Abstract
Glucosamine and chondroitin are widely used as pharmaceutical and dietary supplements. However, there is a lack of information regarding consumer consumption of glucosamine and chondroitin in the Republic of Korea. We investigated the prevalence and factors affecting the use of glucosamine products in the general population aged 40 years and older in the Republic of Korea. We conducted this descriptive and exploratory study using a telephone-based survey with a structured questionnaire. We randomly selected subjects using a proportional allocation method based on age, gender, and region. We started the survey on September 19, 2009, and continued the survey until we obtained 1,000 respondents who were currently taking glucosamine or chondroitin, which occured on September 30, 2009. Among the 8,135 people approached, the response rate was 29.6%. A total of 12.2% of respondents (n = 991) were current users of glucosamine, while only 0.1% (n = 9) were current users of chondroitin. Two-fifths of current glucosamine users were not diagnosed with osteoarthritis by a doctor nor did they experience arthritis pain. These participants used glucosamine to maintain and promote joint health. Information on glucosamine was mainly obtained through advertisements on television or the Internet. Seventy percent of current users indicated that they did not know the composition of the glucosamine they took. Appropriate information and guides concerning glucosamine or chondroitin usage should be provided by expert clinicians because of the accessibility of both these cartilage derivatives as supplements and medical drugs in the Republic of Korea.
References
Kim H, Kim M (2009) A study of the demographic characteristics and socio-psychological factors affecting willingness to take health foods among elderly. Korean Assoc Human Ecol 18:201–210 Korean
Korea Food & Drug Administration (2008) Food & drug statistical yearbook. Republic of Korea, Seoul: Korea Food & Drug Administration, Korean
Herman CJ, Allen P, Hunt WC, Prasad A, Brady TJ (2004) Use of complementary therapies among primary care clinic patients with arthritis. Prev Chronic Dis 1:A12. doi:10.1002/art.21443
Kim H, Kim M (2009) A study of the demographic characteristics and socio-psychological factors affecting willingness to take health foods among elderly. Korean Assoc human ecology 18:201–210 Korean
Blakeley JA, Ribeiro V (2002) A survey of self-medication practices and perceived effectiveness of glucosamine products among older adults. Complement Ther Med 10:154–160. doi:10.1016/S0965229902000559
Marinac JS, Buchinger CL, Godfrey LA, Wooten JM, Sun C, Willsie SK (2007) Herbal products and dietary supplements: a survey of use, attitudes, and knowledge among older adults. J Am Osteopath Assoc 107:13–20
Jordan KM, Sawyer S, Coakley P, Smith HE, Cooper C, Arden NK (2004) The use of conventional and complementary treatments for knee osteoarthritis in the community. Rheumatology (Oxford) 43:381–384. doi:10.1093/rheumatology/keh045
Blakeley JA, Ribeiro V (2002) A survey of self-medication practices and perceived effectiveness of glucosamine products among older adults. Complement Ther Med 10:154–160. doi:10.1016/S0965229902000559
Towheed T, Maxwell L, Anastassiades TP, Shea B, Houpt J, Welch V, Hochberg MC, Wells GA (2005) Glucosamine therapy for treating osteoarthritis. Cochrane Database Syst Rev Issue 2. Art. No.: CD002946. doi:10.1002/14651858.CD002946.pub2
Black C, Clar C, Henderson R, MacEachern C, McNamee P, Quayyum Z, Royle P, Thomas S (2009) The clinical effectiveness of glucosamine and chondroitin supplements in slowing or arresting progression of osteoarthritis of the knee: a systematic review and economic evaluation. Health Technol Assess 13:1–148
Vlad SC, LaValley MP, McAlindon TE, Felson DT (2007) Glucosamine for pain in osteoarthritis: why do trial results differ? Arthritis Rheum 56:2267–2277. doi:10.1002/art.22728
Wandel S, Jüni P, Tendal B, Nüesch E, Villiger PM, Welton NJ, Reichenbach S, Trelle S (2010) Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis. BMJ 341:c4675. doi:10.1136/bmj.c4675
Samson DJ, Grant MD, Ratko TA, Bonnell CJ, Ziegler KM, Aronson N (2007) Treatment of primary and secondary osteoarthritis of the knee. Evid Rep Technol Assess 1–157
American Academy of Orthopaedic Surgeons (AAOS) (2008) American Academy of Orthopaedic Surgeons treatment of osteoarthritis of the knee (non-arthroplasty) (1st ed) Illinois: Author. http://www.aaos.org/research/guidelines/oakguideline.pdf
Zhang W, Nuki G, Moskowitz RW, Abramson S, Altman RD, Arden NK, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P (2010) OARSI recommendations for the management of hip and knee osteoarthritis: part III: changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthr Cartil 18:476–499. doi:10.1016/j.joca.2010.01.013
Sarnsamak P (2011) FDA to support controversial drugs. The Nation February 24, 2011 12:00 pm http://www.nationmultimedia.com/2011/02/24/national/FDA-to-support-controversial-drugs-30149419.html. Accessed 14 Nov 2011
Danish Medicines Agency (2011) The reimbursement for glucosamine is removed on 28 November 2011. http://laegemiddelstyrelsen.dk/en/topics/statistics,-prices-and-reimbursement/reimbursement-of-medicines/general-reimbursement/reassessment/news/the-reimbursement-for-glucosamine-is-rem--ember-2011 Accessed 14 November 2011
Swedish Dental and Pharmaceutical Benefits agency (2011) Glucosamine excluded from the pharmaceutical benefits scheme. http://www.tlv.se/in-english-old/news/glucosamine-excluded-from-the-pharmaceutical-benefits-scheme/ Accessed 14 Nov 2011
Acknowledgments
This study was supported by a grant from the National Evidence-based Healthcare Collaborating Agency, Republic of Korea (NA 2009-04).
Conflict of interest
The authors have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
Hyun-Ju Seo and Yoon-Kyoung Sung contributed equally to this work and should be considered co-first authors.
Rights and permissions
About this article
Cite this article
Seo, HJ., Sung, YK., Choi, CB. et al. Prevalence and factors affecting glucosamine use in Korea: a survey-based study. Rheumatol Int 33, 1627–1631 (2013). https://doi.org/10.1007/s00296-011-2288-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-011-2288-x