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Erschienen in: European Journal of Nutrition 1/2021

09.05.2020 | Original Contribution

Association of magnesium intake and vitamin D status with cognitive function in older adults: an analysis of US National Health and Nutrition Examination Survey (NHANES) 2011 to 2014

verfasst von: Noah C. Peeri, Kathleen M. Egan, Weiwen Chai, Meng-Hua Tao

Erschienen in: European Journal of Nutrition | Ausgabe 1/2021

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Abstract

Purpose

Reduced cognitive function associated with aging has gained increasing attention as the US population ages. Magnesium plays a critical role in vitamin D biosynthesis and metabolism; and deficiencies in magnesium and vitamin D show associations with poor cognition. However, no study has examined their interaction. This study aimed to evaluate the associations of magnesium intake and serum 25-hydroxyvitamin D (25(OH)D) concentrations, indicating vitamin D status, with cognition, and interaction between these nutrients in older adults.

Methods

Based on the National Health and Nutrition Survey (NHANES) 2011–2014, the study included 2466 participants aged ≥ 60 years who completed the Digit Symbol Substitution Test (DSST) and had data available on serum 25(OH)D and magnesium intake. Cognitive impairment was defined as a DSST score lower than the lowest quartile. Serum 25(OH)D concentrations were measured by HPLC-tandem mass spectrometry.

Results

Higher total magnesium intake was independently associated with higher DSST scores (highest quartile vs lowest: β = 4.34, 95% CI 1.14–7.54). The association of total magnesium intake with high DSST score was primarily observed among women, non-Hispanic whites, physically active participants and those with sufficient vitamin D status, although the interactions were not significant. The odds of cognitive impairment was reduced with increasing intake of total magnesium (p trend < 0.01) and higher level of serum 25(OH)D (p trend = 0.05).

Conclusions

Findings suggest that high magnesium intake alone may improve cognitive function in older adults, and the association may be stronger among subjects with sufficient vitamin D status. Further studies are needed to confirm these findings.
Literatur
2.
Zurück zum Zitat Glisky EL (2007) Changes in Cognitive Function in Human Aging. In: Riddle DR (ed) Brain aging: models, methods, and mechanisms. Frontiers in neuroscience. CRC Press, Boca Raton, FL Glisky EL (2007) Changes in Cognitive Function in Human Aging. In: Riddle DR (ed) Brain aging: models, methods, and mechanisms. Frontiers in neuroscience. CRC Press, Boca Raton, FL
15.
Zurück zum Zitat Reddy V, Sivakumar B (1974) Magnesium-dependent vitamin-D-resistant rickets. Lancet 1(7864):963–965CrossRef Reddy V, Sivakumar B (1974) Magnesium-dependent vitamin-D-resistant rickets. Lancet 1(7864):963–965CrossRef
21.
Zurück zum Zitat Owusu JE, Islam S, Katumuluwa SS, Stolberg AR, Usera GL, Anwarullah AA, Shieh A, Dhaliwal R, Ragolia L, Mikhail MB, Aloia JF (2019) Cognition and vitamin D in Older African-American women-physical performance and osteoporosis prevention with vitamin D in older African Americans Trial and Dementia. J Am Geriatr Soc 67(1):81–86. https://doi.org/10.1111/jgs.15607CrossRefPubMed Owusu JE, Islam S, Katumuluwa SS, Stolberg AR, Usera GL, Anwarullah AA, Shieh A, Dhaliwal R, Ragolia L, Mikhail MB, Aloia JF (2019) Cognition and vitamin D in Older African-American women-physical performance and osteoporosis prevention with vitamin D in older African Americans Trial and Dementia. J Am Geriatr Soc 67(1):81–86. https://​doi.​org/​10.​1111/​jgs.​15607CrossRefPubMed
23.
Zurück zum Zitat Johnson CL, Dohrmann SM, Burt VL, Mohadjer LK (2014) National health and nutrition examination survey: sample design, 2011–2014. Vital Health Stat 2(162):1–33 Johnson CL, Dohrmann SM, Burt VL, Mohadjer LK (2014) National health and nutrition examination survey: sample design, 2011–2014. Vital Health Stat 2(162):1–33
27.
Zurück zum Zitat Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, Paul DR, Sebastian RS, Kuczynski KJ, Ingwersen LA, Staples RC, Cleveland LE (2008) The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr 88(2):324–332. https://doi.org/10.1093/ajcn/88.2.324CrossRefPubMed Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, Paul DR, Sebastian RS, Kuczynski KJ, Ingwersen LA, Staples RC, Cleveland LE (2008) The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr 88(2):324–332. https://​doi.​org/​10.​1093/​ajcn/​88.​2.​324CrossRefPubMed
30.
Zurück zum Zitat Liberman K, Forti LN, Beyer I, Bautmans I (2017) The effects of exercise on muscle strength, body composition, physical functioning and the inflammatory profile of older adults: a systematic review. Curr Opin Clin Nutr Metab Care 20:30–53CrossRef Liberman K, Forti LN, Beyer I, Bautmans I (2017) The effects of exercise on muscle strength, body composition, physical functioning and the inflammatory profile of older adults: a systematic review. Curr Opin Clin Nutr Metab Care 20:30–53CrossRef
31.
Zurück zum Zitat Fritz NE, McCarthy CJ, Adamo DE (2017) Handgrip strength as a means of monitoring progression of cognitive decline—a scoping review. Ageing Res Rev 35:112–123CrossRef Fritz NE, McCarthy CJ, Adamo DE (2017) Handgrip strength as a means of monitoring progression of cognitive decline—a scoping review. Ageing Res Rev 35:112–123CrossRef
35.
Zurück zum Zitat Durup D, Jorgensen HL, Christensen J, Tjonneland A, Olsen A, Halkjaer J, Lind B, Heegaard AM, Schwarz P (2015) A reverse j-shaped association between serum 25-hydroxyvitamin D and cardiovascular disease mortality: the CopD Study. J Clin Endocrinol Metab 100(6):2339–2346. https://doi.org/10.1210/jc.2014-4551CrossRefPubMed Durup D, Jorgensen HL, Christensen J, Tjonneland A, Olsen A, Halkjaer J, Lind B, Heegaard AM, Schwarz P (2015) A reverse j-shaped association between serum 25-hydroxyvitamin D and cardiovascular disease mortality: the CopD Study. J Clin Endocrinol Metab 100(6):2339–2346. https://​doi.​org/​10.​1210/​jc.​2014-4551CrossRefPubMed
42.
Zurück zum Zitat Pointillart A, Denis I, Colin C (1995) Effects of dietary vitamin D on magnesium absorption and bone mineral contents in pigs on normal magnesium intakes. Magnes Res 8(1):19–26PubMed Pointillart A, Denis I, Colin C (1995) Effects of dietary vitamin D on magnesium absorption and bone mineral contents in pigs on normal magnesium intakes. Magnes Res 8(1):19–26PubMed
44.
Zurück zum Zitat Ngandu T, Lehtisalo J, Solomon A, Levalahti E, Ahtiluoto S, Antikainen R, Backman L, Hanninen T, Jula A, Laatikainen T, Lindstrom J, Mangialasche F, Paajanen T, Pajala S, Peltonen M, Rauramaa R, Stigsdotter-Neely A, Strandberg T, Tuomilehto J, Soininen H, Kivipelto M (2015) A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet 385(9984):2255–2263. https://doi.org/10.1016/S0140-6736(15)60461-5CrossRefPubMed Ngandu T, Lehtisalo J, Solomon A, Levalahti E, Ahtiluoto S, Antikainen R, Backman L, Hanninen T, Jula A, Laatikainen T, Lindstrom J, Mangialasche F, Paajanen T, Pajala S, Peltonen M, Rauramaa R, Stigsdotter-Neely A, Strandberg T, Tuomilehto J, Soininen H, Kivipelto M (2015) A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet 385(9984):2255–2263. https://​doi.​org/​10.​1016/​S0140-6736(15)60461-5CrossRefPubMed
45.
Zurück zum Zitat Lehtisalo J, Ngandu T, Valve P, Antikainen R, Laatikainen T, Strandberg T, Soininen H, Tuomilehto J, Kivipelto M, Lindström J (2017) Nutrient intake and dietary changes during a 2-year multi-domain lifestyle intervention among older adults: Secondary analysis of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) randomised controlled trial. Br J Nutr 118(4):291–302CrossRef Lehtisalo J, Ngandu T, Valve P, Antikainen R, Laatikainen T, Strandberg T, Soininen H, Tuomilehto J, Kivipelto M, Lindström J (2017) Nutrient intake and dietary changes during a 2-year multi-domain lifestyle intervention among older adults: Secondary analysis of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) randomised controlled trial. Br J Nutr 118(4):291–302CrossRef
46.
Zurück zum Zitat Rosanoff A, Seelig MS (2004) Comparison of mechanism and functional effects of magnesium and statin pharmaceuticals. J Am Coll Nutr 23(5):501S–505SCrossRef Rosanoff A, Seelig MS (2004) Comparison of mechanism and functional effects of magnesium and statin pharmaceuticals. J Am Coll Nutr 23(5):501S–505SCrossRef
50.
Zurück zum Zitat Mitchell AJ (2009) A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. J Psychiatr Res 43:411–431CrossRef Mitchell AJ (2009) A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. J Psychiatr Res 43:411–431CrossRef
51.
Zurück zum Zitat Heaney RP (2011) Serum 25-hydroxyvitamin D is a reliable indicator of vitamin D status. Am J Clin Nutr 94:619–620CrossRef Heaney RP (2011) Serum 25-hydroxyvitamin D is a reliable indicator of vitamin D status. Am J Clin Nutr 94:619–620CrossRef
52.
Zurück zum Zitat Zerwekh JE (1091S) Blood biomarkers of vitamin D status. Am J Clin Nutr 87:1087S–1091SCrossRef Zerwekh JE (1091S) Blood biomarkers of vitamin D status. Am J Clin Nutr 87:1087S–1091SCrossRef
Metadaten
Titel
Association of magnesium intake and vitamin D status with cognitive function in older adults: an analysis of US National Health and Nutrition Examination Survey (NHANES) 2011 to 2014
verfasst von
Noah C. Peeri
Kathleen M. Egan
Weiwen Chai
Meng-Hua Tao
Publikationsdatum
09.05.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 1/2021
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-020-02267-4

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