Geriatric Unit, Department of Medicine, University of Palermo, 90127 Palermo, Italy.
Nutrients. 2021 Jan 30;13(2):463. doi: 10.3390/nu13020463.
Several changes of magnesium (Mg) metabolism have been reported with aging, including diminished Mg intake, impaired intestinal Mg absorption and renal Mg wasting. Mild Mg deficits are generally asymptomatic and clinical signs are usually non-specific or absent. Asthenia, sleep disorders, hyperemotionality, and cognitive disorders are common in the elderly with mild Mg deficit, and may be often confused with age-related symptoms. Chronic Mg deficits increase the production of free radicals which have been implicated in the development of several chronic age-related disorders. Numerous human diseases have been associated with Mg deficits, including cardiovascular diseases, hypertension and stroke, cardio-metabolic syndrome and type 2 diabetes mellitus, airways constrictive syndromes and asthma, depression, stress-related conditions and psychiatric disorders, Alzheimer's disease (AD) and other dementia syndromes, muscular diseases (muscle pain, chronic fatigue, and fibromyalgia), bone fragility, and cancer. Dietary Mg and/or Mg consumed in drinking water (generally more bioavailable than Mg contained in food) or in alternative Mg supplements should be taken into consideration in the correction of Mg deficits. Maintaining an optimal Mg balance all through life may help in the prevention of oxidative stress and chronic conditions associated with aging. This needs to be demonstrated by future studies.
随着年龄的增长,镁(Mg)代谢发生了多种变化,包括镁摄入减少、肠道镁吸收受损和肾脏镁排泄增加。轻度镁缺乏通常无症状,临床症状通常无特异性或不存在。乏力、睡眠障碍、情绪过度和认知障碍在轻度镁缺乏的老年人中很常见,并且可能经常与与年龄相关的症状混淆。慢性镁缺乏会增加自由基的产生,自由基与几种慢性与年龄相关的疾病的发展有关。许多人类疾病与镁缺乏有关,包括心血管疾病、高血压和中风、心血管代谢综合征和 2 型糖尿病、气道收缩综合征和哮喘、抑郁症、与压力相关的疾病和精神障碍、阿尔茨海默病(AD)和其他痴呆综合征、肌肉疾病(肌肉疼痛、慢性疲劳和纤维肌痛)、骨脆性和癌症。在纠正镁缺乏时,应考虑饮食中的镁和/或饮用水中摄入的镁(通常比食物中的镁更具生物利用度)或替代镁补充剂。在整个生命周期中保持最佳的镁平衡可能有助于预防与衰老相关的氧化应激和慢性疾病。这需要未来的研究来证明。