Cross-sectional study2018Open access

Higher Dietary Magnesium Intake and Higher Magnesium Status Are Associated with Lower Prevalence of Coronary Heart Disease in Patients with Type 2 Diabetes

Gant CM, Soedamah-Muthu SS, Binnenmars SH, Bakker SJL, Navis G, Laverman GD

Nutrients · 20 citations

How it was studied

Design
Cross-sectional study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2018-03-05 · Nutrients · vol. 10 · issue 3 · p. 307
Publisher
Multidisciplinary Digital Publishing Institute
Cited
25 citations · more than 85% of similar papers · 2.0× the field average
References
43 works
Access
Open access (journal) · CC-BY
Research areas
Magnesium in Health and Disease · Parathyroid Disorders and Treatments
Keywords
Magnesium, Medicine, Quartile, Internal medicine, Diabetes mellitus, Cohort, Magnesium deficiency (plants), Type 2 diabetes, Hazard ratio, Endocrinology, Cohort study, Excretion, Urinary system, Gastroenterology, Confidence interval, Chemistry
MeSH
humans, coronary disease, diabetes mellitus, type 2, magnesium deficiency, magnesium, diet, prevalence, risk factors, cross-sectional studies, nutritional status, aged, middle aged, netherlands, female, male, recommended dietary allowances, protective factors, biomarkers

6 authors

From NL, GB

  • Christina Maria GantUniversity Medical Center Groningen; University of Groningen; Ziekenhuis Groep Twente
  • Sabita S. Soedamah‐MuthuTilburg University; University of Reading
  • S. Heleen BinnenmarsUniversity Medical Center Groningen; University of Groningen
  • Stephan J. L. BakkerUniversity Medical Center Groningen; University of Groningen
  • Gerjan J NavisUniversity Medical Center Groningen; University of Groningen
  • Gozewijn Dirk Laverman · correspondingZiekenhuis Groep Twente

Abstract

In type 2 diabetes mellitus (T2D), the handling of magnesium is disturbed. Magnesium deficiency may be associated with a higher risk of coronary heart disease (CHD). We investigated the associations between (1) dietary magnesium intake; (2) 24 h urinary magnesium excretion; and (3) plasma magnesium concentration with prevalent CHD in T2D patients. This cross-sectional analysis was performed on baseline data from the DIAbetes and LifEstyle Cohort Twente-1 (DIALECT-1, n = 450, age 63 ± 9 years, 57% men, and diabetes duration of 11 (7-18) years). Prevalence ratios (95% CI) of CHD by sex-specific quartiles of magnesium indicators, as well as by magnesium intake per dietary source, were determined using multivariable Cox proportional hazard models. CHD was present in 100 (22%) subjects. Adjusted CHD prevalence ratios for the highest compared to the lowest quartiles were 0.40 (0.20, 0.79) for magnesium intake, 0.63 (0.32, 1.26) for 24 h urinary magnesium excretion, and 0.62 (0.32, 1.20) for plasma magnesium concentration. For every 10 mg increase of magnesium intake from vegetables, the prevalence of CHD was, statistically non-significantly, lower (0.75 (0.52, 1.08)). In this T2D cohort, higher magnesium intake, higher 24 h urinary magnesium excretion, and higher plasma magnesium concentration are associated with a lower prevalence of CHD.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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