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Role of Serum Magnesium on Insulin Resistance in Overweight and Obese Children
Sowmya Gadiparthi1, Siddarameshwar Kalyanshettar1, Mallanagouda Patil1
1Pediatrics, Shri B. M. Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Insights
Low serum magnesium levels are linked to childhood obesity and insulin resistance. This study found lower magnesium in overweight children, highlighting its importance in metabolic health.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Metabolic Health
Background:
- Childhood obesity is a growing global epidemic with serious health consequences.
- Low serum magnesium levels are increasingly linked to obesity and insulin resistance.
- Understanding this relationship is crucial for early intervention in pediatric metabolic disorders.
Purpose of the Study:
- To investigate the relationship between serum magnesium levels and obesity in children aged 5-16 years.
- To compare magnesium levels in overweight/obese children versus healthy controls.
- To determine the association between insulin resistance and decreased serum magnesium in pediatric populations.
Main Methods:
- A 1.5-year cross-sectional comparative study was conducted at a tertiary hospital.
- Participants included overweight/obese children (cases) and age/gender-matched healthy controls.
- Assessments involved clinical evaluation and fasting blood tests for insulin resistance indices and serum magnesium.
Main Results:
- Overweight children exhibited significantly lower mean serum magnesium levels compared to controls (1.03 mEq/l vs. 1.85 mEq/l, p<0.001).
- Higher anthropometric measures (BMI, body fat percentage) correlated with lower magnesium.
- Cases showed higher fasting insulin, HOMA-IR index, and unfavorable lipid profiles.
Conclusions:
- The study highlights a significant association between low serum magnesium and obesity in children.
- Magnesium levels are important indicators for assessing insulin resistance in overweight and obese pediatric populations.
- Monitoring magnesium status may aid in managing metabolic complications associated with childhood obesity.
Abstract:
Background Childhood obesity has become a global epidemic, with projections indicating it could affect 25% of children under 16 by 2050. This rise poses significant health risks, including early onset of type 2 diabetes and cardiovascular diseases. Recent research has shown a correlation between insulin action and magnesium levels, highlighting the link between low serum magnesium levels and obesity. This study aimed to investigate the relationship between serum magnesium levels and obesity in children aged 5-16 years, to compare overweight and obese adolescents with age- and gender-matched controls, and to determine the association between insulin resistance and decreased serum magnesium levels. Methodology At a tertiary hospital, this 1.5-year cross-sectional comparative study investigated the relationship between magnesium levels in the blood and insulin resistance in children aged 5-16. Cases met the 2015 revised Indian Academy of Pediatrics (IAP) growth charts for overweight or obesity in comparison to age-matched healthy controls. Exclusions included secondary causes of obesity and medical complications affecting magnesium. Assessments involved clinical history, examination, and fasting blood tests for insulin resistance indices. Results Compared to the controls, overweight children showed that mean serum magnesium levels are lower (1.03 mEq/l vs. 1.85 mEq/l, p<0.001); they were also reflected in higher anthropometric measures, which include body mass index (BMI) and body fat percentage. Cases had significantly higher metabolic markers like fasting insulin, Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) index, and lipid profiles, whereas systolic blood pressure although showing recognized differences did not significantly differ. Conclusion The study underscored the importance of detecting magnesium levels on insulin resistance in overweight and obese children.
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