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Dietary magnesium intake and the future risk of coronary heart disease (the Honolulu Heart Program)
Robert D Abbott1, Fujiko Ando, Kamal H Masaki
1Division of Biostatistics and Epidemiology, Department of Health Evaluation Sciences, University of Virginia School of Medicine, PO Box 800717, Charlottesville, VA 22908-0717, USA. rda3e@virginia.edu
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Adequate dietary magnesium intake is linked to a lower risk of coronary heart disease (CHD). This study found that men with the lowest magnesium intake had a significantly higher risk of developing CHD compared to those with the highest intake.
Area of Science:
- Cardiovascular Science
- Nutritional Epidemiology
- Public Health
Background:
- Magnesium (Mg) deficiency may impact cardiovascular health, but its link to coronary heart disease (CHD) risk is not well-established.
- Understanding the relationship between dietary Mg intake and future CHD risk is crucial for preventative strategies.
Purpose of the Study:
- To investigate the association between dietary magnesium intake and the incidence of coronary heart disease (CHD).
Main Methods:
- Analysis of dietary magnesium intake data from 7,172 men in the Honolulu Heart Program, collected between 1965-1968.
- Follow-up for 30 years to identify 1,431 incident cases of CHD.
- Statistical adjustments for age, other nutrients, and cardiovascular risk factors.
Main Results:
- A significant decrease in age-adjusted CHD incidence was observed from the lowest to the highest quintiles of Mg intake within 15 years.
- Men in the lowest Mg intake quintile had a 1.7- to 2.1-fold excess risk of CHD compared to the highest quintile, even after nutrient adjustments.
- Further adjustment for cardiovascular risk factors showed a 1.5- to 1.8-fold excess risk for the lowest Mg intake group.
Conclusions:
- Dietary magnesium intake is associated with a reduced risk of coronary heart disease (CHD).
- The findings suggest that maintaining adequate magnesium levels through diet may be protective against CHD.
- Further research is needed to determine if increasing dietary magnesium intake can modify future CHD risk.
Abstract:
Magnesium (Mg) deficiency is believed to have adverse cardiovascular consequences that are broad and complex, although an association between dietary Mg intake and the risk of coronary heart disease (CHD) has not been clearly identified. The purpose of this study is to examine the relation between dietary Mg intake and future risk of CHD. Reported findings are based on dietary Mg intake in 7,172 men in the Honolulu Heart Program. Intake of Mg was recorded at baseline examinations that took place from 1965 to 1968 when the men were aged 45 to 68 years. In 30 years of follow-up, 1,431 incident cases of CHD were identified. Within 15 years after dietary assessment, the age-adjusted incidence decreased significantly from 7.3 to 4.0 per 1,000 person-years in the lowest (50.3 to 186 mg/day) versus highest (340 to 1,183 mg/day) quintiles of Mg intake (p <0.001). When adjustments were made for age and other nutrients (singly or combined), there was a 1.7- to 2.1-fold excess in the risk of CHD in the lowest versus highest quintiles (p <0.001). The excess risk ranged from 1.5- to 1.8-fold after further adjustment for other cardiovascular risk factors (p <0.05). Associations between dietary Mg and coronary events occurring after 15 years of follow-up were modest. We conclude that the intake of dietary Mg is associated with a reduced risk of CHD. Whether increases in dietary Mg intake can alter the future risk of disease warrants further study.
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