Guerrero-Romero Fernando, Micke Oliver, Simental-Mendía Luis E, Rodríguez-Morán Martha, Vormann Juergen, Iotti Stefano, Banjanin Nikolina, Rosanoff Andrea, Baniasadi Shadi, Pourdowlat Guitti, Nechifor Mihai
Biomedical Research Unit, Mexican Social Security Institute, Durango 34067, Mexico.
Department of Radiation Therapy and Radiation Oncology, Franziskus Hospital, 33615 Bielefeld, Germany.
Biology (Basel). 2023 May 18;12(5):735. doi: 10.3390/biology12050735.
A large amount of published research points to the interesting concept (hypothesis) that magnesium (Mg) status may have relevance for the outcome of COVID-19 and that Mg could be protective during the COVID disease course. As an essential element, Mg plays basic biochemical, cellular, and physiological roles required for cardiovascular, immunological, respiratory, and neurological functions. Both low serum and dietary Mg have been associated with the severity of COVID-19 outcomes, including mortality; both are also associated with COVID-19 risk factors such as older age, obesity, type 2 diabetes, kidney disease, cardiovascular disease, hypertension, and asthma. In addition, populations with high rates of COVID-19 mortality and hospitalization tend to consume diets high in modern processed foods, which are generally low in Mg. In this review, we review the research to describe and consider the possible impact of Mg and Mg status on COVID-19 showing that (1) serum Mg between 2.19 and 2.26 mg/dL and dietary Mg intakes > 329 mg/day could be protective during the disease course and (2) inhaled Mg may improve oxygenation of hypoxic COVID-19 patients. In spite of such promise, oral Mg for COVID-19 has thus far been studied only in combination with other nutrients. Mg deficiency is involved in the occurrence and aggravation of neuropsychiatric complications of COVID-19, including memory loss, cognition, loss of taste and smell, ataxia, confusion, dizziness, and headache. Potential of zinc and/or Mg as useful for increasing drug therapy effectiveness or reducing adverse effect of anti-COVID-19 drugs is reviewed. Oral Mg trials of patients with COVID-19 are warranted.
大量已发表的研究指出了一个有趣的概念(假设),即镁(Mg)状态可能与2019年冠状病毒病(COVID-19)的预后相关,并且镁在COVID-19病程中可能具有保护作用。作为一种必需元素,镁在心血管、免疫、呼吸和神经功能所需的基本生化、细胞和生理过程中发挥作用。血清镁水平低和饮食中镁含量低均与COVID-19的严重后果(包括死亡率)相关;二者也都与COVID-19的风险因素有关,如老年、肥胖、2型糖尿病、肾病、心血管疾病、高血压和哮喘。此外,COVID-19死亡率和住院率较高的人群往往食用现代加工食品含量高的饮食,而这些食品通常镁含量低。在本综述中,我们回顾了相关研究,以描述和考虑镁及镁状态对COVID-19的可能影响,结果表明:(1)血清镁水平在2.19至2.26mg/dL之间且饮食中镁摄入量>329mg/天可能在病程中具有保护作用;(2)吸入镁可能改善COVID-19缺氧患者的氧合。尽管有这样的前景,但迄今为止,针对COVID-19的口服镁研究仅与其他营养素联合进行。镁缺乏与COVID-19的神经精神并发症的发生和加重有关,包括记忆力减退、认知障碍、味觉和嗅觉丧失、共济失调、意识模糊、头晕和头痛。本文还综述了锌和/或镁在提高抗COVID-19药物治疗效果或降低其不良反应方面的潜力。有必要对COVID-19患者进行口服镁试验。