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Archives of Medical Science
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4/2018
vol. 14
 
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abstract:
Systematic review/Meta-analysis

Effect of magnesium supplements on serum C-reactive protein: a systematic review and meta-analysis

Mohsen Mazidi, Peyman Rezaie, Maciej Banach

Arch Med Sci 2018; 14, 4: 707–716
Online publish date: 2018/05/11
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Introduction
The aim of the study was to undertake a systematic review and meta-analysis of prospective studies to determine the effect of magnesium (Mg) supplementation on C-reactive protein (CRP). Design: Systematic review and meta-analysis of randomised controlled trials (RCTs).

Material and methods
Data sources: PubMed-Medline, Web of Science, Cochrane Database, and Google Scholar databases were searched (up until December 2016). Eligibility criteria: Randomized controlled trials evaluating the impact of Mg supplementation on CRP. We used random effects models meta-analysis for quantitative data synthesis. For sensitivity analysis was used the leave-one-out method. Heterogeneity was quantitatively assessed using the I2 index. Main outcome: Level of CRP after Mg supplementation.

Results
From a total of 96 entries identified via searches, eight studies were included in the final selection. The meta-analysis indicated a significant reduction in serum CRP concentrations following Mg supplementation (weighted mean difference (WMD) –1.33 mg/l; 95% CI: –2.63 to –0.02, heterogeneity p < 0.123; I2 = 29.1%). The WMD for interleukin 6 was –0.16 pg/dl (95% CI: –3.52 to 3.26, heterogeneity p = 0.802; I2 = 2.3%), and 0.61 mg/dl (95% CI: –2.72 to 1.48, p = 0.182, heterogeneity p = 0.742; I2 = 6.1%) for fasting blood glucose. These findings were robust in sensitivity analyses. Random-effects meta-regression revealed that changes in serum CRP levels were independent of the dosage of Mg supplementation (slope: –0.004; 95% CI: –0.03, 0.02; p = 0.720) or duration of follow-up (slope: –0.06; 95% CI: –0.37, 0.24; p = 0.681).

Conclusions
This meta-analysis suggests that Mg supplementation significantly reduces serum CRP level. RCTs with a larger sample size and a longer follow-up period should be considered for future investigations to give an unequivocal answer.

keywords:

meta-analysis, magnesium, C-reactive protein

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