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Some studies suggest magnesium citrate supplementation can reduce blood pressure, particularly in individuals with metabolic syndrome, insulin resistance, or type 2 diabetes, while other studies indicate no significant effect on blood pressure.
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Magnesium citrate, a commonly used magnesium supplement, has been studied for its potential effects on blood pressure (BP). This article synthesizes findings from multiple research studies to provide a clear understanding of how magnesium citrate influences BP, particularly in individuals with hypertension, prehypertension, and metabolic syndrome.
Research indicates that magnesium citrate supplementation can have varying effects on blood pressure. A study comparing potassium magnesium citrate (KMgCit) with potassium chloride (KCl) and potassium citrate (KCit) found that while KCl significantly reduced nighttime systolic blood pressure (SBP), KMgCit did not show a significant effect on BP in hypertensive and prehypertensive subjects. However, another study demonstrated that magnesium citrate supplementation significantly decreased both systolic and diastolic BP in normomagnesemic individuals with metabolic syndrome over a 12-week period.
Several meta-analyses have been conducted to assess the overall impact of magnesium supplementation on BP. One meta-analysis of randomized controlled trials (RCTs) found that magnesium supplementation at a median dose of 368 mg/day for three months significantly reduced SBP by 2.00 mmHg and diastolic BP (DBP) by 1.78 mmHg. Another meta-analysis focusing on individuals with insulin resistance, prediabetes, or noncommunicable chronic diseases reported a mean reduction of 4.18 mmHg in SBP and 2.27 mmHg in DBP with magnesium supplementation.
The effect of magnesium on BP appears to be dose-dependent. A meta-analysis revealed that for each 10 mmol/day increase in magnesium dose, there was a reduction of 4.3 mmHg in SBP and 2.3 mmHg in DBP. This suggests that higher doses of magnesium may be more effective in lowering BP.
One of the mechanisms by which magnesium citrate may influence BP is through the reduction of oxidative stress. A study found that KMgCit significantly reduced urinary 8-isoprostane, a marker of oxidative stress, compared to placebo, whereas KCl and KCit did not. This antioxidative effect could contribute to the overall cardiovascular benefits of magnesium citrate.
Despite the potential benefits, not all studies have shown positive results. A trial assessing the effects of magnesium citrate on arterial stiffness and BP in overweight and slightly obese individuals found no significant changes in BP after 24 weeks of supplementation. This indicates that the benefits of magnesium citrate may vary depending on the population and specific health conditions.
The evidence suggests that magnesium citrate can have a beneficial effect on blood pressure, particularly in individuals with metabolic syndrome and those receiving higher doses of supplementation. However, the results are not universally consistent, and further research is needed to fully understand the optimal conditions and populations for magnesium citrate supplementation. Future studies should focus on long-term effects, appropriate dosing, and the underlying mechanisms to provide more definitive conclusions.
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