in collagen research. Int J Sport Nutr Exerc Metab. 2018 Jun 12:1-24. [16] Sudha PN, Rose MH. Beneficial effects of hyaluronic acid. Adv Food Nutr Res. 2014;72:137-76. [17] Synovial membrane. PubMed Health Glossary [Internet]. Accessed September 26, 2018. Available at: https://www-ncbi-nlm-nih-gov.nunm.idm.oclc.org/pubmedhealth/ [18] Nelson FR, et al. The effects of an oral preparation containing hyaluronic acid (Oralvisc®) on obese knee osteoarthritis patients determined by pain, function, bradykinin, leptin, inflammatory cytokines, and heavy water analyses. Rheumatol Int. 2015 Jan;35(1):43-52. [19] Sudha PN, Rose MH. Beneficial effects of hyaluronic acid. Adv Food Nutr Res. 2014;72:137-176. [20] Göllner I, et al. Ingestion of an oral hyaluronan solution improves skin hydration, wrinkle reduction, elasticity, and skin roughness: results of a clinical study. J Evid Based Complementary Altern Med. 2017 Oct;22(4):816-23. [21] Necas J, et al. Hyaluronic acid (hyaluronan): a review. Veterinarni Medicina. 2008;8:397-411. [22] Neuman MG, et al. Hyaluronic acid and wound healing. J Pharm Pharm Sci. 2015;18(1):53-60.
The information provided is for educational purposes only. Consult your physician or healthcare provider if you have specific questions before instituting any changes in your daily lifestyle including changes in diet, exercise, and supplement use.
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Dr. Erica Zelfand
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