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Efficacy and Safety of Curcumin and Curcuma longa Extract in the Treatment of Arthritis: A Systematic Review and Meta-Analysis.

Systematic review and meta-analysis of 29 RCTs (2,396 participants) across OA, RA, AS, JIA, and gout/hyperuricemia: curcumin or Curcuma longa extracts (about 120–1500 mg/day for 4–36 weeks) were reported as safe and associated with improved pain and inflammation severity in narrative quantitative synthesis, with authors warning of low RCT quality.

Design

  • Systematic review + meta-analysis; RCTs across PubMed, Cochrane, CNKI, etc.
  • Included: 29 RCTs; 2396 participants; 5 arthritis categories (OA, RA, AS, JIA, gout/hyperuricemia)
  • Intervention: curcumin or Curcuma longa extract (120–1500 mg/day; 4–36 weeks)

Authors' quantitative narrative

  • Safety: authors report no serious safety signals pooled across included trials
  • Symptoms / inflammation: authors report directional improvements in pain and inflammatory severity measures with low overall trial quality and small-study limitations

Evidence hygiene

  • Heterogeneous arthritis diagnoses and formulation/bioavailability differences—avoid treating as one interchangeable "curcumin pill."

Publication

Zeng L, Yu G, Shu W, et al. Front Immunol. 2022 Jul 22;13:891822. PMID 35935936.

Outcomes

  • 29 RCTs (n=2396) across OA, RA, AS, JIA, and gout/hyperuricemia: authors report curcumin/Curcuma longa extract was safe and improved pain and inflammation severity versus comparators in pooled narrative, with low-quality RCT caveats.
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