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Department of Family Medicine (D.E.K., A.G.M., M.E.G.), Medical University of South Carolina, Charleston, South Carolina
Department of Biometry, Bioinfomatics, and Epidemiology (R.F.W.), Medical University of South Carolina, Charleston, South Carolina
Address correspondence to: Dana E. King, MD, Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, PO Box 250192, Charleston, SC 29425. E-mail: kingde{at}musc.edu
Objective: Current dietary guidelines recommend adequate intake of magnesium (310420mg daily) in order to maintain health and lower the risk of cardiovascular disease. Recent evidence from animal and clinical studies suggests that magnesium may be associated with inflammatory processes. The objective of this study was to determine whether dietary magnesium consumption is associated with C-reactive protein (CRP), a marker of inflammation, in a nationally representative sample.
Methods: Analysis of adult (
17 years) participants in a cross-sectional nationally representative survey (National Health and Nutrition Examination Survey 19992000 [NHANES]) who were not taking magnesium or magnesium-containing supplements. The primary outcome measure was high sensitivity CRP (elevated
3.0mg/L).
Results: Among US adults, 68% consumed less than the recommended daily allowance (RDA) of magnesium, and 19% consumed less than 50% of the RDA. After controlling for demographic and cardiovascular risk factors, adults who consumed <RDA of magnesium were 1.481.75 times more likely to have elevated CRP than adults who consumed
RDA (Odds Ratio [OR] for intake <50% RDA = 1.75, 95% Confidence Interval [CI] 1.082.87). Adults who were over age 40 with a BMI >25 and who consumed <50% RDA for magnesium were 2.24 times more likely to have elevated CRP (95% CI 1.134.46) than adults
RDA.
Conclusions: Most Americans consume magnesium at levels below the RDA. Individuals with intakes below the RDA are more likely to have elevated CRP, which may contribute to cardiovascular disease risk.
Key words: dietary magnesium, CRP, cardiovascular, inflammation
Abbreviations: AHA = American Heart Association BMI = body mass index CDC = Centers for Disease Control and Prevention CRP = C reactive protein IOM = Institute of Medicine NCHS = National Center for Health Statistics NHANES = National Health and Nutrition Examination Survey RDA = recommended daily allowance SUDAAN = This is not an abbreviation, it is the name of statistical software
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