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Calcium, magnesium, and vitamin D supplementations as complementary therapy for hypertensive patients: a systematic
Samar A Amer1, Dina Essam Abo-Elnour2, Abdallah Abbas3
1Department of Public Health and Community Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt. dr_samar11@yahoo.com.
Insights
Calcium and magnesium supplementation significantly reduced diastolic blood pressure, while vitamin D supplementation lowered both systolic and diastolic blood pressure in hypertensive patients.
Area of Science:
- Cardiovascular Science
- Nutritional Science
- Public Health
Background:
- Hypertension is a leading global modifiable risk factor for cardiovascular disease (CVD).
- Effective management of hypertension is crucial for public health.
- Exploring complementary therapies for hypertension is essential.
Purpose of the Study:
- To investigate the role of calcium (Ca++), magnesium (Mg++), and vitamin D (Vit-D) supplementation in hypertension management.
- To assess the impact of these supplements on systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate.
Main Methods:
- A systematic review and meta-analysis of 6509 articles from major databases (PubMed, Scopus, Web of Science, Cochrane CENTRAL) up to October 2024.
- Analysis of data from 24 selected studies focusing on blood pressure and pulse rate outcomes.
- Data analyzed using Open Meta Analyst software.
Main Results:
- Calcium (Ca++) supplementation showed a significant reduction in diastolic blood pressure (DBP).
- Magnesium (Mg++) supplementation significantly reduced diastolic blood pressure (DBP).
- Vitamin D (Vit-D) supplementation significantly reduced both systolic blood pressure (SBP) and diastolic blood pressure (DBP).
Conclusions:
- Calcium and magnesium effectively reduce diastolic blood pressure in hypertensive individuals.
- Vitamin D supplementation demonstrates a significant blood pressure-lowering effect on both systolic and diastolic measures.
- These mineral and vitamin supplements show potential as complementary therapies for hypertension.
Background:
Hypertension, the first global modifiable risk factor for cardiovascular disease (CVD) morbidity and mortality, is a consequential and remediable threat to the health of individuals and society. Therefore, we conducted this study to explore the role of calcium (Ca++), magnesium (Mg++), and vitamin D (Vit-D) supplementation as complementary therapies for hypertension, focusing on their effects on systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate.
Methods:
This systematic review and meta-analysis examined relevant 6509 articles in PubMed, Scopus, Web of Science, and Cochrane CENTRAL up to October 2024. The primary outcome was the difference in blood pressure measurements (systolic and diastolic) and the pulse rate. The extracted data were analyzed using Open Meta Analyst software.
Results:
This systematic review and meta-analysis included 40 studies; of them, 24 studies were analyzed. Ca++ was associated with a significant drop in the DBP (MD: -2.04, 95% CI [-3.39, -0.69], P = 0.01), but not in the SBP (P = 0.34) or pulse rate (P = 0.84). Mg++ significantly reduced DBP (MD: -1.64, 95% CI [-3.19, -0.09], P = 0.04), but had no significant effect on the SBP (P = 0.16) or pulse rate (P = 0.81). The estimated effect of Vit-D showed a significant reduction in SBP (MD: -2.83, 95% CI [-5.47, -0.199], P = 0.04) and DBP (MD: -1.64, 95% CI [-2.97, -0.3], P = 0.01).
Conclusion:
Ca++ and Mg++ significantly reduced DBP but had no significant effect on SBP or the pulse rate. Whereas, vitamin D significantly reduced SBP and DBP.
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