Department of Digestive Diseases of Huashan Hosptial, Fudan University, Shanghai, 200040, China.
Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37203, USA.
Sci Rep. 2017 Dec 20;7(1):17913. doi: 10.1038/s41598-017-18076-5.
People with fatty liver disease are at high risk of magnesium deficiency. Meanwhile, low magnesium status is linked to both chronic inflammation and insulin resistance. However, no study has investigated the association between intake of magnesium and risk of mortality due to liver diseases. We evaluated the association between total magnesium intake and mortality due to liver diseases in the Third National Health and Nutrition Examination Study (NHANES III) cohort, which included 13,504 participants who completed liver ultrasound examination for hepatic steatosis. Overall magnesium intake was associated with a reduced risk of mortality due to liver disease at borderline significance (P = 0.05). In fully-adjusted analyses, every 100 mg increase in intake of magnesium was associated with a 49% reduction in the risk for mortality due to liver diseases. Although interactions between magnesium intake and alcohol use and hepatic steatosis at baseline were not significant (P > 0.05), inverse associations between magnesium intake and liver disease mortality were stronger among alcohol drinkers and those with hepatic steatosis. Our findings suggest higher intakes of magnesium may be associated with a reduced risk of mortality due to liver disease particularly among alcohol drinkers and those with hepatic steatosis. Further studies are warranted to confirm the findings.
患有脂肪肝疾病的人镁元素缺乏的风险很高。同时,低镁状态与慢性炎症和胰岛素抵抗都有关联。然而,没有研究调查过镁元素摄入量与因肝脏疾病导致的死亡率之间的关系。我们在第三次国家健康和营养检查研究(NHANES III)队列中评估了总镁摄入量与因肝脏疾病导致的死亡率之间的关系,该队列包括 13504 名完成了肝脏超声检查以评估肝脂肪变性的参与者。总的镁摄入量与因肝脏疾病导致的死亡率降低呈边缘显著相关(P=0.05)。在完全调整的分析中,镁摄入量每增加 100mg,因肝脏疾病导致的死亡率风险降低 49%。尽管镁摄入量与基线时的饮酒和肝脂肪变性之间的交互作用没有统计学意义(P>0.05),但镁摄入量与肝脏疾病死亡率之间的负相关在饮酒者和患有肝脂肪变性的人群中更强。我们的研究结果表明,更高的镁元素摄入量可能与因肝脏疾病导致的死亡率降低相关,特别是在饮酒者和患有肝脂肪变性的人群中。需要进一步的研究来证实这一发现。