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Bones, joints & muscles
Glucosamine: what the big trials found
Ten years on glucosamine? Here’s the NIH 1,583-person trial and the BMJ meta-analysis.
- 1GAIT (NEJM 2006): pain response placebo 60%, glucosamine 64%, chondroitin 65%, both 67% — none significant
- 2BMJ 2010 (3,803 people): pain improved 0.3–0.5 cm on a 10-cm scale, below the 0.9 cm that matters clinically
- 3Joint-space change on X-ray same as placebo — no “cartilage repair”
- 4Industry-funded trials showed 0.5 cm more effect than independent ones
- 5ACR 2019, OARSI 2019 and NICE 2022 all recommend against
- 6What works: exercise therapy and weight loss (each kg lost cuts knee load by about 4 kg)
Kidney patients: some products carry potassium or sodium; possible interaction with warfarin. Fairly safe — just don’t skip the exercise.
Légende (prête à coller)
Ten years on glucosamine? Here’s the NIH 1,583-person trial and the BMJ meta-analysis. 1. GAIT (NEJM 2006): pain response placebo 60%, glucosamine 64%, chondroitin 65%, both 67% — none significant 2. BMJ 2010 (3,803 people): pain improved 0.3–0.5 cm on a 10-cm scale, below the 0.9 cm that matters clinically 3. Joint-space change on X-ray same as placebo — no “cartilage repair” 4. Industry-funded trials showed 0.5 cm more effect than independent ones 5. ACR 2019, OARSI 2019 and NICE 2022 all recommend against 6. What works: exercise therapy and weight loss (each kg lost cuts knee load by about 4 kg) Kidney patients: some products carry potassium or sodium; possible interaction with warfarin. Fairly safe — just don’t skip the exercise. Sources: Clegg DO et al. GAIT — N Engl J Med 2006; Wandel S et al. Glucosamine/chondroitin network meta-analysis — BMJ 2010 Vérifié le: 2026-10-17 Cartes et scripts sont des informations d'éducation à la santé issues de recommandations cliniques publiques. Ce ne sont pas des conseils médicaux individuels et ils ne remplacent pas l'évaluation de votre médecin, pharmacien ou diététicien. Conservez les sources et cet avertissement lors du partage ; cette page fait foi pour la version la plus récente. https://beyondckd.com/fr/cards/glucosamine-what-trials-found
Script vidéo courte 60 s
Plans et voix off. Vertical 9:16 ; sous-titres dans le tiers inférieur. Chaque phrase renvoie aux sources à gauche.
| s | Image | Voix off |
|---|---|---|
| 0–5 | Glucosamine jar | All these years — did it work? |
| 5–25 | GAIT five bars | The NIH-funded GAIT trial: placebo 60%, glucosamine 64%, chondroitin 65%, both 67% — none significant. |
| 25–45 | BMJ 0.9 cm threshold | BMJ pooled ten large trials: pain improved only 0.3 to 0.5 cm; joint space changed the same as placebo. |
| 45–60 | Exercise + scale | Guidelines recommend against it. What works is exercise and weight loss — every kilo lost takes four off your knees. |
Sources (chaque point de la carte y renvoie)
- Clegg DO et al. GAIT — N Engl J Med 2006
- Wandel S et al. Glucosamine/chondroitin network meta-analysis — BMJ 2010
Vérifié le: 2026-10-17