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膳食镁摄入量与成年人中风风险的关联。

Association of Dietary Magnesium Intake with the Risk of Stroke among Adults.

机构信息

Department of Cardiology, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University.

Department of Outpatient, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University.

出版信息

Int Heart J. 2023 Nov 30;64(6):1002-1009. doi: 10.1536/ihj.23-299. Epub 2023 Nov 14.

Abstract

The relationship between dietary magnesium intake and the risk of stroke is controversial. This study aimed to examine the association of dietary magnesium intake with the risk of stroke among American adults.The relationship between dietary magnesium intake and the risk of stroke was analyzed using the National Health and Nutrition Examination Survey (NHANES) 2007-2018 data with 29,653 adults. The amount of magnesium from the diet was assessed by two 24-hour dietary recalls. Stroke outcomes were defined using the results of the self-reported questionnaires. The association between dietary magnesium intake and the risk of stroke was evaluated using logistic regression models and restricted cubic spline.In our study, an inverse association between dietary magnesium intake and the risk of stroke was found. For the highest versus lowest quartile of dietary magnesium intake, the multivariate-adjusted odds ratio (95% confidence interval) of stroke was 0.56 (0.36-0.86). The magnesium intake of women was negatively associated with stroke risk, but this negative association was not found in men. Then, the inverse association was statistically significant among the 40-59 year-old group. The results from the dose-response analysis show a linear relationship between dietary magnesium intake and the risk of stroke.Dietary magnesium intake was inversely associated with the risk of stroke, especially in women. Therefore, our study emphasizes the importance of appropriately increasing dietary magnesium intake.

摘要

饮食镁摄入量与中风风险的关系存在争议。本研究旨在检验美国成年人饮食镁摄入量与中风风险之间的关联。

使用 2007-2018 年全国健康和营养调查(NHANES)的数据,对 29653 名成年人进行了饮食镁摄入量与中风风险的关系分析。通过两份 24 小时膳食回忆来评估饮食中镁的含量。中风结局通过自我报告问卷的结果来定义。使用逻辑回归模型和限制立方样条评估饮食镁摄入量与中风风险之间的关联。

在我们的研究中,发现饮食镁摄入量与中风风险之间呈负相关。与饮食镁摄入量最低的四分位相比,最高四分位的中风多变量调整比值比(95%置信区间)为 0.56(0.36-0.86)。女性的镁摄入量与中风风险呈负相关,但在男性中未发现这种负相关。然后,这种负相关在 40-59 岁年龄组中具有统计学意义。剂量-反应分析的结果表明,饮食镁摄入量与中风风险之间存在线性关系。

饮食镁摄入量与中风风险呈负相关,尤其是在女性中。因此,我们的研究强调适当增加饮食镁摄入量的重要性。

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