The Concurrent Association of Magnesium and Calcium Deficiencies with Cognitive Function in Older Hospitalized Adults
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Anamnesis
2.3. Measurements
2.4. Statistical Analysis
2.5. Ethical Considerations
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Parameter | Group I Normomagnesemia and Normocalcemia (n = 678) | Group II Hypomagnesemia (n = 331) | Group III Hypocalcemia (n = 103) | Group IV Hypomagnesemia and Hypocalcemia (n = 108) | p-Value |
---|---|---|---|---|---|
Age (years), mean ± SD Median (lower; upper quartiles) | 81.14 ± 7.68 82(76; 87) | 81.51 ± 7.31 83 (77; 87) | 83.94 ± 8.51 86 (79; 90) *,# | 83.07 ± 8.46 84 (75; 90) | 0.003 KW |
Sex, raw numbers (%) | Women 486 (71.6%) Men 192 (28.4%) | Women 251 (75.8%) Men 80 (24.2%) | Women 65 (63.1%) Men 38 (36.9%) | Women 74 (68.5%) Men 34 (31.5%) | 0.06 chi2 |
Body mass (kg), mean ± SD Median (lower; upper quartiles) | 69.31 ± 16.14 69 (57; 80) | 68.05 ± 15.65 66 (57; 77) | 64.34 ± 14.53 60 (52; 73) # | 65.25 ± 14.98 64 (55; 75) | 0.03 KW |
BMI (kg/m2), mean ± SD Median (lower; upper quartiles) | 26.53 ± 5.30 25 (23; 30) | 27.12 ± 5.49 27 (23; 31) | 25.1 ± 4.9 24 (21; 28) # | 25.24 ± 4.87 24 (22; 27) # | 0.001 KW |
MMSE (points), mean ± SD Median (lower; upper quartiles) | 23.46 ± 5.88 25 (20; 28) | 22.65 ± 6.23 24 (19; 28) | 18.66 ± 8.33 20 (14; 25) *,# | 20.40 ± 7.55 22 (16; 26) * | 0.0001 KW |
CDT (points), mean ± SD Median (lower; upper quartiles) | 5.64 ± 3.77 6 (2; 10) | 5.24 ± 3.75 5 (1; 10) | 4.09 ± 3.69 4 (0; 7) * | 3.98 ± 3.83 3.5 (0; 8) *,# | 0.0001 KW |
Number of administered medications, mean ± SD Median (lower; upper quartiles) | 4.85 ± 2.42 5 (3;6) | 5.85 ± 2.45 6 (4;7) * | 3.98 ± 2.47 4.(2;6) *,# | 5.03 ± 2.39 5 (3;7) † | 0.001 KW |
Arterial hypertension, raw numbers (%) | 570 (84.1%) | 286 (86.4%) | 82 (80.4%) | 90 (83.3%) | 0.48 chi2 |
Diabetes mellitus, raw numbers (%) | 181 (26.8%) | 160 (48.3%) * | 26 (25.2%) # | 35 (32.4%) | <0.0001 chi2 |
Lipid disorders, raw numbers (%) | 352 (51.9%) | 147 (44.4%) | 32 (31.1%) * | 24 (22.2%) * | <0.0001 chi2 |
Stroke, raw numbers (%) | 100 (14.8%) | 72 (21.8%) * | 14 (13.6%) # | 18 (16.7%) | 0.03 chi2 |
Coronary artery disease, raw numbers (%) | 233 (34.4%) | 141 (42.6%) | 31 (30.1%) | 31 (28.7%) # | 0.01 chi2 |
Myocardial infarction, raw numbers (%) | 74 (10.9%) | 31 (9.4%) | 16 (15.5%) | 11 (10.9%) | 0.36 chi2 |
Atrial fibrillation, raw numbers (%) | 146 (21.5%) | 99 (29.9%) * | 28 (27.2%) | 33 (30.6%) * | 0.01 chi2 |
Heart failure, raw numbers (%) | 342 (50.4%) | 196 (59.2%) | 67 (65.1%) * | 79 (73.2%) *,# | <0.0001 chi2 |
Chronic kidney disease, raw numbers (%) | 328 (48.4%) | 182 (55.2%) | 61 (59.2%) | 72 (66.7%) * | 0.001 chi2 |
Disease | Without a Particular Disease Mean ± SD, Median (Lower; Upper Quartiles) | With a Particular Disease Mean ± SD, Median (Lower; Upper Quartiles) | p-Value U |
---|---|---|---|
MMSE | |||
Arterial hypertension | 21.4 ± 7.5, 23 (17; 28) | 22.8 ± 6.3, 24 (19; 28) | 0.003 |
Diabetes mellitus | 22.5 ± 6.5, 24 (19; 28) | 22.8 ± 6.6, 24 (19; 28) | 0.32 |
Lipid disorders | 21.7 ± 6.6, 23 (18; 27) | 23.6 ± 6.3, 25 (20; 29) | 0.0001 |
Stroke | 22.9 ± 6.5, 24.5 (19; 28) | 20.9 ± 6.7, 22 (18; 26) | <0.0001 |
Coronary artery disease | 22.6 ± 6.6, 24 (19; 28) | 22.4 ± 6.5, 24 (19; 27) | 0.56 |
Myocardial infarction | 22.6 ± 6.5, 24 (19; 28) | 22.5 ± 6.5, 24 (19; 28) | 0.86 |
Atrial fibrillation | 22.7 ± 6.6, 24 (19; 28) | 22.2 ± 6.4, 23 (19; 27) | 0.23 |
Heart failure | 23.6 ± 6.3, 25 (20; 28) | 21.8 ± 6.7, 23 (18; 27) | <0.0001 |
Chronic kidney disease | 22.8 ± 6.8, 25 (19; 28) | 22.4 ± 6.3, 24 (19; 27) | 0.19 |
CDT | |||
Arterial hypertension | 5.0 ± 4.1, 5 (10; 9) | 5.4 ± 3.8, 5 (2; 9) | 0.27 |
Diabetes mellitus | 5.2 ± 3.8, 5 (1; 9) | 5.6 ± 3.8, 6 (2; 10) | 0.10 |
Lipid disorders | 4.9 ± 3.8, 5 (0; 9) | 5.8 ± 3.8, 7 (2; 10) | <0.0001 |
Stroke | 5.4 ± 3.8, 5 (1; 9) | 5.1 ± 3.8, 5 (1; 9) | 0.23 |
Coronary artery disease | 5.5 ± 3.8, 6 (2; 10) | 5.1 ± 3.8, 5 (1; 9) | 0.10 |
Myocardial infarction | 5.3 ± 3.8, 5 (1.5; 9) | 5.1 ± 3.9, 5 (0; 10) | 0.56 |
Atrial fibrillation | 5.5 ± 3.9, 6 (2; 10) | 4.9 ± 3.7, 5 (1; 9) | 0.01 |
Heart failure | 5.7 ± 3.9, 7 (2; 10) | 5 ± 3.7, 5 (1; 9) | 0.002 |
Chronic kidney disease | 5.5 ± 3.9, 6 (1; 10) | 5.1 ± 3.7, 5 (1; 9) | 0.01 |
Equation | R2 | p-Value | |
---|---|---|---|
MMSE = | 33.95 − (0.21 × Age) + (0.18 × BMI) + 1.69 if normal Mg and Ca; + 0.94 if low Mg; − 2.12 if low Ca; − 0.51 if low Mg/Ca; − 0.46 if present chronic heart failure or + 0.46 if absent chronic heart failure | 0.16 | <0.0001 |
CDT = | 13.26 − (0.13 × Age) + (0.09 × BMI) + 0.68 if normal Mg and Ca; + 0.28 if low Mg; − 0.36 if low Ca; − 0.60 if low Mg/Ca | 0.12 | <0.0001 |
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Kravchenko, G.; Stephenson, S.S.; Gutowska, A.; Klimek, K.; Chrząstek, Z.; Pigłowska, M.; Kostka, T.; Sołtysik, B.K. The Concurrent Association of Magnesium and Calcium Deficiencies with Cognitive Function in Older Hospitalized Adults. Nutrients 2024, 16, 3756. https://doi.org/10.3390/nu16213756
Kravchenko G, Stephenson SS, Gutowska A, Klimek K, Chrząstek Z, Pigłowska M, Kostka T, Sołtysik BK. The Concurrent Association of Magnesium and Calcium Deficiencies with Cognitive Function in Older Hospitalized Adults. Nutrients. 2024; 16(21):3756. https://doi.org/10.3390/nu16213756
Chicago/Turabian StyleKravchenko, Ganna, Serena S. Stephenson, Agnieszka Gutowska, Karolina Klimek, Zuzanna Chrząstek, Małgorzata Pigłowska, Tomasz Kostka, and Bartłomiej K. Sołtysik. 2024. "The Concurrent Association of Magnesium and Calcium Deficiencies with Cognitive Function in Older Hospitalized Adults" Nutrients 16, no. 21: 3756. https://doi.org/10.3390/nu16213756
APA StyleKravchenko, G., Stephenson, S. S., Gutowska, A., Klimek, K., Chrząstek, Z., Pigłowska, M., Kostka, T., & Sołtysik, B. K. (2024). The Concurrent Association of Magnesium and Calcium Deficiencies with Cognitive Function in Older Hospitalized Adults. Nutrients, 16(21), 3756. https://doi.org/10.3390/nu16213756