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The Role of Dietary Magnesium in Cardiovascular Disease
1Center for Magnesium Education and Research, Pahoa, HI 96778, USA.
Insights
Low magnesium intake is linked to increased cardiovascular disease risk, including hypertension and heart failure. Ensuring adequate magnesium is crucial for public health due to widespread deficiency.
Area of Science:
- Nutritional Science
- Cardiovascular Health
- Public Health
Background:
- Extensive research over 20 years shows an inverse link between magnesium and cardiovascular disease (CVD).
- Low magnesium status is associated with hypertension, stroke, heart failure, and cardiac mortality.
- Magnesium deficiency contributes to CVD development and severity.
Purpose of the Study:
- To review the evidence linking magnesium status to cardiovascular disease.
- To explore the mechanisms by which magnesium deficiency impacts cardiovascular health.
- To assess the prevalence of inadequate magnesium intake and its public health implications.
Main Methods:
- Analysis of epidemiological studies, randomized controlled trials, and meta-analyses.
- Review of controlled human depletion-repletion experiments.
- Evaluation of dietary intake data against established dietary reference intakes (DRIs).
Main Results:
- Consistent inverse relationship found between magnesium levels and various cardiovascular conditions.
- Magnesium deficiency induces physiological changes contributing to CVD risk, including inflammation, oxidative stress, and endothelial dysfunction.
- A significant portion of the population consumes less magnesium than the Estimated Average Requirement (EAR), particularly those with low intake of whole grains, pulses, and green vegetables.
Conclusions:
- Inadequate magnesium status is a widespread issue contributing to cardiovascular disease.
- Magnesium deficiency poses a significant public health concern due to its impact on cardiovascular health.
- Maintaining adequate magnesium intake is essential for preventing and managing cardiovascular disease.
Abstract:
In the past 20 years, a large number of epidemiological studies, randomized controlled trials, and meta-analyses have found an inverse relationship between magnesium intake or serum magnesium and cardiovascular disease, indicating that low magnesium status is associated with hypertension, coronary artery calcification, stroke, ischemic heart disease, atrial fibrillation, heart failure, and cardiac mortality. Controlled metabolic unit human depletion-repletion experiments found that a mild or moderate magnesium deficiency can cause physiological and metabolic changes that respond to magnesium supplementation, which indicates that these types of deficiencies or chronic latent magnesium deficiency are contributing factors to the occurrence and severity of cardiovascular disease. Mechanisms through which a mild or moderate magnesium deficiency can contribute to this risk include inflammatory stress, oxidative stress, dyslipidemia and deranged lipid metabolism, endothelial dysfunction, and dysregulation of cellular ion channels, transporters, and signaling. Based on USA official DRIs or on suggested modified DRIs based on body weight, a large number of individuals routinely consume less magnesium than the EAR. This especially occurs in populations that do not consume recommended amounts of whole grains, pulses, and green vegetables. Thus, inadequate magnesium status contributing to cardiovascular disease is widespread, making magnesium a nutrient of public health concern.
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