ARTICLE
Magnesium plays a major role in the musculoskeletal and nervous systems . The musculoskeletal functions of magnesium include relaxation of smooth muscle , 12 normal muscle function , 7 , 11 muscle contraction , 4 , 6-8 muscle relaxation , 8 bone strength , 11 bone metabolism , 4 bone mineralisation , 8 bone mineral density , 4 and bone integrity . 7 The nervous system functions of magnesium include nerve function , 6 , 7 , 11 neurotransmission , 4 , 7 , 8 , 11 neuromuscular transmission , 3 , 4 , 7 , 8 , 10 neurotransmitter release , 8 and neurotransmitters . 11
Magnesium plays a major role in cardiometabolic health . The cardiometabolic functions of magnesium include blood pressure regulation , 4 , 6-8 heart rhythm , 10 , 11 cardiac excitability , 4 , 6-8 vascular tone , 8 vasomotor tone , 4 , 7 , 8 , 10 endothelial function , 6 blood glucose regulation , 6 , 7 nitric oxide metabolism , 11 insulin metabolism , 4 , 7 , 8 tyrosine kinase activity of insulin receptors , 8 lipid metabolism , 7 and parathyroid hormone metabolism . 10 Research has found that magnesium intake has been inversely associated with fasting glucose and insulin . 6
Deficiency signs and symptoms of magnesium
A deficiency of magnesium has been
5 , 10 , 11
associated with muscle spasms , muscle cramping , 4 , 8 , 10 , 11 muscle
Magnesium plays a major role in the musculoskeletal and nervous systems .
twitches , 10 tremors , 6 , 8 muscle weakness , 10
13 , 14
neuromuscular hyperexcitability , numbness , tingling , 4 , 11 nervousness , 8 , 11 neuromuscular weakness , 6 weakness , 4 , 8 fatigue , 8 anxiety , 5 , 8 , 10 apathy , depression , agitation , 8 , 10 irritability , 8 and decreased gut motility . 10 Additionally , magnesium deficiency has been associated with cardiovascular diseases , 5 , 15 altered glucose homeostasis , 14 metabolic syndrome , 8 type 2 diabetes , 5 , 15 elevated blood pressure , 5 , 10 , 14 , 15 cardiac arrhythmias , 13 , 14 atherosclerotic vascular disease , 14 osteoporosis 8 , 15 and inflammation in chronic disease . 16 Low magnesium levels have been associated with a number of chronic and inflammatory diseases , 8 headaches , 11 cluster headaches , 4 migraines , 4 , 7 , 11 and menstrual migraine . 4 Research indicates that magnesium intake may have an inverse relationship with endometriosis risk . 12
Conclusion
Magnesium has a wide range of applications from DNA and the cellular level up to body systems . It is a multipurpose mineral with unlimited potential that is a centrepiece for health professionals and clinical practice .
REFERENCES
1 . McEwen BJ . The influence of diet and nutrients on platelet function . Semin Thromb Hemost 2014 ; 40 ( 2 ): 214-26 .
2 . McEwen B , Morel-Kopp MC , Tofler G , et al . Effect of omega-3 fish oil on cardiovascular risk in diabetes . Diabetes Educ 2010 ; 36 ( 4 ): 565-84 .
3 . Bilbey DL , Prabhakaran VM . Muscle cramps and magnesium deficiency : case reports . Canadian family physician Medecin de famille canadien 1996 ; 42 : 1348-51 .
4 . Guerrera MP , Volpe SL , Mao JJ . Therapeutic uses of magnesium . Am Fam Physician 2009 ; 80 ( 2 ): 157-62 .
5 . Palmery M , Saraceno A , Vaiarelli A , et al . Oral contraceptives and changes in nutritional requirements . Eur Rev Med Pharmacol Sci 2013 ; 17 ( 13 ): 1804-13 .
6 . Schwalfenberg GK , Genuis SJ . The Importance of Magnesium in Clinical Healthcare . Scientifica 2017 ; 2017 : 4179326 .
7 . Volpe SL . Magnesium in disease prevention and overall health . Adv Nutr 2013 ; 4 ( 3 ): 378s-83s .
8 . Grober U , Schmidt J , Kisters K . Magnesium in Prevention and Therapy . Nutrients 2015 ; 7 ( 9 ): 8199-226 .
9 . de Baaij JH , Hoenderop JG , Bindels RJ . Magnesium in man : implications for health and disease . Physiol Rev 2015 ; 95 ( 1 ): 1-46 .
10 . Berkelhammer C , Bear RA . A clinical approach to common electrolyte problems : 4 . Hypomagnesemia . Canadian Medical Association journal 1985 ; 132 ( 4 ): 360-8 .
11 . Xue W , You J , Su Y , et al . The Effect of Magnesium Deficiency on Neurological Disorders : A Narrative Review Article . Iranian journal of public health 2019 ; 48 ( 3 ): 379-87 .
12 . Harris HR , Chavarro JE , Malspeis S , et al . Dairy-food , calcium , magnesium , and vitamin D intake and endometriosis : a prospective cohort study . American journal of epidemiology 2013 ; 177 ( 5 ): 420-30 .
13 . Rude RK . Magnesium metabolism and deficiency . Endocrinology and metabolism clinics of North America 1993 ; 22 ( 2 ): 377-95 .
14 . Abbott LG , Rude RK . Clinical manifestations of magnesium deficiency . Mineral and electrolyte metabolism 1993 ; 19 ( 4-5 ): 314-22 .
15 . Costello RB , Elin RJ , Rosanoff A , et al . Perspective : The Case for an Evidence-Based Reference Interval for Serum Magnesium : The Time Has Come . Adv Nutr 2016 ; 7 ( 6 ): 977-93 .
16 . Nielsen FH . Effects of magnesium depletion on inflammation in chronic disease . Curr Opin Clin Nutr Metab Care 2014 ; 17 ( 6 ): 525-30 .
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