PMID- 31385202 OWN - NLM STAT- MEDLINE DCOM- 20210618 LR - 20210618 IS - 1559-0720 (Electronic) IS - 0163-4984 (Linking) VI - 194 IP - 2 DP - 2020 Apr TI - Effects of Choline and Magnesium Concurrent Supplementation on Coagulation and Lipid Profile in Patients with Type 2 Diabetes Mellitus: a Pilot Clinical Trial. PG - 328-335 LID - 10.1007/s12011-019-01802-7 [doi] AB - Metabolic failure is associated with dyslipidemia and coagulation which can result in a higher risk of cardiovascular disease (CVD) in type 2 diabetes mellitus (T2DM). The aim of this study was to assess the effects of choline and magnesium co-supplementation on lipid profile and coagulation parameters in patients with T2DM. In a randomized, double-blind, placebo-controlled trial, supplements of choline bitartrate (1000 mg), magnesium oxide (500 mg), choline plus magnesium, or placebo were administered for 2 months to 96 diabetic participants of both sexes aged 30-60 years. Anthropometric characteristics, dietary intake, physical activity, serum lipids, and coagulation markers were measured in all subjects. Significant differences were observed in plasminogen activator inhibitor-1 (PAI-1) levels in the magnesium and choline-magnesium groups (p < 0.05). Moreover, tissue plasminogen activator (tPA) levels increased in choline-magnesium groups (p < 0.001). When adjusted for potential confounders, a significant decrease in PAI-1 (p = 0.03) and a marginally significant increase in tPA (p = 0.054) were found in the choline-magnesium group compared with the other groups. Compared with baseline values, there were significant differences in serum magnesium, HDL, and triglycerides (TG) following choline-magnesium co-supplementation (p < 0.05); however, there were no significant differences in serum magnesium, HDL, and TG among the groups (p > 0.05). Overall, concurrent supplementation of magnesium and choline is more effective than either magnesium or choline alone to improve coagulation in subjects with T2DM. FAU - Rashvand, Samaneh AU - Rashvand S AD - Nutrition Research Center, Student Research Committee, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Mobasseri, Majid AU - Mobasseri M AD - Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Tarighat-Esfanjani, Ali AU - Tarighat-Esfanjani A AD - Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Attar Nishabouri St., PO Box 14711, Tabriz, 5166614711, Iran. tarighata@tbzmed.ac.ir. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20190805 PL - United States TA - Biol Trace Elem Res JT - Biological trace element research JID - 7911509 RN - 0 (Lipids) RN - EC 3.4.21.68 (Tissue Plasminogen Activator) RN - I38ZP9992A (Magnesium) RN - N91BDP6H0X (Choline) SB - IM MH - Choline MH - *Diabetes Mellitus, Type 2/drug therapy MH - Dietary Supplements MH - Double-Blind Method MH - Female MH - Humans MH - Lipids MH - *Magnesium MH - Male MH - Tissue Plasminogen Activator OTO - NOTNLM OT - Choline OT - Coagulation OT - Diabetes OT - Dyslipidemia OT - Magnesium EDAT- 2019/08/07 06:00 MHDA- 2021/06/22 06:00 CRDT- 2019/08/07 06:00 PHST- 2019/03/12 00:00 [received] PHST- 2019/06/26 00:00 [accepted] PHST- 2019/08/07 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2019/08/07 06:00 [entrez] AID - 10.1007/s12011-019-01802-7 [pii] AID - 10.1007/s12011-019-01802-7 [doi] PST - ppublish SO - Biol Trace Elem Res. 2020 Apr;194(2):328-335. doi: 10.1007/s12011-019-01802-7. Epub 2019 Aug 5.