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Effect of magnesium supplementation on lipid profile: a systematic review and meta-analysis of randomized controlled trials

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Abstract

Purpose

We performed a meta-analysis of randomized controlled trials (RCTs) in order to evaluate the effect of oral magnesium supplementation on lipid profile of both diabetic and non-diabetic individuals.

Methods

PubMed-Medline, SCOPUS, Web of Science, and Google Scholar databases were searched (from inception to February 23, 2016) to identify RCTs evaluating the effect of magnesium on lipid concentrations. A random-effects model and generic inverse variance method were used for quantitative data synthesis. Sensitivity analysis was conducted using the leave-one-out method. A weighted random-effects meta-regression was performed to evaluate the impact of potential confounders on lipid concentrations.

Results

Magnesium treatment was not found to significantly affect plasma concentrations of any of the lipid indices including total cholesterol (WMD 0.03 mmol/L, 95% CI −0.11, 0.16, p = 0.671), LDL-C (WMD −0.01 mmol/L, 95% CI −0.13, 0.11, p = 0.903), HDL-C (WMD 0.03 mmol/L, 95% CI −0.003, 0.06, p = 0.076), and triglycerides concentrations (WMD −0.10 mmol/L, 95% CI −0.25, 0.04, p = 0.149). In a subgroup analysis comparing studies with and without diabetes, no difference was observed between subgroups in terms of changes in plasma total cholesterol (p = 0.924), LDL-C (p = 0.161), HDL-C (p = 0.822), and triglyceride (p = 0.162) concentrations.

Conclusions

Results of the present meta-analysis indicated that magnesium supplementation showed no significant effects on the lipid profile of either diabetic or non-diabetic individuals.

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References

  1. Stamler J, Daviglus ML, Garside DB, Dyer AR, Greenland P, Neaton JD (2000) Relationship of baseline serum cholesterol levels in 3 large cohorts of younger men to long-term coronary, cardiovascular, and all-cause mortality and to longevity. JAMA 284:311–318

    Article  CAS  PubMed  Google Scholar 

  2. Yusuf S, Reddy S, Ounpuu S, Anand S (2001) Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 104:2746–2753

    Article  CAS  PubMed  Google Scholar 

  3. Toth PP, Potter D, Ming EE (2012) Prevalence of lipid abnormalities in the United States: the national health and nutrition examination survey 2003-2006. J Clin Lipidol 6:325–330

    Article  PubMed  Google Scholar 

  4. Aguilar-Salinas CA, Gómez-Pérez FJ, Rull J, Villalpando S, Barquera S, Rojas R (2010) Prevalence of dyslipidemias in the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex 52(Suppl 1):S44–S53

    Article  PubMed  Google Scholar 

  5. Zhao WH, Zhang J, Zhai Y, You Y, Man QQ, Wang CR, Li H, Li Y, Yang XG (2007) Blood lipid profile and prevalence of dyslipidemia in Chinese adults. Biomed Environ Sci 20:329–335

    CAS  PubMed  Google Scholar 

  6. Daviglus ML, Pirzada A, Talavera GA (2014) Cardiovascular disease risk factors in the Hispanic/Latino population: lessons from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prog Cardiovasc Dis 57(3):230–236

    Article  PubMed  Google Scholar 

  7. Rodriguez CJ, Cai J, Swett K, González HM, Talavera GA, Wruck LM, Wassertheil-Smoller S, Lloyd-Jones D, Kaplan R, Daviglus ML (2015) High cholesterol awareness, treatment, and control among Hispanic/Latinos: results from the Hispanic Community Health Study/Study of Latinos. J Am Heart Assoc 4(7). doi:10.1161/JAHA.115.001867

  8. Baigent C, Keech A, Kearney PM, Blackwell L, Buck G, Pollicino C, Kirby A, Sourjina T, Peto R, Collins R, Simes R, Cholesterol Treatment Trialists’ (CTT) Collaborators (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366:1267–1278

    Article  CAS  PubMed  Google Scholar 

  9. Sahebkar A, Watts GF (2013a) New therapies targeting apoB metabolism for high-risk patients with inherited dyslipidaemias: what can the clinician expect? Cardiovasc Drugs Ther 27(6):559–567. doi:10.1007/s10557-013-6479-4

    Article  CAS  PubMed  Google Scholar 

  10. Sahebkar A, Watts GF (2013b) New LDL-cholesterol lowering therapies: pharmacology, clinical trials, and relevance to acute coronary syndromes. Clin Ther 35(8):1082–1098. doi:10.1016/j.clinthera.2013.06.019

    Article  CAS  PubMed  Google Scholar 

  11. Sahebkar A, Chew GT, Watts GF (2014a) New peroxisome proliferator-activated receptor agonists: potential treatments for atherogenic dyslipidemia and non-alcoholic fatty liver disease. Expert Opin Pharmacother 15(4):493–503. doi:10.1517/14656566.2014.876992

    Article  CAS  PubMed  Google Scholar 

  12. Sahebkar A, Chew GT, Watts GF (2014b) Recent advances in pharmacotherapy for hypertriglyceridemia. Prog Lipid Res 56:47–66. doi:10.1016/j.plipres.2014.07.002

    Article  CAS  PubMed  Google Scholar 

  13. Banach M, Aronow WS, Serban C, Sahebkar A, Rysz J, Voroneanu L, Covic A (2015) Lipids, blood pressure and kidney update 2014. Pharmacol Res 95-96:111–125. doi:10.1016/j.phrs.2015.03.009

    Article  CAS  PubMed  Google Scholar 

  14. Guerrero-Romero F, Tamez-Perez HE, González-González G, Salinas-Martínez AM, Montes-Villarreal J, Treviño-Ortiz JH, Rodríguez-Morán M (2004) Oral magnesium supplementation improves insulin sensitivity in non-diabetic subjects with insulin resistance. A double-blind placebo-controlled randomized trial. Diabetes Metab 30:253–258

    Article  CAS  PubMed  Google Scholar 

  15. Solati M, Ouspid E, Hosseini S, Soltani N, Keshavarz M, Dehghani M (2014) Oral magnesium supplementation in type II diabetic patients. Med J Islam Repub Iran 28:67

    PubMed  PubMed Central  Google Scholar 

  16. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535. doi:10.1136/bmj.b2535

    Article  PubMed  PubMed Central  Google Scholar 

  17. Higgins JPT, Green S, eds (2009) Cochrane handbook for systematic reviews of interventions. Version 5.0.2. London

  18. Borenstein M, Hedges L, Higgins J, Rothstein H (2005) Comprehensive meta-analysis version 2. Biostat, Englewood

    Google Scholar 

  19. Wan X, Wang W, Liu J, Tong T (2014) Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol 14:135

    Article  PubMed  PubMed Central  Google Scholar 

  20. Sutton AJ, Abrams KR, Jones DR, Sheldon TA, Song F (2000) Methods for meta-analysis in medical research. John Wiley & Sons, West Sussex

    Google Scholar 

  21. Ferretti G, Bacchetti T, Sahebkar A (2015) Effect of statin therapy on paraoxonase-1 status: a systematic review and meta-analysis of 25 clinical trials. Prog Lipid Res 60:50–73. doi:10.1016/j.plipres.2015.08.003

    Article  CAS  PubMed  Google Scholar 

  22. Sahebkar A (2014) Are curcuminoids effective C-reactive protein-lowering agents in clinical practice? Evidence from a meta-analysis. Phytother Res 28:633–642. doi:10.1002/ptr.5045

    Article  CAS  PubMed  Google Scholar 

  23. Duval S, Tweedie R (2000) Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56:455-63

  24. Eibl NL, Kopp HP, Nowak HR, Schnack CJ, Hopmeier PG, Schernthaner G (1995) Hypomagnesemia in type II diabetes: effect of a 3-month replacement therapy. Diabetes Care 18:188–192

    Article  CAS  PubMed  Google Scholar 

  25. de Valk HW, Verkaaik R, van Rijn HJ, Geerdink RA, Struyvenberg A (1998) Oral magnesium supplementation in insulin-requiring type 2 diabetic patients. Diabet Med 15:503–507

    Article  PubMed  Google Scholar 

  26. Karandish M, Tamimi M, Shayesteh AA, Haghighizadeh MH, Jalali MT (2013) The effect of magnesium supplementation and weight loss on liver enzymes in patients with nonalcoholic fatty liver disease. J Res Med Sci 18(7):573–579

    PubMed  PubMed Central  Google Scholar 

  27. Rodríguez-Morán M, Guerrero-Romero F (2003) Oral magnesium supplementation improves insulin sensitivity and metabolic control in type 2 diabetic subjects: a randomized double-blind controlled trial. Diabetes Care 26:1147–1152

    Article  PubMed  Google Scholar 

  28. Guerrero-Romero F, Rodríguez-Morán M (2009) The effect of lowering blood pressure by magnesium supplementation in diabetic hypertensive adults with low serum magnesium levels: a randomized, double-blind, placebo-controlled clinical trial. J Hum Hypertens 23:245–251. doi:10.1038/jhh.2008.129

    Article  CAS  PubMed  Google Scholar 

  29. Lima de Souza E, Silva M de L, Cruz T, Rodrigues LE, Ladeia AM, Bomfim O, Olivieri L, Melo J, Correia R, Porto M, Cedro A (2014) Magnesium replacement does not improve insulin resistance in patients with metabolic syndrome: a 12-week randomized double-blind study. J Clin Med Res 6:456–462. doi:10.14740/jocmr1580w

    Google Scholar 

  30. Mooren FC, Krüger K, Völker K, Golf SW, Wadepuhl M, Kraus A (2011) Oral magnesium supplementation reduces insulin resistance in non-diabetic subjects—a double-blind, placebo-controlled, randomized trial. Diabetes Obes Metab 13:281–284. doi:10.1111/j.1463-1326.2010.01332.x

    Article  CAS  PubMed  Google Scholar 

  31. Rasmussen HS, Aurup P, Goldstein K, McNair P, Mortensen PB, Larsen OG, Lawaetz H (1989) Influence of magnesium substitution therapy on blood lipid composition in patients with ischemic heart disease. A double-blind, placebo controlled study. Arch Intern Med 149(5):1050–1053

    Article  CAS  PubMed  Google Scholar 

  32. Guerrero-Romero F, Simental-Mendía LE, Hernández-Ronquillo G, Rodriguez-Morán M (2015) Oral magnesium supplementation improves glycaemic status in subjects with prediabetes and hypomagnesaemia: a double-blind placebo-controlled randomized trial. Diabetes Metab 41:202–207. doi:10.1016/j.diabet.2015.03.010

    Article  CAS  PubMed  Google Scholar 

  33. Rodríguez-Moran M, Guerrero-Romero F (2014) Oral magnesium supplementation improves the metabolic profile of metabolically obese, normal-weight individuals: a randomized double-blind placebo-controlled trial. Arch Med Res 45:388–393. doi:10.1016/j.arcmed.2014.05.003

    Article  PubMed  Google Scholar 

  34. Lee S, Park HK, Son SP, Lee CW, Kim IJ, Kim HJ (2009) Effects of oral magnesium supplementation on insulin sensitivity and blood pressure in normo-magnesemic nondiabetic overweight Korean adults. Nutr Metab Cardiovasc Dis 19:781–788. doi:10.1016/j.numecd.2009.01.002

    Article  CAS  PubMed  Google Scholar 

  35. Witteman JC, Grobbee DE, Derkx FH, Bouillon R, de Bruijn AM, Hofman A (1994) Reduction of blood pressure with oral magnesium supplementation in women with mild to moderate hypertension. Am J Clin Nutr 60(1):129–135

    CAS  PubMed  Google Scholar 

  36. Zemel PC, Zemel MB, Urberg M, Douglas FL, Geiser R, Sowers JR (1990) Metabolic and hemodynamic effects of magnesium supplementation in patients with essential hypertension. Am J Clin Nutr 51(4):665–669

    CAS  PubMed  Google Scholar 

  37. Marken PA, Weart CW, Carson DS, Gums JG, Lopes-Virella MF (1989) Effects of magnesium oxide on the lipid profile of healthy volunteers. Atherosclerosis 77(1):37–42

    Article  CAS  PubMed  Google Scholar 

  38. Navarrete-Cortes A, Ble-Castillo JL, Guerrero-Romero F, Cordova-Uscanga R, Juárez-Rojop IE, Aguilar-Mariscal H, Tovilla-Zarate CA, Lopez-Guevara M del R (2014) No effect of magnesium supplementation on metabolic control and insulin sensitivity in type 2 diabetic patients with normomagnesemia. Magnes Res 27:48–56. doi:10.1684/mrh.2014.0361

    PubMed  Google Scholar 

  39. Cosaro E, Bonafini S, Montagnana M, Danese E, Trettene MS, Minuz P, Delva P, Fava C (2014) Effects of magnesium supplements on blood pressure, endothelial function and metabolic parameters in healthy young men with a family history of metabolic syndrome. Nutr Metab Cardiovasc Dis 24:1213–1220. doi:10.1016/j.numecd.2014.05.010

    Article  CAS  PubMed  Google Scholar 

  40. Coudray C, Rambeau M, Feillet-Coudray C, Gueux E, Tressol JC, Mazur A, Rayssiguier Y (2005) Study of magnesium bioavailability from ten organic and inorganic Mg salts in Mg-depleted rats using a stable isotope approach. Magnes Res 18(4):215–223

    CAS  PubMed  Google Scholar 

  41. Romani AM (2013) Magnesium in health and disease. Met Ions Life Sci 13:49–79

    Article  PubMed  Google Scholar 

  42. Rayssiguier Y (1986) Magnesium, lipids and vascular diseases. Experimental evidence in animal models. Magnesium 5:182–190

    CAS  PubMed  Google Scholar 

  43. Gueux E, Rayssiguier Y, Piot MC, Alcindor L (1984) Reduction of plasma lecithin--cholesterol acyltransferase activity by acute magnesium deficiency in the rat. J Nutr 114:1479–1483

    CAS  PubMed  Google Scholar 

  44. Sales CH, Santos AR, Cintra DE, Colli C (2014) Magnesium-deficient high-fat diet: effects on adiposity, lipid profile and insulin sensitivity in growing rats. Clin Nutr 33:879–888

    Article  CAS  PubMed  Google Scholar 

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Contributions of authors statement

LESM conceptualized and designed the study, drafted the initial manuscript, and approved the final manuscript as submitted. MSM designed the study, drafted the initial manuscript, critically reviewed the manuscript, and approved the final manuscript as submitted. AS carried out the statistical analyses and interpretation of data, critically reviewed the manuscript, and approved the final manuscript as submitted. MRM drafted the initial manuscript, critically reviewed the manuscript, and approved the final manuscript as submitted. FGR conceptualized and designed the study, drafted the initial manuscript, critically reviewed the manuscript, and approved the final manuscript as submitted

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Correspondence to Fernando Guerrero-Romero.

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Electronic supplementary material

Figure S1

Random-effects meta-regression plots of the association between mean changes in plasma concentrations of lipids and dose of magnesium. (TIFF 250 kb)

High resolution image (GIF 99 kb)

Figure S2

Random-effects meta-regression plots of the association between mean changes in plasma concentrations of lipids and duration of treatment with magnesium. (TIFF 247 kb)

High resolution image (GIF 96 kb)

Figure S3

Random-effects meta-regression plots of the association between mean changes in plasma concentrations of lipids and baseline lipid concentrations. (TIFF 262 kb)

High resolution image (GIF 103 kb)

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Simental-Mendía, L.E., Simental-Mendía, M., Sahebkar, A. et al. Effect of magnesium supplementation on lipid profile: a systematic review and meta-analysis of randomized controlled trials. Eur J Clin Pharmacol 73, 525–536 (2017). https://doi.org/10.1007/s00228-017-2212-8

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  • DOI: https://doi.org/10.1007/s00228-017-2212-8

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