Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T07:21:19.852Z Has data issue: false hasContentIssue false

The effects of high oral magnesium supplementation on blood pressure, serum lipids and related variables in apparently healthy Japanese subjects

Published online by Cambridge University Press:  09 March 2007

Kazue Itoh
Affiliation:
Nakamura Gakuen University, Fukuoka 814, Japan
Terukazu Kawasaki
Affiliation:
Institute of Health Science, Kyushu University, Kasuga 816, Japan
Motoomi Nakamura
Affiliation:
Nakamura Gakuen University, Fukuoka 814, Japan
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In a double-blind, placebo-controlled study, thirty-three subjects were allocated to undergo either a 4-week treatment with oral Mg supplementation (Mg(OH)2; 411–548 mg Mg/d) or a placebo. The urinary excretion of Mg increased significantly in both the first 2 weeks and the following 2 weeks of Mg supplementation, while the urinary Na excretion also increased significantly over the experimental period. The systolic and diastolic blood pressure values decreased significantly in the Mg group, but not in the placebo group. The urinary aldosterone excretion and packed cell volume increased significantly during the last 2 weeks of the experimental period compared with the run-in period and first 2 weeks of supplementation. There was a statistically significant positive correlation between the values for urinary noradrenaline excretion and diastolic blood pressure at the end of the supplementation period (both expressed as a percentage of the run-in value). Statistically significant increases in lecithin-cholesterol acyltransferase (EC 2.3.1.43; LCAT), HDL-cholesterol and apolipoprotein AI were also observed after Mg supplementation. A significant positive correlation was observed between the levels of LCAT and urinary Mg excretion for the experimental period (expressed as a percentage of the run-in value). The total cholesterol: HDL-cholesterol ratio decreased significantly during the last 2 weeks of Mg supplementation compared with the first 2 weeks and the run-in periods, but this did not occur in the placebo group. These results suggest that Mg supplementation may lower blood pressure through the suppression of the adrenergic activity and possible natriuresis, while also improving the serum lipids through the activation of LCAT in human subjects.

Type
Human and Clinical Nutrition
Copyright
Copyright © The Nutrition Society 1997

References

REFERENCES

Altura, B. M. & Altura, B. T. (1995). Role of magnesium in the pathogenesis of hypertension: relationship to its action on cardiac, vascular smooth muscle, and endothelial cells updated. In Hypertension: Pathophysiology, Diagnosis, and Management, 2nd ed., pp. 12131242 [Laragh, J. H. and Brenner, B. M., editors]. New York: Raven Press.Google Scholar
Bussiere, L., Mazur, A., Gueux, E., Nowacki, W. & Rayssiguier, Y. (1995) Triglyceride-rich lipoproteins from magnesium-deficient rats are more susceptible to oxidation by cells and promote proliferation of cultured vascular smooth muscle cells. Magnesium Research 8, 151158.Google ScholarPubMed
Cappuccio, F. P., Markandu, N. D., Beynon, G. W., Shore, A. C. & Sampson, B. (1985) Lack of effect of oral magnesium on high blood pressure: a double blind study. British Medical Journal 291, 235238.CrossRefGoogle ScholarPubMed
Cohen, L., Laor, A. & Kitzes, R. (1984) Reversible retinal vasospasm in magnesium treated hypertension despite no significant change in blood pressure. Magnesium 3, 159163.Google ScholarPubMed
Davis, W. H., Leary, W. P., Reyes, A. J. & Olhaberry, J. V. (1984) Mono-therapy with magnesium increases abnormally low high-density lipoprotein cholesterol: a clinical assay. Current Therapeutic Research 36, 341346.Google Scholar
Durlach, J., Durlach, V., Rayssiguier, Y., Bara, M. & Guiet-Bara, A. (1992) Magnesium and blood pressure. Clinical studies. Magnesium Research 5, 147153.Google ScholarPubMed
Friedewald, W. T., Levy, R. I. & Fredrickson, D. S. (1972) Estimation of concentration of low-density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clinical Chemistry 18, 499.CrossRefGoogle ScholarPubMed
Gueux, E., Piot, M. C., Rayssiguier, Y. & Alcindor, L. (1984) The reduction of plasma lecithin-cholesterol acyltransferase activity by acute magnesium deficiency in the rat. Journal of Nutrition 114, 14791483.CrossRefGoogle ScholarPubMed
Gueux, E. & Rayssiguier, Y. (1983) The effects of magnesium deficiency on glucose stimulated insulin secretion in rats. Hormone and Metabolic Research 15, 594597.CrossRefGoogle ScholarPubMed
Health Promotion and Nutrition Division Health Service Bureau, Ministry of Health and Welfare (1994) Recommended Dietary Allowance for the Japanese, 5th revision, p. 76. Tokyo: Daiichi Shuppan.Google Scholar
Henderson, D. G., Schierup, J. & Schodt, T. (1986) Effect of magnesium supplementation on blood pressure and electrolytes concentrations in hypertensive patients receiving long-term diuretic treatment. British Medical Journal 293, 664665.CrossRefGoogle ScholarPubMed
Itoh, K., Kawasaki, T., Yoshida, H. & Nakamura, M. (1994) Effects of oral Mg supplementation on blood pressure, serum lipids and catecholamines in healthy young subjects. Journal of Hypertension 12 Suppl. 3, S86.Google Scholar
Kesteloot, H. & Joossens, J. V. (1988) Relationship of dietary sodium, potassium, calcium, and magnesium with blood pressure; Belgian interuniversity research on nutrition and health. Hypertension 12, 594599.CrossRefGoogle ScholarPubMed
Kihara, M., Fuzikawa, J., Ohtaka, M., Mano, M., Nara, Y., Horie, R., Tsunematsu, T., Note, S., Fukase, M. & Yamori, Y. (1984) Interrelationships between blood pressure, sodium, potassium, serum cholesterol and protein intake in Japanese. Hypertension 6, 736742.CrossRefGoogle ScholarPubMed
Kisters, K., Spieker, C., Tepel, M. & Zidek, W. (1993) New data about the effects of oral physiological magnesium supplementation on several cardiovascular risk factors (lipids and blood pressure). Magnesium Research 6, 355360.Google ScholarPubMed
Kobayashi, J. (1960) A chemical study of the average quality and characteristics of river waters in Japan. Berichte des Ohara Instituts für landwirtschaftliche Forschungen Okayama Universität 11, 313357.Google Scholar
Lai, S., Yuanchang, T., Weiling, H., Peisheng, M. & Guanqing, H. (1989) Urinary electrolytes and blood pressure in three Yi farmer populations, China. Hypertension 13, 2230.CrossRefGoogle Scholar
Laurant, P., Kantelip, J. P. & Berthlot, A. (1995) Dietary magnesium supplementation modifies blood pressure and cardiovascular function in mineralocorticoid-salt hypertensive rats but not in normotensive rats. Journal of Nutrition 125, 830841.Google ScholarPubMed
Luthringer, C., Rayssiguier, Y., Gueux, E. & Berthelet, A. (1988) Effect of moderate magnesium deficiency on serum lipids, blood pressure and cardiovascular reactivity in normotensive rats. British Journal of Nutrition 59, 243250.CrossRefGoogle ScholarPubMed
Mahfouz, M. M., ZhouQ., Q., & Kummerow, F. A. (1994) Cholesterol oxides in plasma and lipoproteins of magnesium-deficient rabbits and effects of their lipoproteins on endothelial barrier function. Magnesium Research 7, 207222.Google ScholarPubMed
Marier, J. R. (1982) Role of environmental magnesium in cardiovascular diseases. Magnesium 1, 266276.Google Scholar
Motoyama, T., Sano, H. & Fukuzaki, H. (1989) Oral magnesium supplementation in patients with essential hypertension. Hypertension 13, 227232.CrossRefGoogle ScholarPubMed
Nadler, J. L., Goodson, S. & Rude, R. K. (1987) Evidence that prostacycline mediated the vascular action of magnesium in humans. Hypertension 9, 379383.CrossRefGoogle ScholarPubMed
Nassir, F., Mazur, A., Giannoni, F., Gueux, E., Davidson, N. O. & Rayssiguier, Y. (1995) Magnesium deficiency modulates hepatic lipogenesis and apolipoprotein gene expression in the rat. Biochimica et Biophysica Acta 1257, 125132.CrossRefGoogle ScholarPubMed
Rasmussen, H. S., Aurup, P., Goldstein, K., McNair, P., Mortensen, P. B., Larsen, O. G. & Lawaetz, H. (1989) Influence of magnesium substitution therapy on blood lipid composition in patients with ischemic heart disease. Archives of Internal Medicine 149, 10501053.CrossRefGoogle Scholar
Rasmussen, H. S., Aurup, P., Goransson, L., Balslov, S., Larsen, O. G. & McNair, P. (1988) Magnesium deficiency in patients with ischemic heart disease, with and without acute myocardial infarction, uncovered by an intravenous loading test. Archives of Internal Medicine 148, 329332.CrossRefGoogle ScholarPubMed
Rayssiguier, Y. (1984) Role of magnesium and potassium in the pathogenesis of arteriosclerosis. Magnesium 3, 226238.Google ScholarPubMed
Rayssiguier, Y. (1986) Magnesium, lipids and vascular disease. Experimental evidence in animal models. Magnesium 5, 182190.Google ScholarPubMed
Rayssiguier, Y., Gueux, E. & Weiser, D. (1981) Effects of magnesium deficiency on lipid metabolism in rats fed a high carbohydrate diet. Journal of Nutrition 111, 18761883.CrossRefGoogle ScholarPubMed
Rayssiguier, Y., Mbega, J. D., Durlach, V., Gueux, E., Durlach, J., Giry, J., Dalle, M., Mazur, A., Laurant, P. & Berthelot, A. (1992) Magnesium and blood pressure. Animal studies. Magnesium Research 5, 139146.Google ScholarPubMed
Saito, K., Hattori, K., Omatsu, T., Hirouchi, H., Sano, H. & Fukuzaki, H. (1988) Effects of oral magnesium on blood pressure and red cell sodium transport in patients receiving long-term thiazide diuretics for hypertension. American Journal of Hypertension 1, 71s74s.CrossRefGoogle ScholarPubMed
Schroeder, H. A. (1960) Relations between mortality from cardiovascular disease and treated water supplies. Journal of American Medical Association 172, 19021908.CrossRefGoogle ScholarPubMed
Solajic, B. N., Stavljenic, A. & Sesto, M. (1991) Lecithin: cholesterol acyl-transferase activity in patients with acute myocardial infarction and coronary heart disease. Artery 18, 326340.Google Scholar
Soutar, A. K., Garner, C. W., Baker, H. N., Sparrow, J. T., Jackson, R. L., Gotto, A. M. & Smith, L. K. (1975) Effect of the human plasma apolipoprotein, and phosphatidylcholine acyl donor on the activity of lecithin cholesterol acyl-transferase. Biochemie 14, 30573064.CrossRefGoogle Scholar
Wester, P. O. & Dyckner, T. (1987) Magnesium and hypertension. Journal of the American College of Nutrition 6, 321328.CrossRefGoogle ScholarPubMed
Witteman, J. C. M., Grobee, D. E., Derkx, F. H. M., Bouillon, R., Bruijn, M., Anthony, M. & Hofman, A. (1994) Reduction of blood pressure with oral magnesium supplementation in women with mild to moderate hypertension. American Journal of Clinical Nutrition 60, 129135.CrossRefGoogle ScholarPubMed
Yamaguchi, Y., Kitagawa, S., Kunitomo, M. & Fujiwara, M. (1994) Preventive effects of magnesium on raised serum lipid peroxide levels and aortic cholesterol deposition in mice fed an atherogenic diet. Magnesium Research 7, 3137.Google ScholarPubMed
Yamori, Y., Kihara, M., Nara, Y., Ohtaka, M., Horie, R., Tsunematsu, T. & Note, S. (1981) Hypertension and diet: multiple regression analysis in a Japanese farming community. Lancet 1, 1204.CrossRefGoogle Scholar
Zemel, P. C., Zemel, M. B., Urberg, M., Douglas, F. L., Geiser, P. & Sowers, J. R. (1990) Metabolic and hemodynamic effects of magnesium supplementation in patients with essential hypertension. American Journal of Clinical Nutrition 51, 665669.CrossRefGoogle ScholarPubMed
Zhou, Q., Mahfouz, M. M. & Kummerow, F. A. (1994) Effect of dietary magnesium deficiency with/without cholesterol supplementation on phospholipid content in liver, plasma and erythrocytes of rabbits. Magnesium Research 7, 2330.Google ScholarPubMed