Glucosamine – Injury Prevention and Recovery

Posted 9th May 2014 by Rick Miller, Clinical & Sports Dietitian

Rick Miller is a Harley Street clinical and sports dietitian and Senior Science Editor for International Fitness Magazine. Rick is also a national media spokesperson for the British Dietetic Association and provides elite nutrition services to professional athletes, such as the Professional Jockey’s Association.

Glucosamine is a naturally occurring substance in the body and forms one of the building blocks of the ground substance of the articular cartilage. The rationale for the use of glucosamine stems from its experimental use in animal models, where it has been shown to normalise cartilage metabolism by stimulating proteoglycan synthesis in chondrocytes (cartilage cells), rebuild damaged cartilage and possessed anti-inflammatory properties

Effective relief
Naturally, these beneficial properties of glucosamine have led to clinical trials in elderly patients with osteoarthritis (OA), the most common form of joint disease. The disease causes significant swelling of the joints, with ensuing pain and a gradual loss of mobility with time. The only current treatment for which is analgesic medication (pain relief) and physiotherapy to aid movement. A recent Cochrane Review of the effectiveness of glucosamine in osteoarthritis has shown it may improve pain relief by up to 22% and prevent further progression of cartilage loss in 25 pooled randomised controlled trials (RCTs) using up to 1500mg of glucosamine per day.

We now turn our attention to athletic populations. Whilst not necessarily having established OA, athletes often place enormous strain on their joints through the rigours of training and competition. In theory, if glucosamine can stimulate the repair of cartilage and reduce pain, the athlete could recover from training faster, work potentially harder for longer, reduce their use of NSAIDs and in some cases it could prolong their competitive career. However, established evidence for its use is at an earlier stage in comparison than trials with OA.

Researching the benefits
Two recent studies have examined the acute effects of glucosamine administration at 1500mg and 3000mg per day (ref. soccer and cycling) in both competitive cyclists and soccer players. The researchers showed a strong reduction in collagen breakdown. Furthermore, a study of 106 patients with acute knee injury using glucosamine for 4 weeks showed a significant improvement in knee flexion and extension over a placebo. These primary studies may indicate a potential preventative and expedited recovery function of glucosamine on cartilage tissue in athletes and possibly a trend beyond the previously cited dosages in the OA studies to reap the most benefits.

In conclusion, whilst sports performance can’t always be guaranteed a pain-free experience, glucosamine taken in isolation or alongside chondroitin may help keep those joints strong and less painful for longer in a safe way

References: 

  1. Towheed, T., Maxwell, L., Anastassiades, T.P., Shea, B., Houpt, J.B., Welch, V., Hochberg, M.C. & Wells, G.A. (2009) Glucosamine Therapy for Treating Osteoarthritis. The Cochrane Collaboration.
  2. Monomura, R., Naito, K., Igarashi, M., Watari, T., Terakado, A., Oike, S., Sakamoto, K., Nagaoka, I. & Kaneko, K. (2013) Evaluation of the Effect of Glucosamine Administration on Biomarkers of Cartilage and Bone Metabolism in Bicycle Racers. Molecular Medicine Reports, 7(3), p.742-746
  3. Yoshimura, M., Sakamoto, K., Tsuruta, A., Yamamoto, T., Ishida, K., Yamaguchi, H. & Nagaoka, I. Evaluation of the Effect of Glucosamine Administration on Biomarkers for Cartilage and Bone Metabolism in Soccer Players. International Journal of Molecular Medicine, 24(4), p.487-494
  4. Ostojic, S.M., Arsic, M., Prodanovic, S., Vukovic, J. & Zlatanovic, M. (2007) Glucosamine Administration in Athletes: Effects on Recovery of Acute Knee Injury. Research in Sports Medicine, 15(2), p.113-124
  5. Wandel, S., Juni, P. & Trelle, S. (2010) Effects of Glucosamine, Chondroitin, or Placebo in Patients with Osteoarthritis of Hip or Knee: Network Metanalysis. British Medical Journal, 341, c.4675.

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