IRCCS Mondino Foundation, 27100, Pavia, Italy.
Department of Public Health, Experimental and Forensic Medicine, Unit of Human and Clinical Nutrition, University of Pavia, 27100, Pavia, Italy.
Biometals. 2021 Aug;34(4):715-736. doi: 10.1007/s10534-021-00305-0. Epub 2021 May 6.
In 2009 EFSA Panel concludes that a cause and effect relationship has been established between the dietary intake of magnesium (Mg) and maintenance of normal bone. After 2009, numerous studies have been published, but no reviews have made an update on this topic. So, the aim of this narrative review was to consider the state of the art since 2009 on relationship between Mg blood levels, Mg dietary intake and Mg dietary supplementation (alone or with other micronutrients; this last topic has been considered since 1990, because it is not included in the EFSA claims) and bone health in humans. This review included 28 eligible studies: nine studies concern Mg blood, 12 studies concern Mg intake and seven studies concern Mg supplementation, alone or in combination with other nutrients. From the various studies carried out on the serum concentration of Mg and its relationship with the bone, it has been shown that lower values are related to the presence of osteoporosis, and that about 30-40% of the subjects analyzed (mainly menopausal women) have hypomagnesaemia. Various dietetic investigations have shown that many people (about 20%) constantly consume lower quantities of Mg than recommended; moreover, in this category, a lower bone mineral density and a higher fracturing risk have been found. Considering the intervention studies published to date on supplementation with Mg, most have used this mineral in the form of citrate, carbonate or oxide, with a dosage varying between 250 and 1800 mg. In all studies there was a benefit both in terms of bone mineral density and fracture risk.
2009 年,EFSA 专家组得出结论,镁(Mg)的膳食摄入量与维持正常骨骼之间存在因果关系。2009 年后,发表了许多研究,但没有综述更新这一主题。因此,本叙述性综述的目的是考虑 2009 年以来关于血液镁水平、膳食镁摄入量和膳食镁补充(单独或与其他微量营养素补充;后一主题自 1990 年以来就一直在研究,因为它不包括在 EFSA 的声称范围内)与人类骨骼健康之间关系的最新研究进展。本综述纳入了 28 项符合条件的研究:9 项研究涉及血液镁,12 项研究涉及镁摄入,7 项研究涉及镁补充(单独或与其他营养素联合补充)。从关于血清镁浓度及其与骨骼关系的各种研究中可以看出,较低的血清镁浓度与骨质疏松症的存在有关,约 30-40%的分析对象(主要是绝经后妇女)存在低镁血症。各种饮食调查表明,许多人(约 20%)经常摄入的镁低于推荐量;此外,在这一人群中,发现骨矿物质密度较低,骨折风险较高。考虑到迄今为止发表的关于镁补充的干预研究,大多数研究都以柠檬酸盐、碳酸盐或氧化物的形式使用这种矿物质,剂量在 250 至 1800mg 之间。在所有研究中,骨矿物质密度和骨折风险都有获益。