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Magnesium status in healthy free-living elderly Norwegians
L Gullestad1, M Nes, R Rønneberg
1Department of Medicine B, National Hospital, Oslo, Norway.
Healthy elderly subjects may have subclinical magnesium (Mg) deficits, undetected by standard serum tests. Magnesium supplementation improved their Mg status and kidney function, indicating a need for better assessment in older adults.
Area of Science:
- Gerontology
- Nutritional Science
- Biochemistry
Background:
- Magnesium (Mg) status assessment in healthy elderly individuals is often inadequate.
- Subclinical Mg deficits may exist in this population, bypassing standard detection methods.
Purpose of the Study:
- To evaluate the Mg status in healthy elderly subjects.
- To compare Mg status between elderly and younger individuals.
- To investigate the effects of Mg supplementation on Mg status and renal function in the elderly.
Main Methods:
- Assessed Mg status using serum Mg, basal urinary Mg output, and a Mg loading test in 36 elderly and 53 younger subjects.
- Quantified dietary intake via a food frequency questionnaire.
- Administered oral Mg supplementation (300 mmol) to 14 elderly subjects to assess its impact.
Main Results:
- Elderly subjects showed higher Mg retention (28%) compared to younger controls (6%), suggesting Mg deficiency.
- Despite adequate nutrient intake (except vitamin D in women), serum Mg levels were within normal ranges, masking deficiency.
- Mg supplementation led to increased urinary Mg excretion, improved creatinine clearance, and reduced serum creatinine.
Conclusions:
- A significant subclinical magnesium deficit, undetectable by serum Mg levels, is prevalent in healthy elderly individuals.
- Magnesium supplementation effectively enhances Mg status and improves renal function in this demographic.
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