Meta-analysis2021Open access

Effectively Prescribing Oral Magnesium Therapy for Hypertension: A Categorized Systematic Review of 49 Clinical Trials

Rosanoff A, Costello RB, Johnson GH

Nutrients · 27 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
Meta-analysis (indexed by PubMed)
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
2021-01-10 · Nutrients · vol. 13 · issue 1 · p. 195
Publisher
Multidisciplinary Digital Publishing Institute
Cited
41 citations · more than 79% of similar papers · 1.4× the field average
References
108 works
Access
Open access (journal) · CC-BY
Research areas
Magnesium in Health and Disease · Parathyroid Disorders and Treatments · Thyroid and Parathyroid Surgery
Keywords
Medicine, Magnesium, Blood pressure, Placebo, Clinical trial, Internal medicine, Oral administration, Chemistry
MeSH
humans, cardiovascular diseases, hypertension, magnesium, antihypertensive agents, administration, oral, risk factors, blood pressure, databases, factual, clinical trials as topic

3 authors

From US

  • Aaron J. Rosanoff · corresponding
  • Rebecca B. Costello
  • Guy H. JohnsonJohnson & Johnson (United States)

Abstract

Trials and meta-analyses of oral magnesium for hypertension show promising but conflicting results. An inclusive collection of 49 oral magnesium for blood pressure (BP) trials were categorized into four groups: (1) Untreated Hypertensives; (2) Uncontrolled Hypertensives; (3) Controlled Hypertensives; (4) Normotensive subjects. Each group was tabulated by ascending magnesium dose. Studies reporting statistically significant (p 600 mg/day; 600 mg/day). Where magnesium did not lower BP, other cardiovascular risk factors showed improvement. Conclusion: Controlled Hypertensives and Normotensives do not show a BP-lowering effect with oral Mg therapy, but oral magnesium (≥240 mg/day) safely lowers BP in Uncontrolled Hypertensive patients taking antihypertensive medications, while >600 mg/day magnesium is required to safely lower BP in Untreated Hypertensives; <600 mg/day for non-medicated hypertensives may not lower both SBP and DBP but may safely achieve other risk factor improvements without antihypertensive medication side effects.

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

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