Altered ionized magnesium levels in mild-to-moderate Alzheimer's disease

Mario Barbagallo1, Mario Belvedere, Giovanna Di Bella

  • 1Chair of Geriatrics, Department of Internal Medicine and Medical Specialties (DIMIS), University of Palermo, Italy. mario.barbagallo@unipa.it

Magnesium Research
|September 29, 2011
PubMed

Insights

Ionized magnesium (Mg-ion) levels are significantly lower in individuals with mild to moderate Alzheimer's disease (AD), correlating directly with cognitive function. This suggests subclinical magnesium alterations in early-stage AD patients.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Gerontology

Background:

  • Magnesium deficiency is linked to chronic, age-related diseases like cardiovascular, metabolic, and neurodegenerative disorders.
  • Alzheimer's disease (AD), the leading cause of dementia, is a significant concern in aging populations.

Purpose of the Study:

  • To investigate magnesium homeostasis in patients diagnosed with mild to moderate Alzheimer's disease.
  • To assess the relationship between serum magnesium levels and cognitive/functional status in AD patients.

Main Methods:

  • Recruited 101 elderly patients (≥65 years) with mild to moderate AD (MMSE 11-24) and age-matched controls.
  • Administered comprehensive geriatric assessments, including cognitive and functional status evaluations.
  • Measured serum total magnesium (Mg-tot) and serum ionized magnesium (Mg-ion) levels.

Main Results:

  • AD patients exhibited significantly lower Mini-Mental State Examination (MMSE) scores and poorer physical function compared to controls.
  • Serum ionized magnesium (Mg-ion) was significantly lower in the AD group (0.50±0.01 mmol/L) versus controls (0.53±0.01 mmol/L).
  • Mg-ion levels showed a significant positive correlation with cognitive function (MMSE scores), but not with activities of daily living (ADL/IADL).

Conclusions:

  • Subclinical alterations in ionized magnesium (Mg-ion) are present in patients with mild to moderate Alzheimer's disease.
  • Ionized magnesium, but not total magnesium, is significantly reduced and directly related to cognitive impairment in early AD.
  • These findings highlight the potential role of magnesium dysregulation in the pathophysiology of Alzheimer's disease.

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