Association between glucosamine use and cancer mortality: A large prospective cohort study

ObjectivePrevious studies have shown anti-cancer and anti-inflammatory benefits of glucosamine. This study was performed to prospectively evaluate the association between glucosamine supplementation and the mortality of multiple cancers based on the UK Biobank cohort study.Materials and methodsA tot...

Full description

Bibliographic Details
Main Authors: Jian Zhou, Ziyi Wu, Zhengjun Lin, Wanchun Wang, Rongjun Wan, Tang Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.947818/full
_version_ 1811326428565733376
author Jian Zhou
Ziyi Wu
Zhengjun Lin
Wanchun Wang
Rongjun Wan
Rongjun Wan
Tang Liu
author_facet Jian Zhou
Ziyi Wu
Zhengjun Lin
Wanchun Wang
Rongjun Wan
Rongjun Wan
Tang Liu
author_sort Jian Zhou
collection DOAJ
description ObjectivePrevious studies have shown anti-cancer and anti-inflammatory benefits of glucosamine. This study was performed to prospectively evaluate the association between glucosamine supplementation and the mortality of multiple cancers based on the UK Biobank cohort study.Materials and methodsA total of 453,645 participants aged 38–73 who had no cancer at baseline were recruited between 2006 and 2010 and followed until March 2021. We used cox and poission proportional hazards models to explore the association between habitual use of glucosamine and cancer mortality. Subgroup analyses were conducted to understand the potential effect modifications of demographics, lifestyle factors, and health outcomes. Sensitivity analyses were performed to determine the robustness of the results.ResultsOf the participants, 88,224 (19.4%) reported habitual glucosamine use at baseline. There were 9,366 cancer deaths during a median follow-up of 12.1 years, and we observed a significant association between the use of glucosamine and lower overall cancer mortality (HR = 0.95, 95% CI = 0.90–1.00, p < 0.05), kidney cancer (IRR = 0.68, 95% CI = 0.49–0.95, p < 0.05), lung cancer mortality (IRR = 0.84, 95% CI = 0.74–0.95, p < 0.05), and rectum cancer (IRR = 0.76, 95% CI = 0.59–0.98, p < 0.05). Subgroup analysis showed that habitual glucosamine supplementation was correlated with lower overall cancer mortality among participants who were aged ≥ 60 years, male, current smoker, without high cholesterol and not obese. Sensitivity analysis showed that the results were stable.ConclusionHabitual glucosamine use was significantly related to decreased overall cancer, kidney cancer, lung cancer, and rectum cancer mortality, based on data from the large-scale, nationwide, prospective UK Biobank cohort study.
first_indexed 2024-04-13T14:49:12Z
format Article
id doaj.art-e0f0e72146e34eb6bf4e1617a237f557
institution Directory Open Access Journal
issn 2296-861X
language English
last_indexed 2024-04-13T14:49:12Z
publishDate 2022-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Nutrition
spelling doaj.art-e0f0e72146e34eb6bf4e1617a237f5572022-12-22T02:42:39ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-11-01910.3389/fnut.2022.947818947818Association between glucosamine use and cancer mortality: A large prospective cohort studyJian Zhou0Ziyi Wu1Zhengjun Lin2Wanchun Wang3Rongjun Wan4Rongjun Wan5Tang Liu6Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaLaboratory of Bone Disorder, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaObjectivePrevious studies have shown anti-cancer and anti-inflammatory benefits of glucosamine. This study was performed to prospectively evaluate the association between glucosamine supplementation and the mortality of multiple cancers based on the UK Biobank cohort study.Materials and methodsA total of 453,645 participants aged 38–73 who had no cancer at baseline were recruited between 2006 and 2010 and followed until March 2021. We used cox and poission proportional hazards models to explore the association between habitual use of glucosamine and cancer mortality. Subgroup analyses were conducted to understand the potential effect modifications of demographics, lifestyle factors, and health outcomes. Sensitivity analyses were performed to determine the robustness of the results.ResultsOf the participants, 88,224 (19.4%) reported habitual glucosamine use at baseline. There were 9,366 cancer deaths during a median follow-up of 12.1 years, and we observed a significant association between the use of glucosamine and lower overall cancer mortality (HR = 0.95, 95% CI = 0.90–1.00, p < 0.05), kidney cancer (IRR = 0.68, 95% CI = 0.49–0.95, p < 0.05), lung cancer mortality (IRR = 0.84, 95% CI = 0.74–0.95, p < 0.05), and rectum cancer (IRR = 0.76, 95% CI = 0.59–0.98, p < 0.05). Subgroup analysis showed that habitual glucosamine supplementation was correlated with lower overall cancer mortality among participants who were aged ≥ 60 years, male, current smoker, without high cholesterol and not obese. Sensitivity analysis showed that the results were stable.ConclusionHabitual glucosamine use was significantly related to decreased overall cancer, kidney cancer, lung cancer, and rectum cancer mortality, based on data from the large-scale, nationwide, prospective UK Biobank cohort study.https://www.frontiersin.org/articles/10.3389/fnut.2022.947818/fullglucosaminecancercohort studymortalityUK Biobank
spellingShingle Jian Zhou
Ziyi Wu
Zhengjun Lin
Wanchun Wang
Rongjun Wan
Rongjun Wan
Tang Liu
Association between glucosamine use and cancer mortality: A large prospective cohort study
Frontiers in Nutrition
glucosamine
cancer
cohort study
mortality
UK Biobank
title Association between glucosamine use and cancer mortality: A large prospective cohort study
title_full Association between glucosamine use and cancer mortality: A large prospective cohort study
title_fullStr Association between glucosamine use and cancer mortality: A large prospective cohort study
title_full_unstemmed Association between glucosamine use and cancer mortality: A large prospective cohort study
title_short Association between glucosamine use and cancer mortality: A large prospective cohort study
title_sort association between glucosamine use and cancer mortality a large prospective cohort study
topic glucosamine
cancer
cohort study
mortality
UK Biobank
url https://www.frontiersin.org/articles/10.3389/fnut.2022.947818/full
work_keys_str_mv AT jianzhou associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy
AT ziyiwu associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy
AT zhengjunlin associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy
AT wanchunwang associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy
AT rongjunwan associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy
AT rongjunwan associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy
AT tangliu associationbetweenglucosamineuseandcancermortalityalargeprospectivecohortstudy