Effect of Magnesium Administration in Subjects With Family History of Diabetes or Metabolic Syndrome
Magnesium is the second most abundant ion in human cells and plays fundamental roles in several enzymatic reactions: it is involved in ATP production, in the phosphorylation of proteins, in glucose metabolism and in the contraction of cytoskeleton.
Several epidemiological studies demonstrated that low dietary magnesium intake is inversely associated with diabetes mellitus, hypertension and metabolic syndrome.
Magnesium could be related to important haemodynamic and metabolic anomalies: at vascular level it acts as an antagonist of calcium, especially in vascular smooth muscle cells, thus its deficit could enhance vascular contraction; with regard to glucose metabolism, magnesium is involved in the physiopathological mechanism of insulin resistance, through a reduction in cellular uptake of glucose. This condition and the subsequent compensatory hyperinsulinemia can ultimately lead to increased synthesis of proinflammatory cytokines and to endothelial dysfunction. Thus, magnesium depletion and subsequent alterations can increase the risk of developing vascular disease such as atherosclerosis and has been associated with cardiovascular events.
Several clinical trials have explored the possible beneficial effect of magnesium supplementation on blood pressure, plasma lipids and insulin resistance but the results are often contradictory. One of the possibilities for these unclear results could be that in some of them the interventions started too late when haemodynamic and metabolic changes are more difficult to revert.
The investigators hypothesis is that magnesium supplementation in a population at increased genetic risk of developing metabolic syndrome but without it could improve blood pressure and the other metabolic syndrome related components.
Thus, the aim of the present study is to evaluate the effect of oral supplementation of magnesium (16.2 mmol/day of magnesium pidolate) on metabolic syndrome's components in a sample of 15 subjects who are at increased risk of developing metabolic syndrome since have a positive familiar history of type II diabetes mellitus and/or metabolic syndrome(AHA/NHLBI criteria).
|Family History of Metabolic Syndrome Family History of Diabetes||Drug: magnesium pidolate Drug: placebo||Phase 4|
|Study Design:||Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Effect of Magnesium Administration in Subjects With Family History of Diabetes or Metabolic Syndrome|
- Blood pressure [ Time Frame: 8 weeks ]Blood pressure measured in the lying and standing position (average of three measurements);
- other features of metabolic syndrome [ Time Frame: 8 weeks ]especially plasma lipids and HOMA index
- endothelial function [ Time Frame: 8 weeks ]endothelial function as measured non-invasively by ultrasound using the "Flow Mediated Dilatation" (FMD) technique
- arterial stiffness [ Time Frame: 8 weeks ]systemic and local arterial stiffness measured by digital photoplethysmography and by carotid ultrasound
- Inflammation [ Time Frame: 8 weeks ]Markers of inflammation such as C reactive protein
|Study Start Date:||February 2010|
|Study Completion Date:||December 2012|
|Primary Completion Date:||December 2012 (Final data collection date for primary outcome measure)|
Active Comparator: magnesium pidolate
administration of 8.1 mmol bid of magnesium pidolate for 8 weeks
Drug: magnesium pidolate
administration of 8.1 mmol bid of magnesium pidolate
Placebo Comparator: placebo
administration of 8.1 mmol bid of placebo for 8 weeks
administration of 8.1 mmol bid of placebo
Please refer to this study by its ClinicalTrials.gov identifier: NCT01181830
|Azienda Ospedaliera Universitaria Integrata - Division of Internal Medicine C|
|Verona, VR, Italy, 37134|
|Principal Investigator:||Pietro Delva, MD||Universita of Verona|
|Principal Investigator:||Cristiano Fava, MD, PhD||Universita of Verona|