Study2019Open access

Clinical features of hypermagnesemia in patients with functional constipation taking daily magnesium oxide

Mori H, Suzuki H, Hirai Y, Okuzawa A, Kayashima A, Kubosawa Y, Kinoshita S, Fujimoto A, Nakazato Y, Nishizawa T, Kikuchi M

Journal of clinical biochemistry and nutrition · 26 citations

Review labels

Author industry ties

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Possibly industry funded
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2019-01-01 · J Clin Biochem Nutr · vol. 65 · issue 1 · pp. 76–81
Publisher
Society for Free Radical Research Japan
Cited
39 citations · more than 87% of similar papers · 2.3× the field average
References
33 works
Access
Open access (free to publish)
Research areas
Magnesium in Health and Disease · Esophageal and GI Pathology · Biliary and Gastrointestinal Fistulas
Keywords
Hypermagnesemia, Magnesium, Medicine, Hypomagnesemia, Cathartic, Magnesium deficiency (plants), Laxative, Internal medicine, Constipation, Chemistry

11 authors

From JP

  • Hideki MoriTokyo Medical Center; National Hospital Organization
  • Hidekazu SuzukiTokai University
  • Yuichiro HiraiTokyo Medical Center; National Hospital Organization
  • Anna OkuzawaTokyo Medical Center; National Hospital Organization
  • Atsuto KayashimaTokyo Medical Center; National Hospital Organization
  • Yoko KubosawaTokyo Medical Center; National Hospital Organization

Abstract

Although magnesium oxide is widely used as a laxative, alterations in serum magnesium concentrations among patients taking daily magnesium oxide have not been clarified. The present retrospective, cross-sectional study investigated the risk factors for hypermagnesemia in patients taking daily oral magnesium oxide. Of 2,176 patients administered daily magnesium oxide, 193 (8.9%) underwent assays of serum magnesium concentrations and were evaluated. High serum magnesium concentration and hypermagnesemia were defined as serum magnesium concentrations ≥2.5 mg/dl and ≥3.0 mg/dl, respectively. Of the 193 patients taking daily magnesium oxide, 32 (16.6%) had high serum magnesium concentration and 10 (5.2%) had hypermagnesemia. Factors associated with hypermagnesemia included chronic kidney disease (CKD) grade 4 (p = 0.014) and magnesium oxide dosage (p = 0.009). Factors associated with high serum magnesium concentration included magnesium oxide dosage >1,000 mg/day (p = 0.004), CKD grades 4 (p = 0.000) and concomitant use of stimulant laxatives (p = 0.035). Age, however, was not associated with hypermagnesemia or high serum magnesium concentration. In conclusion, renal function and magnesium oxide dosage, but not age, were associated with hypermagnesemia and high serum magnesium concentration in patients with functional constipation taking daily magnesium oxide.

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

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