Abstract. Setting: A prospective cohort study with convenience sampling was conducted on 26 overweight children and 26 lean controls aged between 7 and 14 years. Demographic and clinical characteristics were collected and an oral glucose tolerance test was performed with 1.75 g/kg body weight glucose. Blood samples were taken at 0 and 2 hours. Results: The overweight children exhibited all criteria of metabolic syndrome: body mass index of 33 kg/m 2 , hyperglycemia, hyperinsulinemia, HOMA-IR-score of 5.04, increased blood pressure and triglycerides. Serum magnesium (Mg) was decreased and negatively correlated to serum-insulin, HOMA-IR-score, degree of obesity, triglycerides, and positively correlated to HDL cholesterol. Obese children presented with muscle cramps (8%) and cardiac events (12%). Mg depletion is probably due to glucosuria and hyperinsulinemia. Recommendation: Restriction of caloric intake, increased physical activity, plentiful Mg intake.