Effect of magnesium supplementation on carotid intima-media thickness and flow-mediated dilatation among hemodialysis patients: a double-blind, randomized, placebo-controlled trial.

Abstract

OBJECTIVES:

The aim of the present study was to determine the efficacy of oral magnesium (Mg) supplementation on endothelial function through evaluation of carotid intima-media thickness (cIMT), brachial artery flow-mediated dilatation (FMD), and C-reactive protein (CRP) among hemodialysis (HD) patients.

METHODS:

This randomized, controlled, double-blind clinical trial consisted of 54 patients on HD. One group was treated orally with 440 mg of Mg oxide 3 times per week for 6 months (n = 29). The control group (n = 25) was given placebo using the same administration protocol. cIMT, FMD, serum calcium levels, phosphorus, lipid, CRP, and bicarbonate were measured at baseline and at 6 months in both groups.

RESULTS:

At 6 months, cIMT was significantly decreased in the Mg group (0.84 ± 0.13 mm at baseline and 0.76 ± 0.13 mm at 6 months, p = 0.001). However, in the placebo group, cIMT was significantly increased (0.73 ± 0.13 and 0.79 ± 0.12 mm, respectively, p = 0.003). When hypertension, diabetes mellitus, smoking, hyperlipidemia, and systemic lupus erythematosus were controlled for in the analysis, the effect of Mg remained significant in both groups (p = 0.000).

CONCLUSION:

Our results indicate that Mg might not improve endothelial function (CRP level and FMD) and that a decreased cIMT as a marker of atherosclerosis may be due to the inhibition of calcification through the regulation parathormone, calcium, and phosphorus.

• Authors: Mojgan Mortazavi, Firouzeh Moeinzadeh, Mohammad Saadatnia, Shahrzad Shahidi, Jeanie C McGee, Alireza Minagar
• Journal: European neurology (Eur Neurol) Vol. 69 Issue 5 Pg. 309-16 ( 2013) ISSN: 1421-9913 [Electronic] Switzerland
• PMID: 23548855 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2013 S. Karger AG, Basel.

Chemical References

• Magnesium

Topics

• Adult
• Aged
• Analysis of Variance
• Brachial Artery (diagnostic imaging, physiopathology)
• Carotid Arteries (diagnostic imaging, physiopathology)
• Carotid Intima-Media Thickness
• Dilatation (methods)
• Double-Blind Method
• Female
• Follow-Up Studies
• Humans
• Kidney Diseases (therapy)
• Magnesium (administration & dosage, blood)
• Male
• Middle Aged
• Regression Analysis
• Renal Dialysis (adverse effects)