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Dietary magnesium intake in type 2 diabetes

Abstract

Background: Magnesium deficiency is common in type 2 diabetes and may have a negative impact on glucose homeostasis and insulin resistance, as well as on the evolution of complications such as retinopathy, thrombosis and hypertension.

Objective: To assess the dietary magnesium intake of patients with type 2 diabetes in Zurich, Switzerland and to compare the magnesium intake of diabetic and non-diabetic subjects.

Design: The magnesium intake of 97 randomly selected patients with type 2 diabetes and 100 healthy, non-diabetic controls matched for age and sex was estimated using a diet history method. During winter and summer periods, mean daily magnesium intakes were calculated from detailed information given by the test subjects about their eating habits over the previous 2 months. The calculations were performed using EBIS, a computer program based on a German nutrient data base (BLS 2.3), with food items specific to Switzerland added or directly analysed when necessary.

Results: The mean±s.d. daily magnesium intake of the male diabetic and male control subjects was 423.2±103.1 and 421.1±111.0 mg, respectively. The mean daily magnesium intake of the female diabetic and female control subjects was 419.1±109.7 and 383.5±109.7 mg, respectively. There were no significant differences in daily magnesium intake between the diabetic and the non-diabetic subjects and mean intakes in both groups exceeded Swiss recommended dietary intakes.

Conclusions: Dietary intake of magnesium appears sufficient in Swiss adults with type 2 diabetes and is unlikely to contribute to the aetiology of magnesium deficiency.

Sponsorship: The Swiss Federal Institute of Technology, Zurich, Switzerland.

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References

  • Anderson GH, Peterson RD, Beaton GH . 1982 Estimating nutrient deficiencies in a population from dietary records: the use of probability analyses Nutr. Res. 2: 409–415

    Article  Google Scholar 

  • Colditz GA, Manson JE, Meir JS, Rosner B, Willett WC, Speizer FE . 1992 Diet and risk of clinical diabetes in women Am. J. Clin. Nutr. 55: 1018–1023

    Article  CAS  Google Scholar 

  • D-A-CH Referenzwerte für die Nährstoffzufuhr. 2000 Deutsche, österreichische, schweizerische Gesellschaft für Ernährung pp 169–172 Frankfurt/Main

  • De Lenardis M . 1999 Elektrolytstatus bei hypertonen Altersdiabetikern und therapeutische Konsequenzen Dissertation, Universität Hohenheim

  • Durlach J, Rayssiguier Y . 1983 Données nouvelles sur les relations entre magnésium et hydrates de carbone Magnesium 2: 192–224

    CAS  Google Scholar 

  • Ernährungsbericht. 1996 Deutsche Gesellschaft für Ernährung Frankfurt/Main

  • FAO/WHO/UNO . 1985 Energy and protein requirements Geneva: WHO Report of a joint expert consultation. WHO Technical report series no. 724

  • Food and Nutrition Board, National Research Council. 1989 Recommended Dietary Allowances 10th edn Washington, DC: National Academy Press

  • Fourth Swiss Nutrition Report (Vierter schweizerischer Ernährungsbe-richt) 1998 pp 18–50 Bern: Bundesamt für Gesundheit

  • Fujii S, Takemura T, Wada M, Akai T, Okuda K . 1982 Magnesium levels in plasma, erythrocyte and urine in patients with diabetes mellitus Horm. Metab. Res. 14: 161–162

    Article  CAS  Google Scholar 

  • Galan P, Preziosi P, Durlach V, Valeix P, Ribas L, Bouzid D, Favier A, Hercberg S . 1997 Dietary magnesium intake in a French adult population Magnesium Res. 10: 321–328

    CAS  Google Scholar 

  • Gibson RS . 1990 Evaluation of nutrient intake data In Principles of Nutritional Assessment pp 137–154 Oxford: Oxford University Press

    Google Scholar 

  • Gibson RS . 1993 The dietary history In Nutritional Assessment: a Laboratory Manual pp 21–22 Oxford: Oxford University Press

    Google Scholar 

  • Häussler A, Rehm J, Kohlmeier L . 1990 Bundeslebensmittelschlüssel (BLS) AID-Verbraucherdienst 35: 179–187

    Google Scholar 

  • Hendrix P, Van Cauwenbergh R, Robberecht HJ, Deelstra A . 1995 Measurement of the daily dietary calcium and magnesium intake in Belgium, using duplicate portion sampling Z. Lebensm. Unters Forsch 201: 213–217

    Article  CAS  Google Scholar 

  • Humphries S, Kushner H, Falkner B . 1999 Low dietary magnesium is associated with insulin resistance in a sample of young, nondiabetic black Americans Am. J. Hypertens. 12: 747–756

    Article  CAS  Google Scholar 

  • James WPT, Schofield EC . 1990 Human Energy Requirements: a Manual for Planners and Nutritionists Oxford: Oxford University Press

    Google Scholar 

  • Landig JL, Erhardt JG, Bode JC, Bode C . 1998 Validation and comparison of two computerized methods of obtaining a diet history Clin. Nutr. 17: 113–117

    Article  CAS  Google Scholar 

  • Ma J, Folsom AR, Melnick SL, Eckfeldt JH, Sharrett AR, Nabulsi AA, Hutchinson RG, Metcalf PA . 1995 Associations of serum and dietary magnesium with cardiovascular disease, hypertension, diabetes, insulin, and carotid arterial wall thickness: the ARIC study J. Clin. Epidemiol. 48: 927–940

    Article  CAS  Google Scholar 

  • McNair P, Christiansen C, Madsbad S, Lauritzen E, Faber O, Binder C, Transbol I . 1978 Hypomagnesaemia, a risk factor in diabetic retinopathy Diabetes 27: 1075–1077

    Article  CAS  Google Scholar 

  • McNair P, Christensen MS, Christiansen C, Madsbad S, Transbol I . 1982 Renal hypomagnesaemia in human diabetes mellitus: its relation to glucose homeostasis Eur. J. Clin. Invest. 12: 81–85

    Article  CAS  Google Scholar 

  • Morgan KJ, Stampley GL, Zabik ME, Fischer DR . 1985 Magnesium and calcium dietary intakes of the U.S. population J. Am. Coll. Nutr. 4: 195–206

    Article  CAS  Google Scholar 

  • Morgan RW, Jain M, Miller AB, Choi NW, Matthews V, Munan L, Burch JD, Feather J, Howe GR, Kelly A . 1978 A comparison of dietary methods in epidemiologic studies Am. J. Epidemiol. 107: 488–498

    Article  CAS  Google Scholar 

  • Nadler JL . 1995 Disorders of magnesium metabolism Endocrinol. Metab. Clin. N. Am. 24: 623–641

    Article  CAS  Google Scholar 

  • Nadler JL, Buchanan T, Natarajan R, Antonipillai I, Bergman R, Rude R . 1993 Magnesium deficieny produces insulin resistance and increased thromboxane synthesis Hypertension 21: 1024–1029

    Article  CAS  Google Scholar 

  • Nelson M, Black AE, Morris JA, Cole TJ . 1989 Between- and within-subject variation in nutrient intake from infancy to old age: estimating the number of days required to rank dietary intakes with desired precision Am. J. Clin. Nutr. 50: 155–167

    Article  CAS  Google Scholar 

  • Paolisso G, Sgambato S, Giugliano D, Torella R, Varicchio M, Scheen AJ, D'Onofrio F, Lefèbre PJ . 1988 Impaired insulin-induced erythrocyte magnesium accumulation is correlated to impaired insulin-mediated glucose disposal in type 2 (non-insulin-dependent) diabetic patients Diabetologia 31: 910–915

    Article  CAS  Google Scholar 

  • Pennington JAT, Young BE . 1991 Total diet study nutritional elements, 1982–1989 J. Am. Diet. Assoc. 91: 179–183

    CAS  PubMed  Google Scholar 

  • Reshef A, Epstein LM . 1972 Reliability of a dietary questionnaire Am. J. Clin. Nutr. 25: 91–95

    Article  CAS  Google Scholar 

  • Schlienger JL, Grunenberger F, Maier EA, Simon C, Chabrier G, Leroy MJF . 1988 Perturbation des oligoéléments plasmatiques dans le diabète Presse Med. 17: 1076–1079

    CAS  PubMed  Google Scholar 

  • Schmidt LE, Arfken CL, Heins JM . 1994 Evaluation of nutrient intake in subjects with non-insulin-dependent diabetes mellitus J. Am. Diet. Assoc. 94: 773–774

    Article  CAS  Google Scholar 

  • Schnack Ch, Bauer I, Pregant P, Hopmeier P, Schernthaner G . 1992 Hypomagnesaemia in type 2 (non-insulin-dependent) diabetes mellitus is not corrected by improvement of long-term metabolic control Diabetologia 35: 77–79

    Article  CAS  Google Scholar 

  • Schneider R . 1997 Vom Umgang mit Zahlen und Daten. Eine pra-xisnahe Einführung in die Statistik und Ernährungsepidemiologie pp 103–106 Frankfurt/Main: Umschau Zeitschriftenverlag

    Google Scholar 

  • Sheehan JP . 1991 Magnesium deficiency and diabetes mellitus Magnesium Trace Elem. 10: 215–219

    CAS  Google Scholar 

  • Sjögren A, Floren CH, Nilsson A . 1988 Magnesium, potassium and zinc deficiency in subjects with type II diabetes mellitus Acta Med. Scand. 224: 461–465

    Article  Google Scholar 

  • Souci SW, Fachmann W, Kraut H . 1994 Food Composition and Nutrition Tables 5th edn Stuttgart: Medpharm

    Google Scholar 

  • US Department of Health and Human Services. 1989 Nutrition monitoring in the United States. An Update Report on Nutrition Monitoring pp 67–68 DHHS Publication no. (PHS) 89–1255

  • Van Staveren WA, de Boer JO, Burema J . 1985 Validity and reproducibility of a dietary history method estimating the usual food intake during one month Am. J. Clin. Nutr. 42: 554–559

    Article  CAS  Google Scholar 

  • White JR, Campbell RK . 1993 Magnesium and diabetes: a review Ann. Pharmacother. 27: 775–780

    Article  Google Scholar 

Download references

Acknowledgements

For their assistance in this project, we thank the dieticians of the Division of Endocrinology and Diabetes of the University Hospital of Zurich, and the programme for older adults at the University of Zurich.

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Correspondence to MK Wälti.

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Wälti, M., Zimmermann, M., Spinas, G. et al. Dietary magnesium intake in type 2 diabetes. Eur J Clin Nutr 56, 409–414 (2002). https://doi.org/10.1038/sj.ejcn.1601327

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