Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?

Objective: Atherosclerosis, which starts from early stages of chronic kidney disease (CKD), is an important cause for increased morbidity and mortality. We aimed to investigate whether hypomagnesemia is a marker of increased atherogenic dyslipidemia in patients with CKD with a glomerular filtration...

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Main Authors: Sümeyye Kılıç, Osman Maviş, Banu Böyük
Format: Article
Language:English
Published: Galenos Publishing House 2021-04-01
Series:Cam & Sakura Medical Journal
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-21931
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author Sümeyye Kılıç
Osman Maviş
Banu Böyük
author_facet Sümeyye Kılıç
Osman Maviş
Banu Böyük
author_sort Sümeyye Kılıç
collection DOAJ
description Objective: Atherosclerosis, which starts from early stages of chronic kidney disease (CKD), is an important cause for increased morbidity and mortality. We aimed to investigate whether hypomagnesemia is a marker of increased atherogenic dyslipidemia in patients with CKD with a glomerular filtration rate (GFR) <60 mL/min/1.73 sq m. Material and Methods: In our study, a total of 80 patients who did not receive renal replacement therapy with GFR <60 mL/min/1.73 sq m, who were diagnosed with CKD and abided by the study entry criteria were retrospectively studied. Patients' gender, age, presence of comorbid disease(d), medications being used, and laboratory findings were recorded. Urea, creatinine, serum electrolytes [calcium, phosphorus, magnesium (Mg)], uric acid, fasting blood glucose, glycosylated hemoglobin, albuminuria/creatinine in spot urine, creatinine clearance, and lipid profile levels were examined. Results: A total of 36 (45%) male and 44 (55%) female patients were included in the study. The average age was 62.79+-14.08 years. Diabetes mellitus was present in 32 (40%) patients, hypertension in 53 (66.25%) patients, and hyperlipidemia in 14 (17.50%) patients. The mean Mg value of our patients was 1.83+-0.35. Average for lipid levels were total cholesterol (174.59+-57), triglycerides (TG) (173.59+-86.85), low-density lipoprotein-C (102.42+-43.61), high-density lipoprotein cholesterol (HDL-C) (38.68+-12.28), non-HDL-C (134.75+-49.72), TG/HDL-C (4.93+-3.09), and atherogenic index in plasma (0.61+-0.28). Patients were divided into two groups according to their Mg levels. Patients whose Mg levels were <1.7 mg/dL were in group A, and patients whose Mg levels were ≥1.7 mg/dL in group B. When the parameters were compared between the groups, the difference between the two groups was not statistically significant (p>0.05). Conclusion: In this study conducted in patients with CKD, there was no relationship between Mg levels and lipid parameters. There is a need for larger, more comprehensive, prospective studies on this issue.
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spelling doaj.art-e36ef38b01ee4ec08367a65480ddf4bc2023-11-08T13:10:19ZengGalenos Publishing HouseCam & Sakura Medical Journal2791-88232021-04-011171310.4274/csmedj.galenos.2021.2021-8-4CSM-21931Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?Sümeyye Kılıç0Osman Maviş1Banu Böyük2Cizre Selahattin Cizrelioğlu State Hospital, Clinic of Internal Medicine, Şırnak, TurkeyUniversity of Health Sciences Turkey, Gaziosmanpaşa Training and Research Hospital, Clinic of Internal Medicine, İstanbul, TurkeyUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Internal Medicine, İstanbul, TurkeyObjective: Atherosclerosis, which starts from early stages of chronic kidney disease (CKD), is an important cause for increased morbidity and mortality. We aimed to investigate whether hypomagnesemia is a marker of increased atherogenic dyslipidemia in patients with CKD with a glomerular filtration rate (GFR) <60 mL/min/1.73 sq m. Material and Methods: In our study, a total of 80 patients who did not receive renal replacement therapy with GFR <60 mL/min/1.73 sq m, who were diagnosed with CKD and abided by the study entry criteria were retrospectively studied. Patients' gender, age, presence of comorbid disease(d), medications being used, and laboratory findings were recorded. Urea, creatinine, serum electrolytes [calcium, phosphorus, magnesium (Mg)], uric acid, fasting blood glucose, glycosylated hemoglobin, albuminuria/creatinine in spot urine, creatinine clearance, and lipid profile levels were examined. Results: A total of 36 (45%) male and 44 (55%) female patients were included in the study. The average age was 62.79+-14.08 years. Diabetes mellitus was present in 32 (40%) patients, hypertension in 53 (66.25%) patients, and hyperlipidemia in 14 (17.50%) patients. The mean Mg value of our patients was 1.83+-0.35. Average for lipid levels were total cholesterol (174.59+-57), triglycerides (TG) (173.59+-86.85), low-density lipoprotein-C (102.42+-43.61), high-density lipoprotein cholesterol (HDL-C) (38.68+-12.28), non-HDL-C (134.75+-49.72), TG/HDL-C (4.93+-3.09), and atherogenic index in plasma (0.61+-0.28). Patients were divided into two groups according to their Mg levels. Patients whose Mg levels were <1.7 mg/dL were in group A, and patients whose Mg levels were ≥1.7 mg/dL in group B. When the parameters were compared between the groups, the difference between the two groups was not statistically significant (p>0.05). Conclusion: In this study conducted in patients with CKD, there was no relationship between Mg levels and lipid parameters. There is a need for larger, more comprehensive, prospective studies on this issue.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-21931chronic renal diseasemagnesiumtotal cholesteroltriglyceridehdl-cldl-c
spellingShingle Sümeyye Kılıç
Osman Maviş
Banu Böyük
Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?
Cam & Sakura Medical Journal
chronic renal disease
magnesium
total cholesterol
triglyceride
hdl-c
ldl-c
title Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?
title_full Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?
title_fullStr Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?
title_full_unstemmed Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?
title_short Is Hypomagnesemia a Risk Factor for Atherogenic Dyslipidemia in Patients with Chronic Kidney Disease?
title_sort is hypomagnesemia a risk factor for atherogenic dyslipidemia in patients with chronic kidney disease
topic chronic renal disease
magnesium
total cholesterol
triglyceride
hdl-c
ldl-c
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-21931
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AT banuboyuk ishypomagnesemiaariskfactorforatherogenicdyslipidemiainpatientswithchronickidneydisease