Abstract
This study assessed the relationship between magnesium status and C-reactive protein concentration in obese and nonobese women. This cross-sectional study included 131 women, aged between 20 and 50 years, who were divided into two groups: obese (n = 65) and control (n = 66) groups. Magnesium intake was monitored using 3-day food records and NutWin software version 1.5. The plasma, erythrocyte, and urinary magnesium concentrations were determined by flame atomic absorption spectrophotometry. C-reactive protein concentration in serum was measured by immunoturbidimetric assay. The mean values of the magnesium content in the diet were lower than those recommended, though there was no significant difference between groups (p > 0.05). The mean concentrations of plasma and erythrocyte magnesium were within the normal range, with no significant difference between groups (p > 0.05). Urinary excretion of this mineral was less than the reference values in both groups, with no significant difference (p > 0.05). The mean concentration of serum C-reactive protein was within the normal range in both groups, with no significant difference (p > 0.05). There was a positive correlation between urinary magnesium and serum C-reactive protein (p = 0.015). Obese patients ingest low dietary magnesium content, which seems to induce hypomagnesuria as a compensatory mechanism to keep plasma concentrations of the mineral at adequate levels. The study shows a positive correlation between urinary magnesium concentrations and serum C-reactive protein, suggesting the influence of hypomagnesuria on this inflammatory protein in obese women.
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World Health Organization. Obesity and overweight. Available online: http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed 5 Jan 2015
Mraz M, Haluzik M (2014) The role of adipose tissue immune cells in obesity and low-grade inflammation. J Endocrinol 222:R113–R127
Moulin CM, Marguti I, Peron JPS, Rizzo LV, Halpern A (2009) Impact of adiposity on immunological parameters. Arq Bras Endocrinol Metabol 53:183–189
Alvez MNR (2006) Os efeitos da obesidade na resposta imune. Rev Bras Nutr Clin 21:316–319
Gomes F, Telo DF, Souza HP, Nicolau JC, Halpern A, Serrano JRCV (2010) Obesidade e doença arterial coronariana: papel da inflamação vascular. Arq Bras Cardiol 94:273–279
Guimarães DED, Sardinha FLC, Mizurini DM, Tavares Do Carmo MG (2007) Adipocitocinas: uma nova visão do tecido adiposo. Rev Nutr 20:549–559
Wajchenberg BL, Nery M, Cunha MR, Silva MER (2009) Adipose tissue at the crossroads in the development of the metabolic syndrome, inflammation and atherosclerosis. Arq Bras Endocrinol Metabol 53:145–150
Macedo EMC, Amorin MCF, Silva ACS, Castro CMMB (2010) Efeitos da deficiência de cobre, zinco e magnésio sobre o sistema imune de crianças com desnutrição grave. Rev Paul Pediatr 28:329–336
Cruz KJC, Oliveira ARS, Pinto DP, Morais JBS, Lima FS, Colli C, Torres-Leal FL, Marreiro DN (2014) Influence of magnesium on insulin resistance in obese women. Biol Trace Elem Res 160:305–310
Song CH, Choi WS, Oh HJ, Kim K (2007) Associations of serum minerals with body mass index in adult women. Eur J Clin Nutr 61:682–685
Rodríguez‐Morán M, Guerrero‐Romero F (2004) Elevated concentrations of TNF‐alpha are related to low serum magnesium levels in obese subjects. Magnes Res 17:189–196
Song Y, Li TY, Van A, Dam RM, Manson JE, Hu FB (2007) Magnesium intake and plasma concentrations of markers of systemic inflammation and endothelial dysfunction in women. Am J Clin Nutr 85:1068–1074
Mazur A, Maier JAM, Rock E, Guex E, Nowacki W, Rayssiguier Y (2007) Magnesium and the inflammatory response: potential physiopathological implications. Arch Biochem Biophys 458:48–56
Nielsen FH (2010) Magnesium, inflammation, and obesity in chronic disease. Nutr Rev 68:333–340
World Health Organization (2000) Obesity: preventing and managing the global epidemic. Technical report series, 894
World Health Organization (2008) Waist circumference and waist–hip ratio: report of a WHO Expert Consultation. Geneva
Anção MS, Cuppari L, Draine AS, Singulem D (2002) Programa de apoio à nutrição Nutwin: versão 1.5. Departamento de Informática em Saúde, SPDM, Unifesp/EPM, São Paulo
Institute of Medicine (1997) Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. National Academy Press, Washington
Fisberg RM, Marchioni DML, Slater B, Martini LA (2005) Inquéritos alimentares: Métodos e Bases Científicas. Manole, São Paulo
Jaime PC, Latorre MRDO, Fornés NS, Zerbini CAF (2003) Comparative study among two methods for energy adjustment for nutrient intake. Nutrire 26:11–18
Willett W, Stampfer MJ (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 124:17–27
Whitehouse RC, Prasad AS, Rabbani PI, Cossack ZT (1982) Zinc in plasma, neutrophils, lymphocytes, and erythrocytes as determined by flameless atomic absorption spectrophotometry. Clin Chem 28:475–480
Elin RJ (1987) Assessment of magnesium status. Clin Chem 33:1965–1970
Deuster PA, Trostmann UH, Bernier LL, Dolev E (1987) Indirect vs direct measurement of magnesium and zinc in erythrocytes. Clin Chem 33:529–532
Noronha JL, Matuschak GM (2002) Magnesium in critical illness: metabolism, assessment, and treatment. Intensive Care Med 28:667–679
Ryan MF, Barbour H (1998) Magnesium measurement in routine clinical practice. Ann Clin Biochem 35:449–459
Martin MT, Shapiro R (1988) Atomic absorption spectrometry of magnesium. Methods Enzymol 158:365–370
Nicoll GW, Struthers AD, Fraser CG (1991) Biological variation of urinary magnesium. Clin Chem 37:1794–1795
Topf JM, Murray PT (2003) Hypomagnesemia and hypermagnesemia. Rev Endocr Metab Disord 4:195–206
Tietz NW (1995) Clinical guide to laboratory test. Saunders Company, Philadelphia
Cahill F, Shahidi M, Shea J, Wadden D, Gulliver W, Randell E, Vasdev S, Sun G (2013) High dietary magnesium intake is associated with low insulin resistance in the Newfoundland population. Plos One 8:1–8
Chaudhary DP, Sharma R, Bansal DD (2010) Implications of magnesium deficiency in type 2 diabetes: a review. Biol Trace Elem Res 134:119–129
Song Y, Dai Q, He K (2013) Magnesium intake, insulin resistance, and type 2 diabetes. North Am J Med Sci 6:9–15
Corica F, Allegra A, Lentile R, Buemi M, Corsonello A, Bonanzinga S, Macaione S, Ceruso D (1999) Changes in plasma, erythrocyte, and platelet magnesium levels in normotensive and hypertensive obese subjects during oral glucose tolerance test. Am J Hypertens 12:128–136
De Leeuw I, Vansant G, Van Gaal L (1992) Magnesium and obesity: influence of gender, glucose tolerance, and body fat distribution on circulating magnesium concentrations. Magnes Res 5:183–187
Baaij JHF, Hoenderop JGJ, Bindels, RJM (2012) Regulation of magnesium balance: lessons learned from human genetic disease. Clin Kidney J5:i15–i24
Cifuentes M, Fuentes C, Tobar N, Acevedo I, Villalobos E, Hugo E, Ben-Jonathan N, Reyes M (2012) Calcium sensing receptor activation elevates proinflammatory factor expression in human adipose cells and adipose tissue. Mol Cell Endocrinol 361:24–30
Nielsen FH, Milne DB, Gallagher S, Johnson L, Hoverson B (2007) Moderate magnesium deprivation results in calcium retention and altered potassium and phosphorus excretion by postmenopausal women. Magnesium Res 20:19–31
Ellulu MS, Khaza’ai H, Abed Y, Rahmat A, Ismail P, Ranneh Y (2015) Role of fish oil in human health and possible mechanism to reduce the inflammation. Inflammopharmacology. doi:10.1007/s10787-015-0228-1
Dayal D, Jain H, Attri SV, Bharti B, Bhalla AK (2014) Relationship of high sensitivity C-reactive protein levels to anthropometric and other metabolic parameters in indian children with simple overweight and obesity. J Clin Diagn Res 8:PC05–PC08
Timóteo AT, Miranda F, Feliciano J, Ferreira R (2011) Influência das variáveis antropométricas na proteína C reactiva. Acta Med Port 24:419–426
Al-Hamodi Z, Al-Habori M, Al-Meeri A, Saif-Ali R (2014) Association of adipokines, leptin/adiponectin ratio and C-reactive protein with obesity and type 2 diabetes mellitus. Diabetol Metab Syndr 6:1–8
Paepegaey AC, Genser L, Bouillot JL, Oppert JM, Clément K, Poitou C (2014) High levels of CRP in morbid obesity: the central role of adipose tissue and lessons for clinical practice before and after bariatric surgery. Surg Obes Relat Dis. doi:10.1016/j.soard.2014.06.010
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The authors declare that they have no competing interest.
Ethical Standards
This study was approved by the Research Ethics Committee of the Federal University of Piauí (protocol number 27565414.4.0000.5214) and conducted in accordance with the Declaration of Helsinki. All participants gave their full consent.
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de Oliveira, A.R.S., Cruz, K.J.C., Morais, J.B.S. et al. Magnesium Status and Its Relationship with C-Reactive Protein in Obese Women. Biol Trace Elem Res 168, 296–302 (2015). https://doi.org/10.1007/s12011-015-0358-8
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DOI: https://doi.org/10.1007/s12011-015-0358-8