NCT07515417

Brief Summary

The goal of this clinical trial was to evaluate whether magnesium citrate supplementation improved sleep quality and cognitive function in healthy Saudi adults. It also assessed the effects of magnesium on selected blood markers. The main questions it aimed to answer were: Did magnesium supplementation improve sleep quality? Did magnesium supplementation improve cognitive function? Researchers compared participants who received magnesium citrate to a control group that did not receive any intervention to evaluate its effects. Participants: Took magnesium citrate (400 mg daily) for 90 days (two capsules: one in the afternoon and one 1-2 hours before bedtime) Visited Umm Al-Qura University twice (before and after the intervention) for: Sleep quality assessment Cognitive function assessment Blood sample collection to measure serum magnesium and HbA1c The control group did not receive any supplementation during the study period.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
41

participants targeted

Target at P50-P75 for not_applicable healthy

Timeline
Completed

Started Oct 2024

Typical duration for not_applicable healthy

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2024

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 25, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

March 31, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 7, 2026

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Completed
Last Updated

August 18, 2026

Status Verified

July 1, 2026

Enrollment Period

1.3 years

First QC Date

March 31, 2026

Last Update Submit

August 17, 2026

Conditions

Keywords

Magnesium Citrate SupplementationSleep QualityCognitive FunctionHealthy AdultsSaudi AdultsRandomized Controlled TrialDietary SupplementationPittsburgh Sleep Quality Index (PSQI)Trail Making TestFood Frequency Questionnaire (FFQ)International Physical Activity Questionnaire (IPAQ)

Outcome Measures

Primary Outcomes (2)

  • Change in Sleep Quality from Baseline to 90 Days as Measured by PSQI Between Intervention and Control Groups

    The Pittsburgh Sleep Quality Index (PSQI) is a widely used and validated instrument for assessing sleep quality in both clinical and healthy populations. Both the English and Arabic versions were used in this study, and both have been previously validated. It consisted of 19 items divided into seven sleep-related components: sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction. Each item was rated on a 4-point Likert scale based on frequency or severity. The component scores were summed to yield a global PSQI score ranging from 0 to 21. A score greater than five indicated poor sleep quality, while a score of five or less indicated good sleep quality. Participants were considered to have improved sleep quality if their PSQI scores decreased over time, particularly if their scores reached five or below

    Participants were considered to have improved sleep quality if PSQI scores decreased from baseline to 90 days, especially if ≤5. Sleep outcomes were also compared between intervention and control groups after 90 days.

  • Change in Cognitive Function from Baseline to 90 Days as Measured by Trail Making Test (Parts A and B) Between Intervention and Control Group

    Cognitive function was assessed using the Trail Making Test (Parts A and B). The test measured processing speed, attention, and executive function. The primary outcome was the time (in seconds) required to complete each part, with longer times indicating poorer cognitive performance. Changes in completion time from baseline to 90 days were evaluated and compared between intervention and control groups.

    From enrollment to the end of treatment at 90 days

Secondary Outcomes (2)

  • Change in Blood Pressure from Baseline to 90 Days Between Intervention and Control Groups

    From enrollment to the end of treatment at 90 days

  • Change in Serum Magnesium and HbA1C Levels from Baseline to 90 Days Between Intervention and Control Groups

    From enrollment to the end of treatment at 90 days

Study Arms (2)

Control

NO INTERVENTION

Eligible participants in the control group, identified as having poor sleep quality, did not receive any intervention during the study period. All outcome measures, including sleep quality, cognitive function, anthropometric data, questionnaires, and blood samples, were collected at baseline and again after the 90-day study period.

Magnesium Citrate

EXPERIMENTAL

Eligible participants received magnesium citrate (400 mg elemental magnesium/day) for 90 days, administered as two divided doses (afternoon and 1-2 hours before bedtime). Compliance was monitored through participant diaries and returned capsule counts.

Dietary Supplement: Magnesium 400Mg

Interventions

Magnesium 400MgDIETARY_SUPPLEMENT

Magnesium supplementation was administered to eligible participants using magnesium citrate tablets (Solgar®, USA), a highly bioavailable form commonly used in research. The supplements were purchased from Al Nahdi Pharmacy (Saudi Arabia) and selected based on previous studies demonstrating good absorption and effectiveness. Participants received a total daily dose of 400 mg elemental magnesium. Eligible participants were instructed to take the supplement for 90 days, divided into two doses: one in the afternoon and one 1-2 hours before bedtime. The supplement was provided in bottles containing 120 tablets. Participants were asked to maintain their usual diet and lifestyle. Compliance was monitored using participant diaries and by counting remaining capsules returned at the follow-up visit.

Also known as: Magnesium, Mg, Magnesium Citrate
Magnesium Citrate

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Adults aged 18 years and above
  • Poor Sleep Quality (\>5 PSQI score)
  • Living in Saudi Arabia

You may not qualify if:

  • Children less than 18 years old
  • Good Sleep Quality (5 or less PSQI score)
  • Pregnant or breastfeeding
  • Current smoker
  • History of sleep disorder
  • History of cognitive impairment
  • Diagnosed with a disease (e.g. diabetes, hypertension, celiac, psychiatric disease)
  • Acute phase of diseases (e.g. cardiovascular)
  • History of head injury (e.g. accident) or neurological disorders (e.g. seizures)/neurodevelopment disorders
  • Use of prescribed medications within the past 3 months that may influence sleep
  • Current use of hormone therapy (e.g. thyroxine, insulin, growth hormone, contraceptives)
  • Use of dietary supplements within the previous 3 months (e.g. vitamin D, omega-3..etc)
  • Food allergies/intolerances (e.g. eggs, nuts, milk)
  • Excessive caffeine consumption (\>450 mg/day, more than 4 cups)
  • Shift worker or work schedules that cause irregular sleep patterns
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Umm Al-Qura University

Mecca, Saudi Arabia

Location

Related Publications (25)

  • Khan MA, Al-Jahdali H. The consequences of sleep deprivation on cognitive performance. Neurosciences (Riyadh). 2023 Apr;28(2):91-99. doi: 10.17712/nsj.2023.2.20220108.

    PMID: 37045455BACKGROUND
  • Baattaiah BA, Alharbi MD, Babteen NM, Al-Maqbool HM, Babgi FA, Albatati AA. The relationship between fatigue, sleep quality, resilience, and the risk of postpartum depression: an emphasis on maternal mental health. BMC Psychol. 2023 Jan 13;11(1):10. doi: 10.1186/s40359-023-01043-3.

    PMID: 36635743BACKGROUND
  • Zhang Y, Chen C, Lu L, Knutson KL, Carnethon MR, Fly AD, Luo J, Haas DM, Shikany JM, Kahe K. Association of magnesium intake with sleep duration and sleep quality: findings from the CARDIA study. Sleep. 2022 Apr 11;45(4):zsab276. doi: 10.1093/sleep/zsab276.

    PMID: 34883514BACKGROUND
  • Shamim SA, Warriach ZI, Tariq MA, Rana KF, Malik BH. Insomnia: Risk Factor for Neurodegenerative Diseases. Cureus. 2019 Oct 26;11(10):e6004. doi: 10.7759/cureus.6004.

    PMID: 31807391BACKGROUND
  • Bamagoos AA, Altayeb AA, Rawas HF, Alsulaimani SS, Basurrah MA, Aleissi SA, Wali SO. Patterns of Sleep and Napping in Saudi Arabia: A Cross-sectional Evaluation. Saudi J Med Med Sci. 2025 Apr-Jun;13(2):124-132. doi: 10.4103/sjmms.sjmms_679_24. Epub 2025 Apr 21.

    PMID: 40352339BACKGROUND
  • Barbagallo M, Veronese N, Dominguez LJ. Magnesium in Aging, Health and Diseases. Nutrients. 2021 Jan 30;13(2):463. doi: 10.3390/nu13020463.

    PMID: 33573164BACKGROUND
  • Gallagher C, Austin V, Dunlop KA, Dally J, Taylor K, Pullinger SA, Edwards BJ. Effects of Supplementing Zinc Magnesium Aspartate on Sleep Quality and Submaximal Weightlifting Performance, following Two Consecutive Nights of Partial Sleep Deprivation. Nutrients. 2024 Jan 13;16(2):251. doi: 10.3390/nu16020251.

    PMID: 38257144BACKGROUND
  • Ahmed AE, Al-Jahdali F, AlALwan A, Abuabat F, Bin Salih SA, Al-Harbi A, Baharoon S, Khan M, Ali YZ, Al-Jahdali H. Prevalence of sleep duration among Saudi adults. Saudi Med J. 2017 Mar;38(3):276-283. doi: 10.15537/smj.2017.3.17101.

    PMID: 28251223BACKGROUND
  • Ajabnoor SM, Jambi H, Bahijri S. Development and validation of a food frequency questionnaire in adult Saudi subjects in Jeddah city. BMC Public Health. 2024 Jan 2;24(1):9. doi: 10.1186/s12889-023-17511-9.

    PMID: 38166899BACKGROUND
  • Gholizadeh-Moghaddam M, Ghasemi-Tehrani H, Askari G, Jaripur M, Clark CCT, Rouhani MH. Effect of magnesium supplementation in improving hyperandrogenism, hirsutism, and sleep quality in women with polycystic ovary syndrome: A randomized, placebo-controlled clinical trial. Health Sci Rep. 2022 Dec 29;6(1):e1013. doi: 10.1002/hsr2.1013. eCollection 2023 Jan.

    PMID: 36620514BACKGROUND
  • Macian N, Duale C, Voute M, Leray V, Courrent M, Bode P, Giron F, Sonneville S, Bernard L, Joanny F, Menard K, Ducheix G, Pereira B, Pickering G. Short-Term Magnesium Therapy Alleviates Moderate Stress in Patients with Fibromyalgia: A Randomized Double-Blind Clinical Trial. Nutrients. 2022 May 17;14(10):2088. doi: 10.3390/nu14102088.

    PMID: 35631229BACKGROUND
  • Grandner MA, Jackson NJ, Izci-Balserak B, Gallagher RA, Murray-Bachmann R, Williams NJ, Patel NP, Jean-Louis G. Social and Behavioral Determinants of Perceived Insufficient Sleep. Front Neurol. 2015 Jun 5;6:112. doi: 10.3389/fneur.2015.00112. eCollection 2015.

    PMID: 26097464BACKGROUND
  • Alqarni RA, Almutairi NS, Albalawi AS, Alsulami MB, Alhashrani MA, Bin Abdulrahman KA. Test-retest reliability of the Arabic version of the Pittsburgh Sleep Quality Index. Medicine (Baltimore). 2025 Jan 17;104(3):e41269. doi: 10.1097/MD.0000000000041269.

    PMID: 39833037BACKGROUND
  • Metwally A, Alalawi AD, Al Sarrar AA, Alamin OM, Saad AA, Almalki MD. Prevalence of Insomnia and Its Associated Factors in the General Population of Saudi Arabia: A Cross-Sectional Study. Cureus. 2023 Aug 29;15(8):e44342. doi: 10.7759/cureus.44342. eCollection 2023 Aug.

    PMID: 37779810BACKGROUND
  • Watanabe M, Maemura K, Kanbara K, Tamayama T, Hayasaki H. GABA and GABA receptors in the central nervous system and other organs. Int Rev Cytol. 2002;213:1-47. doi: 10.1016/s0074-7696(02)13011-7.

    PMID: 11837891BACKGROUND
  • Suleiman KH, Yates BC, Berger AM, Pozehl B, Meza J. Translating the Pittsburgh Sleep Quality Index into Arabic. West J Nurs Res. 2010 Mar;32(2):250-68. doi: 10.1177/0193945909348230. Epub 2009 Nov 14.

    PMID: 19915205BACKGROUND
  • Song Y, Chang Z, Song C, Cui K, Yuan S, Qiao Z, Bian X, Gao Y, Dou K. Association of sleep quality, its change and sleep duration with the risk of type 2 diabetes mellitus: Findings from the English longitudinal study of ageing. Diabetes Metab Res Rev. 2023 Sep;39(6):e3669. doi: 10.1002/dmrr.3669. Epub 2023 Jun 8.

    PMID: 37288700BACKGROUND
  • Qiu D, Yu Y, Li RQ, Li YL, Xiao SY. Prevalence of sleep disturbances in Chinese healthcare professionals: a systematic review and meta-analysis. Sleep Med. 2020 Mar;67:258-266. doi: 10.1016/j.sleep.2019.01.047. Epub 2019 Mar 6.

    PMID: 31040078BACKGROUND
  • Nielsen FH, Johnson LK, Zeng H. Magnesium supplementation improves indicators of low magnesium status and inflammatory stress in adults older than 51 years with poor quality sleep. Magnes Res. 2010 Dec;23(4):158-68. doi: 10.1684/mrh.2010.0220. Epub 2011 Jan 4.

    PMID: 21199787BACKGROUND
  • Keramat SA, Alam K, Basri R, Siddika F, Siddiqui ZH, Okyere J, Seidu AA, Ahinkorah BO. Sleep duration, sleep quality and the risk of being obese: Evidence from the Australian panel survey. Sleep Med. 2023 Sep;109:56-64. doi: 10.1016/j.sleep.2023.06.012. Epub 2023 Jun 24.

    PMID: 37418828BACKGROUND
  • Iranzo A. Sleep in Neurodegenerative Diseases. Sleep Med Clin. 2016 Mar;11(1):1-18. doi: 10.1016/j.jsmc.2015.10.011. Epub 2016 Jan 8.

    PMID: 26972029BACKGROUND
  • Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.

    PMID: 12900694BACKGROUND
  • Chan V, Lo K. Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis. Postgrad Med J. 2022 Apr;98(1158):285-293. doi: 10.1136/postgradmedj-2020-139319. Epub 2021 Jan 13.

    PMID: 33441476BACKGROUND
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.

    PMID: 2748771BACKGROUND
  • Arab A, Rafie N, Amani R, Shirani F. The Role of Magnesium in Sleep Health: a Systematic Review of Available Literature. Biol Trace Elem Res. 2023 Jan;201(1):121-128. doi: 10.1007/s12011-022-03162-1. Epub 2022 Feb 19.

    PMID: 35184264BACKGROUND

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Interventions

Magnesiummagnesium citrate

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Intervention Hierarchy (Ancestors)

Metals, Alkaline EarthElementsInorganic ChemicalsMetals, LightMetals

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

March 31, 2026

First Posted

April 7, 2026

Study Start

October 1, 2024

Primary Completion

January 25, 2026

Study Completion

June 30, 2026

Last Updated

August 18, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Individual participant data (IPD) will not be shared due to privacy and confidentiality considerations, as the dataset contains sensitive information that could potentially identify participants. Data will be presented in aggregate form to ensure participant anonymity.

Locations