Liu Tianjiao, Wang Jie, Ren Chenghuan, Yu Ruotong, Fu Changgeng
Department of Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Department of Graduate School, Beijing University of Chinese Medicine, Beijing, China.
Medicine (Baltimore). 2025 Aug 15;104(33):e43914. doi: 10.1097/MD.0000000000043914.
Magnesium deficiency plays a role in the onset and progression of cardiovascular disorders (CVD), and early detection of magnesium deficiency in the body is crucial. Magnesium depletion score (MDS) is a more precise measurement to evaluate the magnesium status of the body. Atherosclerotic cardiovascular disease (ASCVD) is the primary cause of death from CVD, and the correlation between MDS and the prevalence of ASCVD remains unclear. This study aims to analyze the cross-sectional relationship of MDS with ASCVD. This investigation included 26,767 participants from National Health and Nutrition Examination Survey, and 2624 belonged to the ASCVD group. MDS was calculated and separated into 3 cohorts (low, 0-1; medium, 2; high, 3-5). The association between MDS and ASCVD was evaluated using weighted logistic regression, subgroup analysis, and sensitivity analysis. ASCVD prevalence in America was significantly correlated with MDS, according to logistic regression analysis. The prevalence of ASCVD increased by 15% (odds ratio, 1.15; 95% confidence interval, 1.05-1.27) for every unit rise in MDS. Participants with high MDS demonstrated a significantly higher prevalence of ASCVD. This was observed in individuals with high MDS compared to those with low MDS (odds ratio, 1.43; 95% confidence interval, 1.12-1.82), with a significant trend between groups with different levels of MDS (P < .001). The results remained robust and consistent in the analysis of subgroups and sensitivity. MDS is an vital risk factor for the prevalence of ASCVD patients.
镁缺乏在心血管疾病(CVD)的发生和发展中起作用,早期检测体内镁缺乏至关重要。镁消耗评分(MDS)是评估身体镁状态的更精确测量方法。动脉粥样硬化性心血管疾病(ASCVD)是CVD的主要死因,MDS与ASCVD患病率之间的相关性仍不清楚。本研究旨在分析MDS与ASCVD的横断面关系。这项调查纳入了来自国家健康和营养检查调查的26767名参与者,其中2624人属于ASCVD组。计算MDS并将其分为3个队列(低,0 - 1;中,2;高,3 - 5)。使用加权逻辑回归、亚组分析和敏感性分析评估MDS与ASCVD之间的关联。根据逻辑回归分析,美国的ASCVD患病率与MDS显著相关。MDS每升高一个单位,ASCVD患病率增加15%(比值比,1.15;95%置信区间,1.05 - 1.27)。MDS高的参与者ASCVD患病率显著更高。与MDS低的个体相比,MDS高的个体中观察到这种情况(比值比,1.43;95%置信区间,1.12 - 1.82),不同MDS水平的组之间存在显著趋势(P <.001)。在亚组分析和敏感性分析中,结果仍然稳健且一致。MDS是ASCVD患者患病率的一个重要危险因素。