Magnesium and mood disorders: systematic review and meta-analysis

BackgroundMagnesium (Mg2+) has received considerable attention with regards to its potential role in the pathophysiology of the mood disorders, but the available evidence seems inconclusive.AimsTo review and quantitatively summarise the human literature on Mg2+ intake and Mg2+ blood levels in the mo...

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Main Authors: Danny Phelan, Patricio Molero, Miguel A. Martínez-González, Marc Molendijk
Format: Article
Language:English
Published: Cambridge University Press 2018-07-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472418000224/type/journal_article
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author Danny Phelan
Patricio Molero
Miguel A. Martínez-González
Marc Molendijk
author_facet Danny Phelan
Patricio Molero
Miguel A. Martínez-González
Marc Molendijk
author_sort Danny Phelan
collection DOAJ
description BackgroundMagnesium (Mg2+) has received considerable attention with regards to its potential role in the pathophysiology of the mood disorders, but the available evidence seems inconclusive.AimsTo review and quantitatively summarise the human literature on Mg2+ intake and Mg2+ blood levels in the mood disorders and the effects of Mg2+ supplements on mood.MethodSystematic review and meta-analyses.ResultsAdherence to a Mg2+-rich diet was negatively associated with depression in cross-sectional (odds ratio = 0.66) but not in prospective studies. Mg2+ levels in bodily fluids were on average higher in patients with a mood disorder (Hedge's g = 0.19), but only in patients treated with antidepressants and/or mood stabilisers. There was no evident association between Mg2+ levels and symptom severity. Mg2+ supplementation was associated with a decline in depressive symptoms in uncontrolled (g = −1.60) but not in placebo-controlled trials (g = −0.21).ConclusionOur results provide little evidence for the involvement of Mg2+ in the mood disorders.Declaration of interestNone.
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spelling doaj.art-8f01f49bca264ddfa8c03752eabd0f212023-03-09T12:28:47ZengCambridge University PressBJPsych Open2056-47242018-07-01416717910.1192/bjo.2018.22Magnesium and mood disorders: systematic review and meta-analysisDanny Phelan0Patricio Molero1Miguel A. Martínez-González2Marc Molendijk3Institute of Psychology, Clinical Psychology Unit, Leiden University, Leiden, The NetherlandsDepartment of Psychiatry and Medical Psychology, University Hospital, School of Medicine, University of Navarra, Pamplona, Navarra, SpainDepartment of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona, Navarra, Spain, CIBER-OBN, Instituto de Salud Carlos III, Madrid, Spain, and Department of Nutrition, Harvard TH Chan School of Public Health, Boston, USAInstitute of Psychology, Clinical Psychology Unit, Leiden University, Leiden, The Netherlands, and Leiden Institute for Brain and Cognition, Leiden University Medical Center, Leiden, The Netherlands.BackgroundMagnesium (Mg2+) has received considerable attention with regards to its potential role in the pathophysiology of the mood disorders, but the available evidence seems inconclusive.AimsTo review and quantitatively summarise the human literature on Mg2+ intake and Mg2+ blood levels in the mood disorders and the effects of Mg2+ supplements on mood.MethodSystematic review and meta-analyses.ResultsAdherence to a Mg2+-rich diet was negatively associated with depression in cross-sectional (odds ratio = 0.66) but not in prospective studies. Mg2+ levels in bodily fluids were on average higher in patients with a mood disorder (Hedge's g = 0.19), but only in patients treated with antidepressants and/or mood stabilisers. There was no evident association between Mg2+ levels and symptom severity. Mg2+ supplementation was associated with a decline in depressive symptoms in uncontrolled (g = −1.60) but not in placebo-controlled trials (g = −0.21).ConclusionOur results provide little evidence for the involvement of Mg2+ in the mood disorders.Declaration of interestNone.https://www.cambridge.org/core/product/identifier/S2056472418000224/type/journal_articleMagnesiumdepressionbipolar disordermeta-analysissystematic review
spellingShingle Danny Phelan
Patricio Molero
Miguel A. Martínez-González
Marc Molendijk
Magnesium and mood disorders: systematic review and meta-analysis
BJPsych Open
Magnesium
depression
bipolar disorder
meta-analysis
systematic review
title Magnesium and mood disorders: systematic review and meta-analysis
title_full Magnesium and mood disorders: systematic review and meta-analysis
title_fullStr Magnesium and mood disorders: systematic review and meta-analysis
title_full_unstemmed Magnesium and mood disorders: systematic review and meta-analysis
title_short Magnesium and mood disorders: systematic review and meta-analysis
title_sort magnesium and mood disorders systematic review and meta analysis
topic Magnesium
depression
bipolar disorder
meta-analysis
systematic review
url https://www.cambridge.org/core/product/identifier/S2056472418000224/type/journal_article
work_keys_str_mv AT dannyphelan magnesiumandmooddisorderssystematicreviewandmetaanalysis
AT patriciomolero magnesiumandmooddisorderssystematicreviewandmetaanalysis
AT miguelamartinezgonzalez magnesiumandmooddisorderssystematicreviewandmetaanalysis
AT marcmolendijk magnesiumandmooddisorderssystematicreviewandmetaanalysis