Dietary Magnesium Intake in Relation to Depression in Adults: A GRADE-Assessed Systematic Review and Dose-Response Meta-analysis of Epidemiologic Studies.

IF 5.9 2区 医学 Q1 NUTRITION & DIETETICS Nutrition reviews Pub Date : 2024-05-29 DOI:10.1093/nutrit/nuae056
Zahra Hajhashemy, Fatemeh Shirani, Gholamreza Askari
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Abstract

Context: The relation of magnesium (Mg) intake with depression was previously investigated by meta-analyses. However, due to limited data, a dose-response analysis was not performed.

Objective: Considering the recently published articles, a systematic review and dose-response meta-analysis was conducted to summarize the relation of dietary Mg intake with depression in adults.

Data sources: Medline (PubMed), ISI Web of Science, Scopus, and Google Scholar were comprehensively searched up to August 2023.

Data extraction: Observational studies that reported the relation of dietary Mg intake and depression in adults were included and their data were extracted.

Data analysis: A total of 63 214 participants from 10 cross-sectional and 3 cohort studies were included in the current study. Pooling 15 effect sizes from 12 studies (including 50 275 participants) revealed that individuals with the highest Mg intake had a 34% lower risk of depression, compared with those with the lowest Mg intake (RR: 0.66; 95% CI: 0.57, 0.78). Moreover, the linear dose-response analysis revealed that each 100-mg/d increment in Mg intake was associated with a 7% reduced risk of depression (RR: 0.93; 95% CI: 0.90, 0.96). Additionally, based on nonlinear dose-response analysis, increasing Mg intake from 170 to 370 mg/d was associated with a reduced risk of depression. Analyses were also conducted on 9 studies (49 558 participants) with representative populations, and similar results were found in the meta-analysis (RR: 0.71; 95% CI: 0.61, 0.83) and linear (RR: 0.93; 95% CI: 0.90, 0.96) and nonlinear dose-response analysis.

Conclusion: The current study shows an inverse dose-dependent association between dietary Mg intakes and risk of depression in both a general and representative population of adults in a dose-response manner.

Systematic review registration: PROSPERO registration no. CRD42024506570.

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膳食镁摄入量与成人抑郁症的关系:经 GRADE 评估的流行病学研究系统回顾与剂量反应元分析》。
背景:镁(Mg)摄入量与抑郁症的关系曾通过荟萃分析进行过研究。然而,由于数据有限,没有进行剂量反应分析:考虑到最近发表的文章,我们进行了一项系统综述和剂量-反应荟萃分析,以总结成人膳食镁摄入量与抑郁症的关系:对截至 2023 年 8 月的 Medline (PubMed)、ISI Web of Science、Scopus 和 Google Scholar 进行了全面检索:数据分析:本次研究共纳入了来自10项横断面研究和3项队列研究的63 214名参与者。汇总 12 项研究(包括 50 275 名参与者)的 15 个效应大小后发现,与镁摄入量最低的人相比,镁摄入量最高的人患抑郁症的风险降低了 34%(RR:0.66;95% CI:0.57,0.78)。此外,线性剂量-反应分析显示,镁摄入量每增加 100 毫克/天,抑郁风险就会降低 7%(RR:0.93;95% CI:0.90,0.96)。此外,根据非线性剂量-反应分析,镁摄入量从 170 毫克/天增加到 370 毫克/天与抑郁风险降低有关。我们还对9项具有代表性的研究(49 558名参与者)进行了分析,在荟萃分析(RR:0.71;95% CI:0.61,0.83)、线性(RR:0.93;95% CI:0.90,0.96)和非线性剂量反应分析中发现了相似的结果:目前的研究表明,在普通和具有代表性的成年人群中,膳食镁摄入量与抑郁症风险之间存在反剂量依赖关系,且呈剂量反应型:系统综述注册:PROSPERO 注册号CRD42024506570。
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来源期刊
Nutrition reviews
Nutrition reviews 医学-营养学
CiteScore
12.20
自引率
1.60%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.
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