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低镁血症:探讨其多方面的健康影响以及与血压调节和代谢综合征的关联。

Hypomagnesemia: exploring its multifaceted health impacts and associations with blood pressure regulation and metabolic syndrome.

作者信息

Wu Wenlong, Gong Ming, Liu Pan, Yu Huiying, Gao Xue, Zhao Xin

机构信息

Department of Cardiology, the Second Hospital of Dalian Medical University, No.467, Zhongshan Road, Shaku District, Dalian, 116023, China.

Department of Cardiology, Liao Ning University of Traditional Chinese Medicine, No.79, Chong Shan East Road, Huanggu District, Shenyang, 110085, China.

出版信息

Diabetol Metab Syndr. 2025 Jun 16;17(1):217. doi: 10.1186/s13098-025-01772-y.

DOI:10.1186/s13098-025-01772-y
PMID:40524199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12168336/
Abstract

This article provides a comprehensive and in-depth exploration of the multifaceted effects of Hypomagnesemia on human health, with a specific focus on its intricate associations with mechanisms regulating blood pressure and metabolic syndrome. Firstly, the fundamental concept of hypomagnesemia is elucidated, followed by a detailed analysis of its prevalence, risk factors, and Magnesium Deficiency Score. Furthermore, this article delves into the intricate relationship between hypomagnesemia and blood pressure regulation, encompassing its impact on endothelial function, vascular calcification, oxidative stress and inflammatory response, sympathetic nervous system activity as well as the renin-angiotensin-aldosterone system (RAAS). Additionally, it explores the correlation between hypomagnesemia and insulin resistance, metabolic syndrome along with other health issues. Notably noteworthy is that this paper also places special emphasis on exploring the potential role of hypomagnesemia in specific diseases such as renal hypertension and preeclampsia while providing novel insights for their prevention and treatment. Finally, this article summarizes the diverse effects of hypomagnesemia on health while anticipating future research directions. Future studies should further investigate the pathogenesis underlying hypomagnesemia while optimizing assessment methods for magnesium deficiency to develop targeted intervention strategies aimed at offering improved treatment options alongside preventive measures for patients.

摘要

本文全面深入地探讨了低镁血症对人体健康的多方面影响,特别关注其与血压调节和代谢综合征调控机制的复杂关联。首先,阐述了低镁血症的基本概念,接着详细分析了其患病率、风险因素和镁缺乏评分。此外,本文深入研究了低镁血症与血压调节之间的复杂关系,包括其对内皮功能、血管钙化、氧化应激和炎症反应、交感神经系统活动以及肾素 - 血管紧张素 - 醛固酮系统(RAAS)的影响。此外,还探讨了低镁血症与胰岛素抵抗、代谢综合征以及其他健康问题之间的相关性。值得注意的是,本文还特别强调探索低镁血症在诸如肾性高血压和先兆子痫等特定疾病中的潜在作用,同时为其预防和治疗提供新的见解。最后,本文总结了低镁血症对健康的多种影响,同时展望了未来的研究方向。未来的研究应进一步探究低镁血症的发病机制,优化镁缺乏的评估方法,以制定有针对性的干预策略,为患者提供更好的治疗选择和预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24f/12168336/a73c739c98f5/13098_2025_1772_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24f/12168336/a73c739c98f5/13098_2025_1772_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24f/12168336/a73c739c98f5/13098_2025_1772_Fig1_HTML.jpg

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本文引用的文献

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Association of magnesium depletion score with serum anti-aging protein Klotho in the middle-aged and older populations.中年及老年人群中镁缺乏评分与血清抗衰老蛋白α-klotho的关联。
Front Nutr. 2025 Mar 27;12:1518268. doi: 10.3389/fnut.2025.1518268. eCollection 2025.
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Hypertension in Relation to Circulating Magnesium Levels: A Systematic Review and Meta-Analysis of Observational Studies.高血压与循环镁水平的关系:观察性研究的系统评价和荟萃分析
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Calcium, magnesium, and vitamin D supplementations as complementary therapy for hypertensive patients: a systematic review and meta-analysis.
钙、镁和维生素D补充剂作为高血压患者的辅助治疗:一项系统评价和荟萃分析。
BMC Complement Med Ther. 2025 Mar 5;25(1):89. doi: 10.1186/s12906-025-04809-x.
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Association between metabolic score for insulin resistance (METS-IR) and hypertension: a cross-sectional study based on NHANES 2007-2018.胰岛素抵抗代谢评分(METS-IR)与高血压之间的关联:一项基于2007 - 2018年美国国家健康与营养检查调查(NHANES)的横断面研究。
Lipids Health Dis. 2025 Feb 21;24(1):64. doi: 10.1186/s12944-025-02492-y.
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Association of serum magnesium and calcium with metabolic syndrome: a cross-sectional study from the Qatar-biobank.血清镁和钙与代谢综合征的关联:一项来自卡塔尔生物样本库的横断面研究。
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Nutrition and Hypertension Researches in 2023: focus on salt intake and blood pressure.2023年的营养与高血压研究:聚焦盐摄入与血压
Hypertens Res. 2025 Apr;48(4):1471-1476. doi: 10.1038/s41440-024-02089-5. Epub 2025 Jan 27.
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Automated Computerized-based Intervention to Identify Hypomagnesemia in Primary Care Patients With Arrhythmia.基于自动化计算机的干预措施,用于识别原发性心律失常患者中的低镁血症。
J Patient Saf. 2025 Apr 1;21(3):138-142. doi: 10.1097/PTS.0000000000001308. Epub 2024 Dec 23.
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Front Nutr. 2024 Nov 21;11:1485578. doi: 10.3389/fnut.2024.1485578. eCollection 2024.
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