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Effects of Potassium Magnesium Citrate Supplementation on 24-Hour Ambulatory Blood Pressure and Oxidative Stress Marker in Prehypertensive and Hypertensive Subjects.

The American journal of cardiology
January 1, 1970
Wanpen Vongpatanasin et al. (9 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the differential effects of potassium magnesium citrate (KMgCit), potassium chloride (KCl), and potassium citrate (KCit) on blood pressure and oxidative stress in hypertensive and prehypertensive subjects.

Results Summary

KCl supplementation reduced nighttime systolic blood pressure, while KMgCit reduced urinary 8-isoprostane (an oxidative stress marker). KCit had no significant effects on either outcome.

Population

Hypertensive and prehypertensive subjects

Effective Dosage

Not specified

Duration

4 weeks

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Diet rich in fruits, vegetables, and dairy products, known as the Dietary Approaches to Stop Hypertension (DASH) diet
decrease
blood pressure (BP)
hypertensive patients
-
is known to reduce
#1
the DASH diet
decrease
oxidative stress
hypertensive and nonhypertensive humans
-
was shown to reduce
#2
KCl supplementation for 4 weeks
decrease
nighttime SBP
hypertensive and prehypertensive subjects
116 ± 12 vs 121 ± 15 mm Hg
induced a significant reduction in
#3
KMgCit
no change
nighttime SBP
hypertensive and prehypertensive subjects
118 ± 11 mm Hg
had no significant effect on
#4
KCit
no change
nighttime SBP
hypertensive and prehypertensive subjects
119 ± 13 mm Hg
had no significant effect on
#5
KMgCit powder
decrease
urinary 8-isoprostane
hypertensive and prehypertensive subjects
13.5 ± 5.7 vs 21.1 ± 10.5 ng/mgCr
significantly reduced
#6
KCl
no change
urinary 8-isoprostane
hypertensive and prehypertensive subjects
21.4 ± 9.1 ng/mgCr
had no effect on
#7
KCit
no change
urinary 8-isoprostane
hypertensive and prehypertensive subjects
18.3 ± 8.4 ng/mgCr
had no effect on
#8
Abstract

Diet rich in fruits, vegetables, and dairy products, known as the Dietary Approaches to Stop Hypertension (DASH) diet, is known to reduce blood pressure (BP) in hypertensive patients. More recently, the DASH diet was shown to reduce oxidative stress in hypertensive and nonhypertensive humans. However, the main nutritional components responsible for these beneficial effects of the DASH diet remain unknown. Because the DASH diet is rich in potassium (K), magnesium (Mg), and alkali, we performed a randomized, double-blinded, placebo-controlled study to compare effects of potassium magnesium citrate (KMgCit), potassium chloride (KCl), and potassium citrate (KCit) to allow dissociation of the three components of K, Mg, and citrate on 24-hour ambulatory BP and urinary 8-isoprostane in hypertensive and prehypertensive subjects, using a randomized crossover design. We found that KCl supplementation for 4 weeks induced a significant reduction in nighttime SBP compared with placebo (116 ± 12 vs 121 ± 15 mm Hg, respectively, p <0.01 vs placebo), whereas KMgCit and KCit had no significant effect in the same subjects (118 ± 11 and 119 ± 13 mm Hg, respectively, p >0.1 vs placebo). In contrast, urinary 8-isoprostane was significantly reduced with KMgCit powder compared with placebo (13.5 ± 5.7 vs 21.1 ± 10.5 ng/mgCr, respectively, p <0.001), whereas KCl and KCit had no effect (21.4 ± 9.1 and 18.3 ± 8.4, respectively, p >0.1 vs placebo). In conclusion, our study demonstrated differential effects of KCl and KMgCit supplementation on BP and the oxidative stress marker in prehypertensive and hypertensive subjects. Clinical significance of the antioxidative effect of KMgCit remains to be determined in future studies.

Medical Subject Headings (MeSH)
AdultAgedAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryCitratesCross-Over StudiesDietary SupplementsDinoprostDouble-Blind MethodDrug CombinationsFemaleHumansHypertensionLinear ModelsMagnesium CompoundsMaleMiddle AgedOxidative StressPotassiumPotassium ChloridePotassium CitratePotassium CompoundsPrehypertensionVascular Stiffness
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality85/10
Citation Metrics
Total Citations13
Citations/Year1.4
Relative Citation Ratio0.62
NIH Percentile33.4%
Research Impact Scores
APT Score0.50
Weight Score1.75
Normalized Score0.65
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