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[Magnesium disorder and its clinical significance in chronic kidney disease].
Clin Calcium. 2012 Aug; 22(8):1243-9.CC

Abstract

Disturbance in mineral and bone metabolism is a common complication of chronic kidney disease (chronic kidney disease - mineral and bone disorder ; CKD-MBD) and closely related to morbidity and mortality. Because magnesium (Mg) is mainly excreted by kidney, Mg homeostasis is disturbed in CKD. Therefore Mg abnormalities in CKD may contribute to pathogenesis of CKD-MBD. The association of Mg with bone metabolism in general population has been demonstrated. There were reported an association with dietary Mg intake and bone mineral density (BMD) and an increased rate of bone loss with dietary Mg intake. In animal models, decreased bone formation, increased bone resorption, decreased bone mass, and increased skeletal fragility were reported in Mg deficiency. Although vascular calcification is frequently seen in CKD patients, contributing factors to vascular calcification are not fully clarified. Mg is considered "a natural calcium antagonist" , and Mg deficiency has been reported to be related to progression of atherosclerosis in several studies. In hemodialysis patients, lower Mg levels were also reported to be associated with increased atherosclerosis of the common carotid artery. Lower serum Mg levels were also found in hemodialysis patients with evidence of increasing arterial calcification. Several studies suggested that Mg plays an important role against the development of cardiovascular disease, infectious disease, and malignant neoplasia so that Mg may relate to mortality. In hemodialysis patients, we demonstrated that low serum Mg level was a predictor for increased mortality.

Authors+Show Affiliations

Shirasagi Clinic, Japan.

Pub Type(s)

English Abstract
Journal Article
Review

Language

jpn

PubMed ID

22846361

Citation

Okuno, Senji. "[Magnesium Disorder and Its Clinical Significance in Chronic Kidney Disease]." Clinical Calcium, vol. 22, no. 8, 2012, pp. 1243-9.
Okuno S. [Magnesium disorder and its clinical significance in chronic kidney disease]. Clin Calcium. 2012;22(8):1243-9.
Okuno, S. (2012). [Magnesium disorder and its clinical significance in chronic kidney disease]. Clinical Calcium, 22(8), 1243-9. https://doi.org/CliCa120812431249
Okuno S. [Magnesium Disorder and Its Clinical Significance in Chronic Kidney Disease]. Clin Calcium. 2012;22(8):1243-9. PubMed PMID: 22846361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Magnesium disorder and its clinical significance in chronic kidney disease]. A1 - Okuno,Senji, PY - 2012/8/1/entrez PY - 2012/8/1/pubmed PY - 2013/1/9/medline SP - 1243 EP - 9 JF - Clinical calcium JO - Clin Calcium VL - 22 IS - 8 N2 - Disturbance in mineral and bone metabolism is a common complication of chronic kidney disease (chronic kidney disease - mineral and bone disorder ; CKD-MBD) and closely related to morbidity and mortality. Because magnesium (Mg) is mainly excreted by kidney, Mg homeostasis is disturbed in CKD. Therefore Mg abnormalities in CKD may contribute to pathogenesis of CKD-MBD. The association of Mg with bone metabolism in general population has been demonstrated. There were reported an association with dietary Mg intake and bone mineral density (BMD) and an increased rate of bone loss with dietary Mg intake. In animal models, decreased bone formation, increased bone resorption, decreased bone mass, and increased skeletal fragility were reported in Mg deficiency. Although vascular calcification is frequently seen in CKD patients, contributing factors to vascular calcification are not fully clarified. Mg is considered "a natural calcium antagonist" , and Mg deficiency has been reported to be related to progression of atherosclerosis in several studies. In hemodialysis patients, lower Mg levels were also reported to be associated with increased atherosclerosis of the common carotid artery. Lower serum Mg levels were also found in hemodialysis patients with evidence of increasing arterial calcification. Several studies suggested that Mg plays an important role against the development of cardiovascular disease, infectious disease, and malignant neoplasia so that Mg may relate to mortality. In hemodialysis patients, we demonstrated that low serum Mg level was a predictor for increased mortality. SN - 0917-5857 UR - https://www.unboundmedicine.com/medline/citation/22846361/[Magnesium_disorder_and_its_clinical_significance_in_chronic_kidney_disease]_ L2 - http://www.diseaseinfosearch.org/result/3996 DB - PRIME DP - Unbound Medicine ER -