Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial.
BACKGROUND:Oral magnesium for leg cramps treatment in pregnancy is a controversial issue according to recent Cochrane systematic review. This study aims to evaluate the efficacy of Mg++ supplementation in leg cramps treatment in pregnancy. METHODS:This observational clinical trial studied 132 pregna...
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doaj-280cb61085fc4769a6ef18990aacb4e72021-03-03T21:24:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01151e022749710.1371/journal.pone.0227497Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial.Carla Adriane Leal de AraújoSuélem Barros de LorenaGuilherme Camelo de Sousa CavalcantiGabriel Landim de Souza LeãoGeraldo Padilha TenórioJoão Guilherme B AlvesBACKGROUND:Oral magnesium for leg cramps treatment in pregnancy is a controversial issue according to recent Cochrane systematic review. This study aims to evaluate the efficacy of Mg++ supplementation in leg cramps treatment in pregnancy. METHODS:This observational clinical trial studied 132 pregnant women with leg cramps in the first trimester of pregnancy. At baseline, 74 (56.3%) had two leg cramps episodes per week, 28 (21.1%) three episodes, 13 (9.8%) four episodes and 9 (6.8%) five or more episodes. They were randomized 1:1 to 300 mg/day of oral Mg++ citrate (n = 66) or placebo (n = 66). The primary outcome was the frequency of leg cramps episodes per week reported by pregnant women. Secondary outcomes were the ocurrence of leg cramps and oral magnesium side effects. RESULTS:130 pregnant women completed the study and the two groups were comparable according to some sociodemographic and clinical characteristics. After 4 weeks of intervention it was observed a 28.4% (39/132) (CI 95%: 20.9-37.0) reduction of leg cramps in all participants and no difference between the two groups was found; reduction of 27.2% (18/66) (CI 95%: 17.0-39.6) in Mg++ group and 32.8% (21/66) (CI 95%: 21.6-45.7) in the placebo group. The OR of leg cramps was 1.3 (CI 95%: 0.6-2.9), p = 0.527, taking the placebo group as reference. Among pregnant women who remained with leg cramps the mean of leg cramps episodes per week showed no significance difference between the Mg++ and placebo groups; t-student test: p = 0.408. Four pregnant women showed gastrointestinal side effects; 2 in each group had nauseas and diarrhoea. CONCLUSION:Oral magnesium supplementation during pregnancy did not reduce the ocurrence and frequency of episodes of leg cramps.https://doi.org/10.1371/journal.pone.0227497 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carla Adriane Leal de Araújo Suélem Barros de Lorena Guilherme Camelo de Sousa Cavalcanti Gabriel Landim de Souza Leão Geraldo Padilha Tenório João Guilherme B Alves |
spellingShingle |
Carla Adriane Leal de Araújo Suélem Barros de Lorena Guilherme Camelo de Sousa Cavalcanti Gabriel Landim de Souza Leão Geraldo Padilha Tenório João Guilherme B Alves Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial. PLoS ONE |
author_facet |
Carla Adriane Leal de Araújo Suélem Barros de Lorena Guilherme Camelo de Sousa Cavalcanti Gabriel Landim de Souza Leão Geraldo Padilha Tenório João Guilherme B Alves |
author_sort |
Carla Adriane Leal de Araújo |
title |
Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial. |
title_short |
Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial. |
title_full |
Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial. |
title_fullStr |
Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial. |
title_full_unstemmed |
Oral magnesium supplementation for leg cramps in pregnancy-An observational controlled trial. |
title_sort |
oral magnesium supplementation for leg cramps in pregnancy-an observational controlled trial. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2020-01-01 |
description |
BACKGROUND:Oral magnesium for leg cramps treatment in pregnancy is a controversial issue according to recent Cochrane systematic review. This study aims to evaluate the efficacy of Mg++ supplementation in leg cramps treatment in pregnancy. METHODS:This observational clinical trial studied 132 pregnant women with leg cramps in the first trimester of pregnancy. At baseline, 74 (56.3%) had two leg cramps episodes per week, 28 (21.1%) three episodes, 13 (9.8%) four episodes and 9 (6.8%) five or more episodes. They were randomized 1:1 to 300 mg/day of oral Mg++ citrate (n = 66) or placebo (n = 66). The primary outcome was the frequency of leg cramps episodes per week reported by pregnant women. Secondary outcomes were the ocurrence of leg cramps and oral magnesium side effects. RESULTS:130 pregnant women completed the study and the two groups were comparable according to some sociodemographic and clinical characteristics. After 4 weeks of intervention it was observed a 28.4% (39/132) (CI 95%: 20.9-37.0) reduction of leg cramps in all participants and no difference between the two groups was found; reduction of 27.2% (18/66) (CI 95%: 17.0-39.6) in Mg++ group and 32.8% (21/66) (CI 95%: 21.6-45.7) in the placebo group. The OR of leg cramps was 1.3 (CI 95%: 0.6-2.9), p = 0.527, taking the placebo group as reference. Among pregnant women who remained with leg cramps the mean of leg cramps episodes per week showed no significance difference between the Mg++ and placebo groups; t-student test: p = 0.408. Four pregnant women showed gastrointestinal side effects; 2 in each group had nauseas and diarrhoea. CONCLUSION:Oral magnesium supplementation during pregnancy did not reduce the ocurrence and frequency of episodes of leg cramps. |
url |
https://doi.org/10.1371/journal.pone.0227497 |
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