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美国老年人的膳食镁摄入量与代谢综合征有关。

Dietary magnesium intake is related to metabolic syndrome in older Americans.

作者信息

McKeown Nicola M, Jacques Paul F, Zhang Xinli L, Juan Wenyen, Sahyoun Nadine R

机构信息

Nutritional Epidemiology Department, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA 02111, USA.

出版信息

Eur J Nutr. 2008 Jun;47(4):210-6. doi: 10.1007/s00394-008-0715-x. Epub 2008 Jun 16.

Abstract

BACKGROUND

Magnesium (Mg) is an essential cofactor for enzymes involved in glucose and insulin metabolism. Low intakes of dietary magnesium may be linked to greater risk of metabolic syndrome (MS) in older adults.

AIM OF THE STUDY

The objective of this study was to examine the cross-sectional relationship between dietary Mg intake, metabolic risk factors and MS in elderly adults.

METHODS

This study was conducted in a sample of 535 (179 men and 356 women) community-living adults aged 60 years and in Boston Massachusetts between the years 1981 and 1984. Dietary Mg intake was assessed by a 3-day food record and categorized by quartiles of dietary intake. The MS was defined based on criteria set by the Third Report of the National Cholesterol Education Program except that body mass index was used in place of waist circumference. Logistic regression analysis was used to examine the association between quartile categories of Mg intake, prevalence of MS and components of the MS. Models were adjusted for age, gender, BMI, race, educational attainment, marital status, smoking status, alcohol intake, exercise, energy intake, percentage of calories from saturated fat, use of antihypertensive or lipid medication.

RESULTS

Mg intake was inversely associated with the MS; those with the highest intake of Mg had significantly lower risk of having MS compared to the lowest quartile of intake (OR: 0.36, 95% CI 0.19-0.69, P for trend 0.002). Significant inverse relationships were observed between Mg intake and BMI (OR: 0.47, 95% CI: 0.22-1.00, P trend = 0.03), and fasting glucose (OR: 0.41, 95% CI 0.22-0.77, P trend = 0.005).

CONCLUSION

Our study demonstrates that Mg intake is inversely associated with prevalence of the MS in older adults. Older adults should be encouraged to eat foods rich in Mg, such as green vegetables, legumes and whole-grains.

摘要

背景

镁(Mg)是参与葡萄糖和胰岛素代谢的酶的必需辅助因子。老年人饮食中镁摄入量低可能与代谢综合征(MS)风险增加有关。

研究目的

本研究的目的是探讨老年人饮食中镁摄入量、代谢危险因素与MS之间的横断面关系。

方法

本研究以1981年至1984年间居住在马萨诸塞州波士顿的535名(179名男性和356名女性)60岁社区居民为样本。通过3天食物记录评估饮食中镁的摄入量,并按饮食摄入量四分位数进行分类。MS根据美国国家胆固醇教育计划第三次报告设定的标准定义,但使用体重指数代替腰围。采用逻辑回归分析来检验镁摄入量四分位数类别、MS患病率和MS各组成部分之间的关联。模型对年龄、性别、体重指数、种族、教育程度、婚姻状况、吸烟状况、饮酒量、运动、能量摄入、饱和脂肪热量百分比、使用抗高血压或降脂药物进行了调整。

结果

镁摄入量与MS呈负相关;与摄入量最低的四分位数相比,镁摄入量最高的人群患MS的风险显著降低(OR:0.36,95%CI 0.19 - 0.69,趋势P值为0.002)。在镁摄入量与体重指数(OR:0.47,95%CI:0.22 - 1.00,P趋势 = 0.03)和空腹血糖(OR:0.41,95%CI 0.22 - 0.77,P趋势 = 0.005)之间观察到显著的负相关关系。

结论

我们的研究表明,老年人镁摄入量与MS患病率呈负相关。应鼓励老年人食用富含镁的食物,如绿色蔬菜、豆类和全谷物。

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