Meta-analysis2020Open access

Association of magnesium intake with type 2 diabetes and total stroke: an updated systematic review and meta-analysis

Zhao B, Zeng L, Zhao J, Wu Q, Dong Y, Zou F, Gan L, Wei Y, Zhang W

BMJ open · 41 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding
Government
National Natural Science Foundation of China
Government
Natural Science Foundation of Jiangxi Province
University or hospital
Nanchang University
Grants
National Natural Science Foundation of China (81560345); Natural Science Foundation of Jiangxi Province (20161BAB215237)

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2020-03-01 · BMJ Open · vol. 10 · issue 3 · p. e032240
Publisher
BMJ
Cited
82 citations · more than 93% of similar papers · 2.8× the field average
Impact
Top 10% most cited in its field
References
81 works
Access
Open access (journal) · CC-BY-NC
Research areas
Magnesium in Health and Disease · Parathyroid Disorders and Treatments · Potassium and Related Disorders
Keywords
Medicine, Relative risk, Meta-analysis, Stroke (engine), Cochrane Library, Internal medicine, Type 2 diabetes, Subgroup analysis, Prospective cohort study, Diabetes mellitus, Cohort study, Confidence interval, Endocrinology
MeSH
humans, brain ischemia, diabetes mellitus, type 2, magnesium, prospective studies, female, male, stroke

9 authors

From CN

  • Binghao ZhaoNanchang University; Second Affiliated Hospital of Nanchang University
  • Lianli ZengNanchang University; Second Affiliated Hospital of Nanchang University
  • Jiani ZhaoNanchang University; Second Affiliated Hospital of Nanchang University
  • Qian WuNanchang University; Second Affiliated Hospital of Nanchang University
  • Yifei DongNanchang University; Second Affiliated Hospital of Nanchang University
  • Fang ZouNanchang University; Second Affiliated Hospital of Nanchang University

Abstract

Objective

The detailed associations between type 2 diabetes (T2D) and total stroke and magnesium intake as well as the dose-response trend should be updated in a timely manner.

Design

Systematic review and meta-analyses.

Data sources

PubMed, Embase, Cochrane Library, Web of Science and ClinicalTrials.gov were rigorously searched from inception to 15 March 2019.

Eligibility criteria

Prospective cohort studies investigating these two diseases were included.

Data synthesis

Relative risk (RR) and 95% CI in random effects models as well as absolute risk (AR) were pooled to calculate the risk of T2D and stroke. Methodological quality was assessed by the Newcastle-Ottawa Scale.

Results

Forty-one studies involving 53 cohorts were included. The magnitude of the risk was significantly reduced by 22% for T2D (RR 0.78 (95% CI 0.75 to 0.81); p2 body mass index and those with ≥12-year follow-up; the reduced risk in Asians was not as notable as that in North American and European populations.

Conclusions

Magnesium intake has significantly inverse associations with T2D and total stroke in a dose-dependent manner. Feasible magnesium-rich dietary patterns may be highly beneficial for specific populations and could be highlighted in the primary T2D and total stroke prevention strategies disseminated to the public.

Prospero registration number

CRD42018092690.

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

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