Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients

Whether serum magnesium deficiency is independently associated with the prevalence of microalbuminuria is still unclear. The objective of the present study was to elucidate the association between serum magnesium and microalbuminuria in diabetic patients. A cross-sectional study was conducted in 182...

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Main Authors: Baihui Xu, Jichao Sun, Xinru Deng, Xiaolin Huang, Wanwan Sun, Yu Xu, Min Xu, Jieli Lu, Yufang Bi
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/580685
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author Baihui Xu
Jichao Sun
Xinru Deng
Xiaolin Huang
Wanwan Sun
Yu Xu
Min Xu
Jieli Lu
Yufang Bi
author_facet Baihui Xu
Jichao Sun
Xinru Deng
Xiaolin Huang
Wanwan Sun
Yu Xu
Min Xu
Jieli Lu
Yufang Bi
author_sort Baihui Xu
collection DOAJ
description Whether serum magnesium deficiency is independently associated with the prevalence of microalbuminuria is still unclear. The objective of the present study was to elucidate the association between serum magnesium and microalbuminuria in diabetic patients. A cross-sectional study was conducted in 1829 diabetic subjects (aged ≥ 40 years) from Shanghai, China. Subjects were divided into three groups according to serum magnesium tertiles. A first-voided early-morning spot urine sample was obtained for urinary albumin-creatinine ratio (UACR) measurement. Microalbuminuria was defined as 30 mg/g ≤ UACR < 300 mg/g. Overall, 208 (11.37%) of the study population had microalbuminuria, with similar proportions in both genders (). The prevalence of microalbuminuria in tertile 1 of serum magnesium was higher than the prevalence in tertile 2 and tertile 3 (15.98%, 9.72%, and 8.46%, resp.; for trend <0.0001). After adjustment for age, sex, BMI, blood pressure, lipidaemic profile, HbA1c, eGFR, history of cardiovascular disease, HOMA-IR, antihypertensive and antidiabetic medication, and diabetes duration, we found that, compared with the subjects in tertile 3 of serum magnesium, those in tertile 1 had 1.85 times more likeliness to have microalbuminuria. We concluded that low serum magnesium level was significantly associated with the prevalence of microalbuminuria in middle-aged and elderly Chinese.
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spelling doaj-art-765b610cd2f946fcbc61ee823ecc6c8c2025-02-03T01:20:54ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/580685580685Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic PatientsBaihui Xu0Jichao Sun1Xinru Deng2Xiaolin Huang3Wanwan Sun4Yu Xu5Min Xu6Jieli Lu7Yufang Bi8Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaKey Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai 200025, ChinaWhether serum magnesium deficiency is independently associated with the prevalence of microalbuminuria is still unclear. The objective of the present study was to elucidate the association between serum magnesium and microalbuminuria in diabetic patients. A cross-sectional study was conducted in 1829 diabetic subjects (aged ≥ 40 years) from Shanghai, China. Subjects were divided into three groups according to serum magnesium tertiles. A first-voided early-morning spot urine sample was obtained for urinary albumin-creatinine ratio (UACR) measurement. Microalbuminuria was defined as 30 mg/g ≤ UACR < 300 mg/g. Overall, 208 (11.37%) of the study population had microalbuminuria, with similar proportions in both genders (). The prevalence of microalbuminuria in tertile 1 of serum magnesium was higher than the prevalence in tertile 2 and tertile 3 (15.98%, 9.72%, and 8.46%, resp.; for trend <0.0001). After adjustment for age, sex, BMI, blood pressure, lipidaemic profile, HbA1c, eGFR, history of cardiovascular disease, HOMA-IR, antihypertensive and antidiabetic medication, and diabetes duration, we found that, compared with the subjects in tertile 3 of serum magnesium, those in tertile 1 had 1.85 times more likeliness to have microalbuminuria. We concluded that low serum magnesium level was significantly associated with the prevalence of microalbuminuria in middle-aged and elderly Chinese.http://dx.doi.org/10.1155/2013/580685
spellingShingle Baihui Xu
Jichao Sun
Xinru Deng
Xiaolin Huang
Wanwan Sun
Yu Xu
Min Xu
Jieli Lu
Yufang Bi
Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients
International Journal of Endocrinology
title Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients
title_full Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients
title_fullStr Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients
title_full_unstemmed Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients
title_short Low Serum Magnesium Level Is Associated with Microalbuminuria in Chinese Diabetic Patients
title_sort low serum magnesium level is associated with microalbuminuria in chinese diabetic patients
url http://dx.doi.org/10.1155/2013/580685
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