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饮食中镁摄入量与帕金森病相关的镁耗竭评分之间的相关性:一项基于人群的研究。

Correlations Between Dietary Magnesium Consumption and Magnesium Depletion Score in Relation to Parkinson's Disease: A Population-Based Study.

作者信息

Cen Yanmei, Wang Lu, Zhang Siqi, Li Xiaoting, Xu Yezi, Zeng Zhaohao, Meng Heng

机构信息

Department of Neurology, The First Affiliated Hospital, Jinan University, Guangzhou, 510630, Guangdong, China.

Department of Neurology, The Central Hospital of Xiaogan, Xiaogan, 061011, Hubei, China.

出版信息

Biol Trace Elem Res. 2024 Oct 28. doi: 10.1007/s12011-024-04428-6.

Abstract

The purpose of the study was to examine whether magnesium (Mg) depletion score (MDS) and dietary Mg intake are associated in adults with the risk of developing Parkinson's disease (PD). In this study, we analyzed data from the National Health and Nutrition Examination Survey (NHANES), which included 20,010 adults aged over 40 years old. To evaluate the linear association between PD and dietary intake of Mg or MDS, we conducted weighted logistic regression for univariate analysis and multivariate linear regression models. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using logistic regression models. A restricted cubic spline (RCS) was drawn to visualize the nonlinear relationship between MDS/dietary Mg intake and PD. In addition, we examined the variations in the relationship between MDS and PD across different confounding factors of the association using subgroup analysis. There were 240 PD cases (1.2%), and 19770 non-PD were included in the study. We found that a higher MDS was associated with an increased risk of PD after adjusting for covariates (OR per 1-unit increase, 1.47; 95% CI, 1.16-1.86). There is insufficient evidence to support a significant statistical association between Mg intake and the risk of PD. According to nonlinear regression, high MDS was associated with higher odds of PD and lower odds of PD above 250 mg/day intake of Mg. It has been shown that Mg bioavailability may be negatively associated with PD as measured by MDS. MDS is a potential method for screening the population with PD. Maintaining adequate Mg status may be important for PD prevention.

摘要

本研究的目的是检验在成年人中镁(Mg)耗竭评分(MDS)和膳食镁摄入量是否与帕金森病(PD)的发病风险相关。在本研究中,我们分析了来自国家健康与营养检查调查(NHANES)的数据,该调查纳入了20,010名40岁以上的成年人。为了评估PD与镁的膳食摄入量或MDS之间的线性关联,我们进行了加权逻辑回归用于单变量分析和多元线性回归模型。使用逻辑回归模型估计比值比(OR)和95%置信区间(CI)。绘制限制三次样条(RCS)以可视化MDS/膳食镁摄入量与PD之间的非线性关系。此外,我们使用亚组分析研究了MDS与PD之间关系在该关联的不同混杂因素中的变化。本研究纳入了240例PD病例(1.2%)和19,770例非PD患者。我们发现,在调整协变量后,较高的MDS与PD风险增加相关(每增加1个单位的OR为1.47;95%CI为1.16 - 1.86)。没有足够的证据支持镁摄入量与PD风险之间存在显著的统计学关联。根据非线性回归,高MDS与较高的PD几率相关,而在镁摄入量高于250毫克/天时与较低的PD几率相关。研究表明,通过MDS测量,镁的生物利用度可能与PD呈负相关。MDS是筛查PD人群的一种潜在方法。维持充足的镁状态可能对预防PD很重要。

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