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充足的镁摄入量可降低视网膜静脉阻塞风险:美国国家健康与营养检查调查分析

Sufficient Magnesium Intake Reduces Retinal Vein Occlusion Risk: National Health and Nutrition Examination Survey Analysis.

作者信息

Kim Jiwoo, Kim Min, Lee Christopher Seungkyu, Choi Eun Young

机构信息

Yonsei University College of Medicine, Seoul 03722, Republic of Korea.

Department of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Republic of Korea.

出版信息

Nutrients. 2025 Apr 7;17(7):1285. doi: 10.3390/nu17071285.

Abstract

Retinal vein occlusion (RVO) is a major cause of vision loss globally. Although magnesium (Mg) is crucial for vascular health, its association with RVO risk is unknown. Thus, we aimed to further examine this association. This cross-sectional study included participants of the Korean National Health and Nutrition Examination Survey 2017-2021 aged ≥19 years (n = 16,358). RVO diagnosis was based on fundus imaging or was self-reported. Based on their daily Mg intake, we categorized participants into low (<120 mg), intermediate (men: 120-300 mg; women: 120-400 mg), and sufficient (men: ≥300 mg; women: ≥400 mg) intake groups and compared their characteristics across groups. RVO prevalence was 0.7%. Compared to the non-RVO group, the RVO group was characterized by older individuals, fewer current alcohol consumers, a higher prevalence of hypertension and chronic kidney disease, and a lower intake of fiber, iron, calcium, vitamin E, and Mg. After full adjustment, sufficient Mg intake was significantly associated with a 64% reduced risk of RVO (odds ratio [OR] 0.36, 95% confidence interval [CI] 0.18-0.71, = 0.003). This association was particularly notable among individuals aged 19-59 years (OR 0.18, 95% CI 0.04-0.82, = 0.027), those with hypertension (OR 0.29, 95% CI 0.13-0.67, = 0.003), and those without glaucoma (OR 0.33, 95% CI 0.15-0.71, = 0.004). Sufficient Mg intake may reduce RVO risk among adults aged <60 years, individuals with hypertension, and those without glaucoma. Further research should validate the benefits of Mg supplementation in preventing RVO.

摘要

视网膜静脉阻塞(RVO)是全球视力丧失的主要原因。尽管镁(Mg)对血管健康至关重要,但其与RVO风险的关联尚不清楚。因此,我们旨在进一步研究这种关联。这项横断面研究纳入了2017 - 2021年韩国国家健康与营养检查调查中年龄≥19岁的参与者(n = 16,358)。RVO诊断基于眼底成像或自我报告。根据参与者的每日镁摄入量,我们将其分为低摄入量组(<120毫克)、中等摄入量组(男性:120 - 300毫克;女性:120 - 400毫克)和充足摄入量组(男性:≥300毫克;女性:≥400毫克),并比较了各组之间的特征。RVO患病率为0.7%。与非RVO组相比,RVO组的特点是年龄较大、当前饮酒者较少、高血压和慢性肾脏病患病率较高,以及纤维、铁、钙、维生素E和镁的摄入量较低。经过全面调整后,充足的镁摄入量与RVO风险降低64%显著相关(优势比[OR] 0.36,95%置信区间[CI] 0.18 - 0.71,P = 0.003)。这种关联在19 - 59岁的个体(OR 0.18,95% CI 0.04 - 0.82,P = 0.027)、患有高血压的个体(OR 0.29,95% CI 0.13 - 0.67,P = 0.003)以及没有青光眼的个体(OR 0.33,95% CI 0.15 - 0.71,P = 0.004)中尤为显著。充足的镁摄入量可能会降低<60岁成年人、患有高血压的个体以及没有青光眼的个体的RVO风险。进一步的研究应验证补充镁在预防RVO方面的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b4/11990526/651c398252dd/nutrients-17-01285-g001.jpg

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