Colaneri-Day Sherrie, Rosanoff Andrea
CMER-Center for Magnesium Education & Research, Pahoa, HI 96778, USA.
Nutrients. 2025 Feb 28;17(5):887. doi: 10.3390/nu17050887.
Magnesium (Mg) deficiency is associated with many common chronic conditions and potentially severe health care outcomes, including cardiovascular disease, cardiovascular risk factors, and diabetes. However, Mg deficiency is underdiagnosed and often underrecognized in the ambulatory health care setting, and nutrition education and training are often limited for health care providers (HCPs). A clinical guideline for detecting and treating Mg deficiency in the ambulatory care setting was developed. A pilot study was conducted in which HCPs received education on Mg and completed pre-test and post-test questionnaires to assess the intervention efficacy of the guideline. Ten HCPs participated in the pilot study via telephone or face-to-face session. In general, there was a statistically significant increase in Mg knowledge among HCPs, due to the intervention of presentation of the guideline, with a nonsignificant increase in clinical practice application. However, the 1-month follow-up survey results showed that HCPs were likely to incorporate Mg assessment and treatment tools from the guideline in their future practice. These findings suggest that the use of the proposed clinical guideline may increase HCP knowledge and improve the diagnosis and treatment of Mg deficiency. Further use, development, and evaluation of this guideline is warranted.
镁(Mg)缺乏与许多常见的慢性疾病以及潜在的严重医疗保健后果相关,包括心血管疾病、心血管危险因素和糖尿病。然而,在门诊医疗环境中,镁缺乏的诊断不足且常常未被认识到,而且医疗保健提供者(HCPs)接受的营养教育和培训往往有限。为此制定了一项在门诊护理环境中检测和治疗镁缺乏的临床指南。开展了一项试点研究,让医疗保健提供者接受有关镁的教育,并完成测试前和测试后的问卷,以评估该指南的干预效果。10名医疗保健提供者通过电话或面对面会议参与了该试点研究。总体而言,由于指南介绍的干预,医疗保健提供者的镁知识有统计学上的显著增加,而临床实践应用的增加不显著。然而,1个月的随访调查结果显示,医疗保健提供者很可能在未来的实践中采用该指南中的镁评估和治疗工具。这些发现表明,使用所提议的临床指南可能会增加医疗保健提供者的知识,并改善镁缺乏的诊断和治疗。有必要对该指南进行进一步的使用、开发和评估。