镁补充剂对成年人肥胖指标的影响:随机对照试验的系统评价和剂量反应荟萃分析。
The effects of magnesium supplementation on obesity measures in adults: a systematic review and dose-response meta-analysis of randomized controlled trials.
机构信息
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, IR.
Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
出版信息
Crit Rev Food Sci Nutr. 2021;61(17):2921-2937. doi: 10.1080/10408398.2020.1790498. Epub 2020 Jul 11.
Previous studies reported inconsistent findings regarding the effects of magnesium supplementation on obesity measures. This study was done to quantify the effect of magnesium supplementation on body weight, Body Mass Index (BMI), Waist Circumference (WC), Body Fat (BF) percentage and Waist to Hip Ratio (WHR). Four online databases (Scopus, PubMed, Google Scholar and Cochrane library) were searched until March 2020 using relevant keywords. Random-effects model was used to pool effect sizes; Cochran's Q-test and I2 index assessed heterogeneity. Sensitivity analysis and Egger test were used to check the robustness of findings and the possibility of publication bias, respectively. Thirty-two RCTs including different dosage of magnesium (48-450 mg/d), and duration (6-24 weeks) were entered to this study. Magnesium supplementation resulted in a great reduction in BMI [Weighted Mean Difference (WMD): -0.21 kg/m, 95% CI: -0.41, -0.001, = 0.048, = 89.5%, = 22], which was mainly driven by the effect among those with magnesium deficiency, insulin resistance related disorders, and obesity at baseline. No significant change was observed in bodyweight, WC, BF percentage and WHR as compared to controls. However, the change in body weight, and WC was significant in subgroups of participants with insulin resistance related disorders, hypertension, obesity, magnesium deficiency at baseline, and females. We found a significant reduction in BMI following magnesium supplementation. The change in body weight and WC were evident in certain subgroups.
先前的研究报告称,镁补充对肥胖指标的影响结果不一致。本研究旨在定量评估镁补充对体重、体重指数(BMI)、腰围(WC)、体脂肪(BF)百分比和腰臀比(WHR)的影响。使用相关关键字在四个在线数据库(Scopus、PubMed、Google Scholar 和 Cochrane library)中进行了搜索,直到 2020 年 3 月。使用随机效应模型汇总效应大小;Cochran's Q 检验和 I2 指数评估异质性。敏感性分析和 Egger 检验分别用于检查结果的稳健性和可能的发表偏倚。本研究纳入了 32 项 RCT,涉及不同剂量的镁(48-450mg/d)和持续时间(6-24 周)。镁补充可显著降低 BMI[加权均数差(WMD):-0.21kg/m,95%CI:-0.41,-0.001,=0.048,=89.5%,=22],这主要归因于镁缺乏、胰岛素抵抗相关疾病和基线肥胖患者的影响。与对照组相比,体重、WC、BF 百分比和 WHR 无显著变化。然而,在胰岛素抵抗相关疾病、高血压、肥胖、基线时镁缺乏和女性亚组中,体重和 WC 的变化具有统计学意义。我们发现镁补充后 BMI 显著降低。体重和 WC 的变化在某些亚组中明显。