Short-Term Magnesium Therapy Alleviates Moderate Stress in Patients with Fibromyalgia: A Randomized Double-Blind Clinical Trial

Nutrients
Q1
May 2022
Citations:18
Influential Citations:1
Interventional (Human) Studies
90
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Enhanced Details

Methods
Prospective double-blind randomized controlled trial with two parallel groups (magnesium vs placebo) in adults with fibromyalgia diagnosed by ACR 2016 criteria and a baseline DASS-42 stress score >18; conducted at the University Hospital of Clermont-Ferrand, France, from April 2019 to May 2020; four visits (inclusion, randomization, end of treatment at day 28, follow-up at day 84).
Intervention
Oral Chronomag magnesium chloride: 2 tablets of 50 mg once daily for 28 days (total 100 mg Mg per day).
Results
Primary outcome: stress (DASS-42) at 28 days showed no significant difference between magnesium and placebo in the overall sample. In mildly/moderately stressed patients (DASS-42 stress ≤25), magnesium significantly reduced stress from 22.1 ± 2.8 to 12.3 ± 7.0 versus placebo from 21.9 ± 2.3 to 22.9 ± 11.9 (p = 0.003); no effect in severely stressed patients (p = 0.320). Secondary outcomes: in the mildly/moderately stressed subgroup, pain severity (BPI) decreased with magnesium (5.7 ± 1.3 to 5.1 ± 1.7) vs placebo (5.3 ± 0.7 to 5.6 ± 1.2; p = 0.029). No significant differences for other endpoints (sleep, quality of life, fatigue, catastrophizing). Serum and erythrocyte Mg concentrations did not differ after one month. Tolerance was similar (≈30% reported minor GI symptoms). Authors conclude magnesium may be useful for a FM subgroup with moderate stress and pain, warranting larger, longer trials.
Limitations
Small sample size; short duration (28 days); magnesium dose (100 mg/day) may be insufficient for severely stressed patients; secondary endpoints underpowered; exploratory subgroup analyses; single-center; baseline magnesium levels not deficient; potential placebo effects.

Abstract

Patients suffering from fibromyalgia often report stress and pain, with both often refractory to usual drug treatment. Magnesium supplementation seems to improve fibromyalgia symptoms, but the level of evidence is still poor. This study is a randomiz...