Combined vitamin D and magnesium supplementation does not influence markers of bone turnover or glycemic control: A randomized controlled clinical trial

High-dose vitamin D supplementation can increase total osteocalcin concentrations that may reduce insulin resistance in individuals at risk for prediabetes or diabetes mellitus. Magnesium is a cofactor in vitamin D metabolism and activation. The purpose of this study was to determine the combined effect of vitamin D and magnesium supplementation on total osteocalcin concentrations, glycemic indices, and other bone turnover markers af-ter a 12-week intervention in individuals who were overweight and obese, but otherwise healthy. We hypothesized that combined supplementation would improve serum total os-teocalcin concentrations and glycemic indices more than vitamin D supplementation alone or a placebo. A total of 78 women and men completed this intervention in 3 groups: a vi-tamin D and magnesium group (1000 IU vitamin D 3 and 360 mg magnesium glycinate), a vitamin D group (1000 IU vitamin D 3 ), and a placebo group. Despite a significant increase in serum 25-hydroxyvitamin D concentrations in the vitamin D and magnesium group com-pared with the placebo group (difference = 5.63; CI, -10.0 to -1.21; P = .001) post-intervention, there were no differences in serum concentrations of total osteocalcin, glucose, insulin, and adiponectin or the homeostatic model assessment of insulin resistance (HOMA-IR) among groups ( P > .05 for all). Additionally, total osteocalcin (beta = -0.310, P = .081), bone-specific al-kaline phosphatase (beta = 0.004, P = .986), and C-terminal cross-linked telopeptide (beta = 0.426, P = .057), were not significant predictors of HOMA-IR after the intervention. Combined sup-plementation was not associated with short-term improvements in glycemic indices or bone turnover markers in participants who were overweight and obese in our study. This trial was registered at clinicaltrials.gov (NCT03134417).(c) 2022 Elsevier Inc. All rights reserved.

Automated summary

High-dose vitamin D supplementation may reduce insulin resistance by increasing total osteocalcin concentrations in individuals at risk for prediabetes or diabetes mellitus. This study aimed to investigate the combined effect of vitamin D and magnesium supplementation on glycemic indices and bone turnover markers in overweight and obese individuals. The results showed that combined supplementation did not lead to short-term improvements in glycemic indices or bone turnover markers.