Beneficial effects of oral magnesium supplementation on insulin sensitivity and serum lipid profile.
BACKGROUND
Epidemiological studies have associated low dietary Mg2+ intake with insulin resistance (IR) and increased risk for metabolic syndrome; however, the effect of Mg2+ supplementation on IR has not been adequately investigated. This study aimed to investigate the effects of oral Mg2+ supplementation on insulin sensitivity (IS) and serum lipids.<br />


METHODS
Forty-eight patients with mild uncomplicated hypertension participated in the study. Among them, 24 subjects were assigned to 600 mg of pidolate Mg2+ daily in addition to lifestyle recommendations for a 12-week period, and another 24 age- and sex-matched controls were only given lifestyle recommendations. At baseline and study-end, blood sampling for determination of fasting glucose and insulin levels, serum lipids and other standard laboratory tests, as well as an oral glucose tolerance test (OGTT) for estimation of IS indices, were performed in all subjects.<br />


RESULTS
In the Mg2+ supplementation group the OGTT-derived IS indices of Stumvoll, Matsuda and Cedercholm in were increased between baseline baseline and study-end. In contrast, none of these parameters were changed in the control group. Reductions in total cholesterol, LDL-cholesterol and triglyceride levels, along with a parallel increase in HDL-cholesterol levels, were evident at study-end in the intervention group, but not in the control group.<br />


CONCLUSIONS
This study suggests that oral Mg2+ supplementation improves IS and lipid profile in mildly hypertensive patients. These potential beneficial effects of Mg2+ on associated metabolic factors could be helpful for patients with hypertension in terms of overall cardiovascular risk reduction.
Section of Nephrology and Hypertension, 1st Department of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Lina S
LS
Hadjistavri
Pantelis A
PA
Sarafidis
Panagiotis I
PI
Georgianos
Ioannis M
IM
Tziolas
Costas P
CP
Aroditis
Areti
A
Hitoglou-Makedou
Pantelis E
PE
Zebekakis
Maria I
MI
Pikilidou
Anastasios N
AN
Lasaridis
D000284:Administration, Oral; D000328:Adult; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D019587:Dietary Supplements; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D007333:Insulin Resistance; D008055:Lipids / Q000097:blood*; D008274:Magnesium / Q000627:therapeutic use*; D008297:Male; D024821:Metabolic Syndrome / Q000517:prevention & control; D008875:Middle Aged; D012306:Risk
D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D008055:Lipids; D008274:Magnesium