Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis

Magnesium plays a critical role in the human's life activities and energy metabolism. This study aimed to evaluate the magnesium status of athletes via a systematic review of cross-sectional studies. A comprehensive systematic search was conducted in PubMed, Web of Science, SPORTDiscus, Cochran...

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Main Authors: Haixin Zhang, Ruwen Wang, Shanshan Guo, Qianqian Tian, Shuang Zhang, Liang Guo, Tiemin Liu, Ru Wang
Format: Article
Language:English
Published: Tsinghua University Press 2023-09-01
Series:Food Science and Human Wellness
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213453023000150
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author Haixin Zhang
Ruwen Wang
Shanshan Guo
Qianqian Tian
Shuang Zhang
Liang Guo
Tiemin Liu
Ru Wang
author_facet Haixin Zhang
Ruwen Wang
Shanshan Guo
Qianqian Tian
Shuang Zhang
Liang Guo
Tiemin Liu
Ru Wang
author_sort Haixin Zhang
collection DOAJ
description Magnesium plays a critical role in the human's life activities and energy metabolism. This study aimed to evaluate the magnesium status of athletes via a systematic review of cross-sectional studies. A comprehensive systematic search was conducted in PubMed, Web of Science, SPORTDiscus, Cochrane Library electronic databases, and other sources before April 5, 2021. Fourteen studies were included in the systematic review, involving 855 athletes and 521 control subjects. Serum magnesium concentration was significantly lower in athletes (mean difference (MD): −0.04 mmol/L; 95 % confidence interval (CI): −0.06 to −0.01; P = 0.02) in spite of significantly higher dietary magnesium intake (MD: 51.72 mg/day; 95 % CI: 14.62 to 88.83; P = 0.006). Meta-analysis showed that 24-h urinary magnesium excretion in athletes was significantly higher than that in the untrained population (MD: 0.76 mmol/day; 95 % CI: 0.11 to 1.41; P = 0.02). Despite higher total dietary magnesium intake, athletes generally have lower serum magnesium concentration and higher 24-h urinary magnesium excretion, demonstrating that the magnesium requirement of athletes is higher than the untrained population. It is necessary to carry out a dietary assessment and nutrition counseling to help athletes adopt proper diets to meet their nutritional needs in exercise.
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spelling doaj.art-3423cfd35adc42dea3937952b62e1e002023-09-03T08:49:22ZengTsinghua University PressFood Science and Human Wellness2213-45302023-09-0112514711480Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysisHaixin Zhang0Ruwen Wang1Shanshan Guo2Qianqian Tian3Shuang Zhang4Liang Guo5Tiemin Liu6Ru Wang7School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; Department of Physical Education, Huainan Normal University, Huainan 232038, ChinaSchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, ChinaState Key Laboratory of Genetic Engineering, Department of Endocrinology and Metabolism, School of Life Sciences, Institute of Metabolism and Integrative Biology, Human Phenome Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaSchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, ChinaSchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; School of Kinesiology, Harbin Sport University, Harbin 150008, ChinaSchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, ChinaState Key Laboratory of Genetic Engineering, Department of Endocrinology and Metabolism, School of Life Sciences, Institute of Metabolism and Integrative Biology, Human Phenome Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Corresponding authorsSchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; Corresponding authorsMagnesium plays a critical role in the human's life activities and energy metabolism. This study aimed to evaluate the magnesium status of athletes via a systematic review of cross-sectional studies. A comprehensive systematic search was conducted in PubMed, Web of Science, SPORTDiscus, Cochrane Library electronic databases, and other sources before April 5, 2021. Fourteen studies were included in the systematic review, involving 855 athletes and 521 control subjects. Serum magnesium concentration was significantly lower in athletes (mean difference (MD): −0.04 mmol/L; 95 % confidence interval (CI): −0.06 to −0.01; P = 0.02) in spite of significantly higher dietary magnesium intake (MD: 51.72 mg/day; 95 % CI: 14.62 to 88.83; P = 0.006). Meta-analysis showed that 24-h urinary magnesium excretion in athletes was significantly higher than that in the untrained population (MD: 0.76 mmol/day; 95 % CI: 0.11 to 1.41; P = 0.02). Despite higher total dietary magnesium intake, athletes generally have lower serum magnesium concentration and higher 24-h urinary magnesium excretion, demonstrating that the magnesium requirement of athletes is higher than the untrained population. It is necessary to carry out a dietary assessment and nutrition counseling to help athletes adopt proper diets to meet their nutritional needs in exercise.http://www.sciencedirect.com/science/article/pii/S2213453023000150AthletesMagnesium statusDietary magnesium intakeSerum magnesium
spellingShingle Haixin Zhang
Ruwen Wang
Shanshan Guo
Qianqian Tian
Shuang Zhang
Liang Guo
Tiemin Liu
Ru Wang
Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis
Food Science and Human Wellness
Athletes
Magnesium status
Dietary magnesium intake
Serum magnesium
title Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis
title_full Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis
title_fullStr Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis
title_full_unstemmed Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis
title_short Lower serum magnesium concentration and higher 24-h urinary magnesium excretion despite higher dietary magnesium intake in athletes: a systematic review and meta-analysis
title_sort lower serum magnesium concentration and higher 24 h urinary magnesium excretion despite higher dietary magnesium intake in athletes a systematic review and meta analysis
topic Athletes
Magnesium status
Dietary magnesium intake
Serum magnesium
url http://www.sciencedirect.com/science/article/pii/S2213453023000150
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