Magnesium Supplementation to Prevent Bone Loss
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Purpose
Extreme magnesium deficiency is known to have an impact on the synthesis, secretion and/or action of calcium regulating hormones. Many older adults are at risk for less severe magnesium deficiency, since the majority of adults receive less than the Recommended Daily Allowance of magnesium. We hypothesize that magnesium supplementation will have a beneficial effect on calcium regulating hormones and markers of bone turnover.
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoporosis |
Drug: magnesium |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Prevention |
| Official Title: | Magnesium Supplementation to Prevent Bone Loss |
- Biomarkers bone turnover (P1NP and CTX)
- Calcium regulating hormones (PTH and 1,25 dihydroxyvitamin D)
- Change in BMD at the spine, femoral neck and total hip by DXA
- Change in RBC magnesium
| Estimated Enrollment: | 74 |
| Study Start Date: | July 2002 |
| Estimated Study Completion Date: | September 2006 |
This is a 12 month randomized, double-blind, placebo-controlled study of magnesium supplementation. Our hypothesis was that magnesium supplementation would decrease bone turnover markers and alter calcium-regulating hormones: parathyroid hormone and 1, 25 dihydroxyvitamin D.
Male and female adults over 55 without with a T-score at the hip above -2 are randomized to magnesium 250 mg BID or identical placebo BID. At baseline, all participants had a bone mineral density (BMD) by DXA scan at the hip and spine, blood biomarkers of bone resorption and formation, and calcium regulating hormones. Participants were followed for 12 months, with repeat measurement of calcium regulating hormones and bone turnover markers.
Eligibility| Ages Eligible for Study: | 55 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy ambulatory men and women between the ages of 55-75 years
- Women at least 5 years after menopause
Exclusion Criteria:
- Inability to give informed consent in accordance with institutional guidelines
- Creatinine greater than or equal to 2 mg/dl, since magnesium is excreted by the kidneys
- Diarrhea or loose frequent stools (> 2 a day) at least 3 days/ week in last 3 months
- Use within 12 months of estrogen, bisphosphonates, calcitonin, or raloxifene
- Current use of loop diuretics
- Use within 12 months of corticosteroids
- History of hyperparathyroidism, hyperthyroidism, or osteomalacia within past 12 month
- Vitamin D deficient as measured by 25-hydroxyvitamin D outside of the normal range
- Magnesium supplementation of greater than 250 mg/day
- Calcium supplementation of greater than 1500 mg/day
- Conditions which, in the opinion of the investigator, would interfere with the evaluation of BMD at the spine including severe scoliosis, osteophytosis and lumbar fusion
- Bilateral hip replacement
- BMD at the lumbar spine L2-L4 of less than 0.859g/cm2 for women or 0.895 g/cm2 in men; or total hip less than 0.698 g/cm2 for women or 0.731 g/cm2 for men; or femoral neck less than 0.627 g/cm2 for women or 0.658 g/cm2 for men This represents a T-score of less than -2 at each site
- High serum calcium on screening blood test
Contacts and Locations| United States, Tennessee | |
| University of Tennessee Health Sciences Center | |
| Memphis, Tennessee, United States, 38163 | |
| Principal Investigator: | Kathryn M Ryder, MD, MS | University of Tennessee Health Sciences Center |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00346658 History of Changes |
| Other Study ID Numbers: | RR16047, 5 K23 RR016047 |
| Study First Received: | June 28, 2006 |
| Last Updated: | December 12, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Tennessee:
|
Osteoporosis bone density magnesium vitamin D |
Additional relevant MeSH terms:
|
Osteoporosis Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases |
ClinicalTrials.gov processed this record on May 19, 2013