Evidence map›Paper›PMID 32253185›Full record

ArticleAnnals of the rheumatic diseases2020

Associations of regular glucosamine use with all-cause and cause-specific mortality: a large prospective cohort study.

Zhi-Hao Li, Xiang Gao, Vincent Ch Chung, Wen-Fang Zhong, Qi Fu, Yue-Bin Lv, Zheng-He Wang, Dong Shen, Xi-Ru Zhang, Pei-Dong Zhang and 9 more

Abstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed.

  1. Article
  2. Article
  3. Comprehensive Research Progress on Glucosamine: A Review.Applied biochemistry and biotechnology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
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  17. Article
  18. Accelerometer-derived physical activity patterns and incident type 2 diabetes: a prospective cohort study.The international journal of behavioral nutrition and physical activity · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Zhi-Hao LiDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Xiang GaoDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, Pennsylvania, USA.
Vincent Ch ChungJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Wen-Fang ZhongDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Qi FuJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Yue-Bin LvNational Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Zheng-He WangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Dong ShenDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Xi-Ru ZhangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Pei-Dong ZhangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Fu-Rong LiDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Qing-Mei HuangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Qing ChenDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Wei-Qi SongDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Xian-Bo WuDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Xiao-Ming ShiNational Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Virginia Byers KrausDuke Molecular Physiology Institute and Division of Rheumatology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA maochen9@smu.edu.cn yangalice79@smu.edu.cn vbk@duke.edu.
Xingfen YangFood Safety and Health Research Center, School of Public Health, Southern Medical University, Guangzhou, China maochen9@smu.edu.cn yangalice79@smu.edu.cn vbk@duke.edu.
Chen MaoDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China maochen9@smu.edu.cn yangalice79@smu.edu.cn vbk@duke.edu.ORCID 0000-0002-6537-6215

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

objectivesTo evaluate the associations of regular glucosamine use with all-cause and cause-specific mortality in a large prospective cohort.

methodsThis population-based prospective cohort study included 495 077 women and men (mean (SD) age, 56.6 (8.1) years) from the UK Biobank study. Participants were recruited from 2006 to 2010 and were followed up through 2018. We evaluated all-cause mortality and mortality due to cardiovascular disease (CVD), cancer, respiratory and digestive disease. HRs and 95% CIs for all-cause and cause-specific mortality were calculated using Cox proportional hazards models with adjustment for potential confounding variables.

resultsAt baseline, 19.1% of the participants reported regular use of glucosamine supplements. During a median follow-up of 8.9 years (IQR 8.3-9.7 years), 19 882 all-cause deaths were recorded, including 3802 CVD deaths, 8090 cancer deaths, 3380 respiratory disease deaths and 1061 digestive disease deaths. In multivariable adjusted analyses, the HRs associated with glucosamine use were 0.85 (95% CI 0.82 to 0.89) for all-cause mortality, 0.82 (95% CI 0.74 to 0.90) for CVD mortality, 0.94 (95% CI 0.88 to 0.99) for cancer mortality, 0.73 (95% CI 0.66 to 0.81) for respiratory mortality and 0.74 (95% CI 0.62 to 0.90) for digestive mortality. The inverse associations of glucosamine use with all-cause mortality seemed to be somewhat stronger among current than non-current smokers (p for interaction=0.00080).

conclusionsRegular glucosamine supplementation was associated with lower mortality due to all causes, cancer, CVD, respiratory and digestive diseases.

Indexed as

Cardiovascular DiseasesDietary SupplementsDigestive System DiseasesFemaleGlucosamineHumansMaleMiddle AgedMortalityNeoplasmsProportional Hazards ModelsProspective StudiesRespiratory Tract DiseasesUnited KingdomGlucosaminecardiovascular diseaseepidemiologyoutcomes research

Identifiers

PMID32253185
PMCPMC7286049

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.