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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
Abstract:
Magnesium deficiency is present in several chronic, age-related diseases, including cardiovascular, metabolic and neurodegenerative diseases. Alzheimer's disease (AD) is the most common cause of dementia. The aim of the present study was to study magnesium homeostasis in patients with mild to moderate AD. One hundred and one elderly (≥65 years) patients were consecutively recruited (mean age: 73.4±0.8 years; M/F: 42/59). In all patients, a comprehensive geriatric assessment was performed including cognitive and functional status. Admission criteria for the AD group (diagnosed according to the DSM-IV and the NINCDS-ADRDA criteria) included: mild to moderate cognitive impairment (MMSE score: 11-24/30, corrected for age and education). Blood samples were analyzed for serum total magnesium (Mg-tot) and serum ionized magnesium (Mg-ion). AD patients had significantly lower MMSE scores (20.5±0.7 vs 27.9±0.2; p<0.001), and for the physical function tests. Mg-ion was significantly lower in the AD group as compared to age-matched control adults without AD (0.50±0.01 mmol/L vs 0.53±0.01 mmol/L; p<0.01). No significant differences were found in Mg-tot between the two groups (1.91±0.03 mEq/L vs 1.95±0.03 mEq/L; p=NS). For all subjects, Mg-ion levels were significantly and directly related only to cognitive function (Mg-ion/MMSE r=0.24 p<0.05), while no significant correlations were found in this group of patients between magnesium and ADL or IADL. Our results show the presence of subclinical alterations in Mg-ion in patients with mild to moderate AD.
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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