Systematic review2025Open access

The effect of long-term magnesium intake on inflammatory markers in patients with metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials

Wang W, Wang J, Yang Y, Shi Y

Frontiers in nutrition · 0 citations

Review labels

Mechanisms only

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
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Mechanisms only

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2025-10-31 · Front Nutr · vol. 12 · p. 1692937
Publisher
Frontiers Media
Cited
2 citations · more than 56% of similar papers · 0.5× the field average
References
39 works
Access
Open access (journal) · CC-BY
Research areas
Magnesium in Health and Disease · Parathyroid Disorders and Treatments · Adipokines, Inflammation, and Metabolic Diseases
Keywords
Randomized controlled trial, Magnesium, Inflammation, Metabolic syndrome, Magnesium deficiency (plants), C-reactive protein

4 authors

From CN

  • W. WangLiaoning University of Traditional Chinese Medicine; Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
  • Jiayong WangLiaoning University of Traditional Chinese Medicine; Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
  • Yufeng YangLiaoning University of Traditional Chinese Medicine; Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
  • Yan Shi · correspondingLiaoning University of Traditional Chinese Medicine; Affiliated Hospital of Liaoning University of Traditional Chinese Medicine

Abstract

Background

Prior randomized controlled trials (RCTs) offer inconsistent evidence on extended magnesium supplementation's impact on inflammatory markers within metabolic syndrome cases.

Methods

We conducted a systematic search in Web of Science, PubMed, and Scopus, and the present meta-analysis included eight RCTs involving 444 participants. This meta-analysis adhered to PICOTS criteria and specifically evaluated the effect of oral magnesium supplementation compared to placebo on serum inflammatory markers. Only randomized controlled trials with an intervention duration of at least 2 months were included. Data were synthesized using a random-effects model, with results expressed as standardized mean differences (SMD) and 95% confidence intervals (CI). The risk of bias was assessed using the Cochrane RoB 2.0 tool.

Results

Compared with placebo, magnesium intake notably lowered C-reactive protein (CRP) levels in serum (SMD = -0.327; 95% CI: -0.602 to -0.053; p = 0.048). Subgroup analyses revealed particularly notable improvements in serum CRP levels with oral magnesium supplementation under the following conditions: a duration of 12 weeks and 16 weeks; female sex; and administration in tablet form or capsule form. However, in other cases, this effect became non-significant (p > 0.05). Sensitivity analyses conducted by sequentially excluding individual studies or removing all studies with a high risk of bias showed no substantial impact on the results. No significant publication bias was observed (p-values for Begg's test and Egger's test were 0.1078 and 0.087, respectively).

Conclusion

Long-term magnesium supplementation effectively improves CRP levels, with the optimal duration being 12 weeks and 16 weeks, and the preferred administration forms being tablets and capsules. The beneficial effects of long-term magnesium intake on inflammatory markers in patients with metabolic syndrome were more pronounced in women than in men.

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

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