Methods |
Double blind, parallel group RCT |
Participants |
40 non‐pregnant rest cramp sufferers (45 to 80 years of age) with normal renal function having at least 2 cramps per week that were rated 5 or more on a 0‐10 pain scale. Recruitment by radio advertisement in an American (State of Michigan) population. |
Interventions |
Either 168 mg elemental magnesium from slow release magnesium lactate tablets (MagTabSR) or matching placebo tablets taken orally twice daily for 30 days. |
Outcomes |
Frequency, duration and severity of leg cramps captured daily x 1 wk pre‐intervention and daily during the 30 days of intervention (via diary recording of cramps and sleep disturbance). Pittsburgh Sleep Quality questionnaire also administered pre‐ and post‐intervention. |
Notes |
Unpublished. Sponsorship not provided. Incomplete results reporting. Patient level data for cramp frequency were kindly provided by study statistician. |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
Stated as randomized but details not provided. |
Allocation concealment (selection bias) |
Unclear risk |
No details provided. |
Blinding (performance bias and detection bias)
All outcomes |
Low risk |
Quote: "Masking: Double Blind (Subject, Investigator, Outcomes Assessor)". No details provided. Probably adequate. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
Small number of dropouts, two from magnesium and one from placebo. Reasons not provided. |
Selective reporting (reporting bias) |
High risk |
Patient level data were provided to us but were only available for a subset of the outcomes. |
Cramp diary (recall bias) |
Low risk |
Diary used |
Other bias |
Low risk |
No obvious other bias |