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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.
Didascalia (pronta da incollare)
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. Fonti: Clegg DO et al. GAIT — N Engl J Med 2006; Wandel S et al. Glucosamine/chondroitin network meta-analysis — BMJ 2010 Verificato il: 2026-10-17 Schede e script sono informazione sanitaria generale tratta da linee guida cliniche pubbliche. Non sono consigli medici individuali e non sostituiscono la valutazione di medico, farmacista o dietista. Mantieni fonti e questa nota quando condividi; questa pagina contiene la versione più recente. https://beyondckd.com/it/cards/glucosamine-what-trials-found
Script video breve 60 s
Inquadrature e voce fuori campo. Verticale 9:16; sottotitoli nel terzo inferiore. Ogni frase rimanda alle fonti a sinistra.
| s | Schermo | Voce |
|---|---|---|
| 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. |
Fonti (ogni punto della scheda vi corrisponde)
- Clegg DO et al. GAIT — N Engl J Med 2006
- Wandel S et al. Glucosamine/chondroitin network meta-analysis — BMJ 2010
Verificato il: 2026-10-17