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Metaanálisis2018Financiación no declarada

Effect of magnesium supplementation on endothelial function: A systematic review and meta-analysis of randomized controlled trials

Darooghegi Mofrad M, Djafarian K, Mozaffari H, Shab-Bidar S

Atherosclerosis · 35 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2018-04-14 · Atherosclerosis · vol. 273 · págs. 98–105
Editorial
Elsevier BV
Citado
53 citas · más que el 73% de estudios similares · 1.2× el promedio de su campo
Referencias
57 trabajos
Acceso
De pago
Áreas de investigación
Magnesium in Health and Disease · Cardiovascular Health and Disease Prevention · Nitric Oxide and Endothelin Effects
Palabras clave
magnesium supplementation, endothelial function, flow-mediated dilation, carotid intima-media thickness, hemodialysis patients, vascular function
MeSH
endothelium, vascular, humans, magnesium, vasodilation, dietary supplements, randomized controlled trials as topic, carotid intima-media thickness

4 autores

  • Manije Darooghegi Mofrad🇮🇷Tehran University of Medical Sciences
  • Kurosh Djafarian🇮🇷Tehran University of Medical Sciences
  • Hadis Mozaffari🇮🇷Tehran University of Medical Sciences
  • Sakineh Shab‐Bidar🇮🇷 · autor de correspondenciaTehran University of Medical Sciences

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background and aims

Findings of past studies are inconsistent regarding the effects of magnesium (Mg) supplementation on endothelial function (EF). We performed this meta-analysis to examine the effects of magnesium supplementation on flow-mediated dilation (FMD) and carotid intima media thickness (CIMT) as markers of EF.

Methods

Literature searches of English publications in MEDLINE and EMBASE databases were conducted up to November 2017. Results are reported as weighted mean difference (MD) with 95% confidence intervals (CI) using random effects model (DerSimonian-Laird method). Cochrane's Q test and I-squared (I2) were used to determine heterogeneity among included studies. To determine potential sources of heterogeneity, subgroup analysis was conducted for pre-defined criteria. Funnel plot and Egger's regression test were used to assess publication bias.

Results

Seven RCTs with 306 participants were included. Mg supplementation significantly increased FMD (MD: 2.97; 95% CI: 0.23 to 5.70%, p = 0.033). Between studies heterogeneity was high and subgroup analysis could not identify the sources of heterogeneity. Magnesium supplementation had no significant effect on CIMT (MD: -0.13 mm; 95% CI: 0.27, 0.01; p = 0.077) with high heterogeneity. Mg dose, duration of treatment, healthy status, baseline CIMT and sample size were the potential sources of heterogeneity. Mg supplementation could decrease CIMT to a greater extent in hemodialysis (HD) patients; lower doses of Mg, higher sample size and follow up duration and subjects with higher baseline CIMT also reduced the heterogeneity to some degree (p < 0.001).

Conclusions

Magnesium supplementation may improve endothelial function without affecting carotid intima media thickness.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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