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INSPIRE Trial Finds Prebiotic Inulin Eases Knee Osteoarthritis Pain

The six-week INSPIRE study signals a potential gut–pain mechanism in preliminary findings.

Overview

  • The six-week INSPIRE randomized trial enrolled 117 adults with knee osteoarthritis across inulin, digital physiotherapy, combination, and placebo arms.
  • Both the supplement and the exercise program reduced knee pain, yet only inulin improved grip strength and lowered measures of pain sensitivity.
  • Participants taking inulin showed higher circulating butyrate and GLP-1, with GLP-1 levels associated with better grip strength.
  • Adherence favored inulin, with a 3.6% dropout versus 21% for the physiotherapy group over the study period.
  • Findings, published February 24, 2026 in Nutrients by University of Nottingham researchers, were described as promising and in need of larger, longer trials.