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. 2023 Jan 27;32(4):531–541. doi: 10.1158/1055-9965.EPI-22-1134

Table 2.

Association between regular glucosamine use and risk of cancers.

Regular glucosamine use Adjusted hazard ratio (95% confidence interval)
No (N = 338,015) Yes (N = 80,045) Model 1a Model 2b Model 3c Model 4d
Site of cancer Number of events (%) Person-years Incidence (per 1000 person-years) Number of events (%) Person years Incidence (per 1000 person-years)
Overall cancer 49,596 (14.7) 3,925,149 12.635 13,834 (17.3) 918,147 15.067 1.03 (1.01–1.05)** 1.03 (1.01–1.05)** 1.04 (1.02–1.06)*** 1.04 (1.01–1.06) ***
Prostate (male) 7,264 (4.6) 1,843,831 3.940 1847 (6.2) 343,544 5.376 1.11 (1.05–1.17)*** 1.09 (1.03–1.15)** 1.08 (1.03–1.14)** 1.07 (1.01–1.13)*
Other male specific 401 (0.3) 1,960,805 0.205 74 (0.2) 368,863 0.201 0.90 (0.70–1.15) 0.82 (0.63–1.06) 0.93 (0.72–1.19) 0.84 (0.64–1.09)
Cervical (female) 373(0.2) 2,242,193 0.166 74 (0.1) 630,931 0.117 1.08 (0.84–1.39) 1.18 (0.90–1.54) 1.08 (0.84–1.40) 1.18 (0.90–1.54)
Breast (female) 6,937 (3.9) 2,068,394 3.354 2131 (4.2) 580,142 3.673 1.04 (0.99–1.09) 1.04 (0.98–1.09) 1.03 (0.98–1.08) 1.03 (0.98–1.09)
Ovarian (female) 648 (0.4) 2,045,160 0.317 195 (0.4) 574,998 0.339 0.94 (0.80–1.10) 0.91 (0.77–1.09) 0.94 (0.80–1.11) 0.91 (0.77–1.09)
Endometrium (female) 962 (0.5) 2,244,076 0.429 332 (0.7) 630,466 0.527 1.07 (0.95–1.22) 1.01 (0.89–1.16) 1.10 (0.97–1.25) 1.03 (0.90–1.18)
Other female specific 233 (0.1) 2,244,369 0.104 89 (0.2) 630,996 0.141 1.18 (0.92–1.52) 1.18 (0.91–1.54) 1.17 (0.91–1.50) 1.17 (0.90–1.53)
Lung 2,615 (0.8) 4,202,895 0.622 521 (0.7) 999,567 0.521 0.74 (0.67–0.81) *** 0.85 (0.77–0.94) ** 0.77 (0.70–0.85) *** 0.88 (0.79–0.97)*
Esophagus 700 (0.2) 3,779,066 0.185 146 (0.2) 898,356 0.163 0.81 (0.67–0.96)* 0.85 (0.70–1.02) 0.84 (0.70–1.00) 0.87 (0.72–1.05)
Stomach 471 (0.1) 3,841,060 0.123 102 (0.1) 913,081 0.112 0.85 (0.69–1.06) 0.96 (0.76–1.21) 0.89 (0.71–1.10) 0.99 (0.78–1.25)
Colorectal 4,072 (1.2) 3,959,252 1.028 1041 (1.3) 941,037 1.106 0.94 (0.87–1.00) 0.95 (0.88–1.02) 0.95 (0.89–1.02) 0.96 (0.89–1.03)
Hepatobiliary 600 (0.2) 3,753,322 0.160 146 (0.2) 892,010 0.164 0.90 (0.75–1.08) 0.96 (0.79–1.17) 0.95 (0.79–1.14) 1.01 (0.83–1.23)
Pancreas 790 (0.2) 3,853,922 0.205 248 (0.3) 915,380 0.271 1.11 (0.96–1.28) 1.13 (0.97–1.32) 1.11 (0.96–1.28) 1.14 (0.97–1.33)
Malignant melanoma 2,674 (0.8) 4,024,980 0.664 793 (1.0) 952,917 0.832 1.11 (1.03–1.21)** 1.08 (0.99–1.17) 1.10 (1.01–1.19)* 1.07 (0.98–1.17)
Skin 15,650 (4.6) 4,112,501 3.805 5018 (6.3) 969,892 5.174 1.13 (1.10–1.17)*** 1.11 (1.07–1.15)*** 1.14 (1.10–1.17)*** 1.11 (1.07–1.15)***
Kidney 1,026 (0.3) 3,801,720 0.270 230 (0.3) 903,729 0.255 0.84 (0.73–0.97)* 0.89 (0.76–1.03) 0.87 (0.75–1.01) 0.91 (0.78–1.07)
Thyroid 297 (0.1) 3,756,325 0.079 62 (0.1) 889,399 0.070 0.73 (0.55–0.96)* 0.78 (0.58–1.05) 0.75 (0.57–0.99)* 0.80 (0.60–1.08)
Brain 537 (0.2) 3,714,623 0.145 128 (0.2) 882,834 0.145 0.93 (0.76–1.13) 0.92 (0.75–1.13) 0.92 (0.76–1.13) 0.91 (0.74–1.12)
All other cancers 6,734 (2.0) 3,925,149 1.716 1705 (2.1) 918,147 1.857 0.99 (0.93–1.03) 0.99 (0.94–1.05) 1.00 (0.94–1.05) 1.01 (0.95–1.07)

aAdjusted for sociodemographic variables (including gender, ethnicity, education and Townsend Deprivation Index).

bAdjusted for sociodemographic variables mentioned above and lifestyle factors (including smoking, alcohol consumption, vegetable consumption, processed meat intake, fresh fruit intake, vitamin supplements, mineral supplements, body mass index, and physical activities).

cAdjusted for sociodemographic variables mentioned above as well as medical conditions and services (including diagnosis of osteoarthritis/ rheumatoid arthritis/ joint pain/ multiple sclerosis, history of screening for bowel cancer/ breast cancer/ prostate-specific antigen test, use of aspirin/NSAIDs/Hormone-replacement therapy, family history of cancer, and overall health rating).

dAdjusted for all covariates mentioned above, including sociodemographic variables, lifestyle factors, and medical conditions and services.

*P ≤ 0.05.

**P ≤ 0.01.

***P ≤ 0.001.