Uwitonze · The Journal of the American Osteopathic Association 2018 · narrative review · n=?

Role of Magnesium in Vitamin D Activation and Function.

Cited 390 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review describing biochemical mechanisms and cofactor requirements without original data or systematic methodology

PubMed 29480918 · doi:10.7556/jaoa.2018.037 · record verified 2026-08-26

What was done

This paper reviews the physiological and enzymatic relationships between magnesium and vitamin D metabolism, specifically examining magnesium's role as a cofactor in hepatic and renal enzymatic activation and its impact on calcium and phosphate homeostasis.

What was found

The abstract reports no quantitative data, statistics, or effect sizes. It qualitatively describes that all enzymes involved in vitamin D metabolism appear to require magnesium as a cofactor, and notes that deficiencies in either nutrient are linked to skeletal deformities, metabolic syndrome, and cardiovascular disease.

Why it matters

It emphasizes that adequate magnesium intake may be necessary to achieve the full physiological benefits of vitamin D supplementation and activation.

Limits

As a narrative review, it provides no original clinical data, does not report a systematic literature search, and gives no quantitative measurements of how varying magnesium levels clinically alter 25(OH)D or 1,25(OH)2D concentrations.

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