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From Medscape

 

March 17, 2004 — Glucosamine has a disease-modifying effect on osteoarthrit=

is,

according to the results of two three-year randomized studies published in =

the

March/April issue of Menopause.

 

" The management of knee osteoarthritis, recognized as responsible for consi=

stent

pain and disability, is a major social and economic target in health manage=

ment, "

write Olivier Bruyere, MSc, from the WHO Collaborating Center for Public He=

alth

Aspect of Osteoarticular Disorders in Liege, Belgium, and colleagues. " For =

a few years,

glucosamine sulfate has been considered a potential disease-modifying drug =

for

osteoarthritis. "

 

This study was a preplanned combination of two three-year, randomized, plac=

ebo-

controlled, prospective, independent trials investigating the effects of gl=

ucosamine

sulfate on symptoms and joint structure in osteoarthritis. Of 414 subjects =

enrolled,

319 were postmenopausal women. Demographics and disease characteristics wer=

e

similar at baseline in the glucosamine sulfate and placebo groups, both in =

the overall

study population and in the subgroup of postmenopausal women.

 

After three years, postmenopausal women who received placebo had joint spac=

e

narrowing on standing anteroposterior knee radiographs, but those who recei=

ved

glucosamine did not. Joint space change was +0.003 mm (95% confidence inter=

val

[CI], -0.09 to 0.11) in the glucosamine group and -0.33 mm (95% CI, -0.44 t=

o -0.22)

in the placebo group (P < .0001).

 

The glucosamine sulfate group also improved in the Western Ontario and McMa=

ster

Universities Osteoarthritis Index function scale (WOMAC) reflecting symptom=

s (-

14.1%; 95% CI, -22.2 to -5.9), while there was a trend for worsening in the=

placebo

group (5.4%; 95% CI, -4.9 to 15.7; P = .003 between groups).

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