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Journal of the American College of Nutrition, Vol. 24, No. 3, 166-171 (2005)
Published by the American College of Nutrition

Dietary Magnesium and C-reactive Protein Levels

Dana E. King, MD, Arch G. Mainous, III, PhD, Mark E. Geesey, MS and Robert F. Woolson, PhD

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 (310–420mg 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 1999–2000 [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 1.48–1.75 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] 1.08–2.87). 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 1.13–4.46) 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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