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.