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Oral magnesium supplementation for insomnia in older adults: a systematic review & meta-analysis

PRISMA systematic review and meta-analysis of three placebo RCTs (151 older adults) finding pooled sleep-onset latency 17.36 minutes shorter with magnesium (95% CI −27.27 to −7.44; p=0.0006) while total sleep time improved 16.06 minutes without statistical significance; GRADE certainty low to very low with moderate-to-high risk of bias.

Pooling window

Three RCTs, n = 151 adults ≥ ~55 y with insomnia endpoints versus placebo.

Quantitative anchors

  • Sleep-onset latency: pooled MD −17.36 min (95% CI −27.27 to −7.44; p = 0.0006)
  • Total sleep time: +16.06 min magnesium vs placebo — not statistically significant in pooled analysis

Quality / bias

Authors report moderate-to-high risk of bias across trials and GRADE ratings commonly low to very low for sleep outcomes—use as directional evidence, not guideline-grade proof.

Erratum note

PubMed links a 2024 correction (PMID 39702257) that updates author metadata; verify forest plots in the PMC full text of PMID 33865376 when citing exact pooled estimates.

Outcomes

  • Sleep Onset Latency
    -17.36
    min (Minutes)
  • Total Sleep Time
    Pooled mean increase +16.06 min total sleep time with magnesium vs placebo — not statistically significant (see meta-analysis text)
  • Effect Size (Cohen's d / SMD)
    Evidence certainty: low to very low GRADE; moderate-to-high risk of bias across included RCTs per review authors
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