健康人群与2型糖尿病患者血镁浓度与血脂的相关性分析

Han Tuo, Gong Hong, M. Fatima, L. Ying, Fan Yajie, S. Wei, Yao Zhihui, Wang Qian, Wang Congxia
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摘要

背景:心血管疾病(CVD)是世界范围内导致死亡的主要原因。血脂异常与心血管疾病密切相关。镁(Mg)是一种必需的微量元素,参与许多重要的生物过程,如葡萄糖和脂质代谢。先前的研究表明,低镁血症或缺镁与2型糖尿病、代谢综合征、高血压和心血管疾病的风险增加有关。目的:探讨健康人及2型糖尿病患者血清镁(Mg)浓度与血脂异常的关系。方法:选取健康受试者3430人,按年龄分为成人组(18~59岁)和老年组(≥60岁)。此外,还选择了63例2型糖尿病患者。基于年龄、性别、身体质量指数(BMI)和吸烟史的倾向评分在患者和健康对照组之间按1:2的比例进行匹配。结果:健康成人血清Mg浓度升高与血脂异常有显著相关性,健康老年人血清Mg浓度升高与血脂异常无显著相关性。多元线性回归显示,男性血清总胆固醇(TC)、BMI和吸烟是血清Mg浓度升高的独立危险因素,女性空腹血糖和血清LDL-C是血清Mg浓度升高的独立危险因素。然而,T2DM患者血清Mg浓度与血脂水平之间未发现显著相关性。结论:血清Mg浓度与血脂存在一定的相关性,年龄、性别、疾病状况也可能存在一定的混杂作用。血清Mg与血脂异常之间的因果关系有待进一步研究。
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Correlation Analysis of Serum Magnesium Concentration and Lipids in Health Population and Type 2 Diabetes Patients
Background: Cardiovascular disease (CVD) is the lead cause of death around the world. Dyslipidemia is strongly associated with CVD. Magnesium (Mg) is an essential trace element involved in many vital biological process, such as glucose and lipid metabolism. Previous studies have showed that hypomagnesemia or Mg deficiency is associated with an increased risk of type 2 diabetes, metabolic syndrome, hypertension, and CVD. Objective: To explore the correlation between serum magnesium (Mg) concentration and dyslipidemia in health subjects and type 2 diabetes patients. Methods: 3430 health subjects were selected and divided into adult (aged 18~59) and elderly (≥60 years) groups according to age. In addition, 63 patients with type 2 diabetes were selected. Propensity score based on age, gender, body mass index (BMI) and smoking history was matched at a ratio of 1:2 between patients and health controls. Results: There was a significant correlation between elevated serum Mg concentration and dyslipidemia in health adults, but no significant correlation between the two in the health elderly. Multiple linear regression showed that serum total cholesterol (TC), BMI and smoking in men while fasting plasma glucose and serum LDL-C in women were independent risk factors for elevated serum Mg concentration. Whereas, no significant correlation was found between serum Mg concentration and lipid levels in T2DM patients. Conclusion: Serum Mg concentration is correlated with serum lipids to a certain extent, while age, gender and disease status may also exert certain confound effects. The causal relationship between serum Mg and dyslipidemia needs to be further studied.
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