Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018

BackgroundThe Magnesium Depletion Score (MDS) is a novel indicator that integrates multiple factors to assess systemic magnesium depletion. However, its association with hyperuricemia (HUA) prevalence remains unclear. This study aims to investigate the relationship between MDS and the prevalence of...

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Main Authors: Yongchun Xiao, Yong Mou, Ping Wu, Ke Wang, Tianjun Chen, Zhiwan Chen, Hongsheng Lin, Hua Yang, Zhisheng Ji
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1438639/full
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author Yongchun Xiao
Yong Mou
Yong Mou
Ping Wu
Ke Wang
Tianjun Chen
Zhiwan Chen
Hongsheng Lin
Hua Yang
Zhisheng Ji
author_facet Yongchun Xiao
Yong Mou
Yong Mou
Ping Wu
Ke Wang
Tianjun Chen
Zhiwan Chen
Hongsheng Lin
Hua Yang
Zhisheng Ji
author_sort Yongchun Xiao
collection DOAJ
description BackgroundThe Magnesium Depletion Score (MDS) is a novel indicator that integrates multiple factors to assess systemic magnesium depletion. However, its association with hyperuricemia (HUA) prevalence remains unclear. This study aims to investigate the relationship between MDS and the prevalence of HUA.MethodsA cross-sectional analysis was conducted using data from the 2007-2018 National Health and Nutrition Examination Survey (NHANES). The MDS was derived by integrating multiple risk factors associated with magnesium depletion: the use of diuretics and proton pump inhibitors (PPI), estimated glomerular filtration rate (eGFR), and alcohol consumption exceeding recommended thresholds. Univariable and multivariable logistic regression models assessed the association between MDS and HUA. Subgroup and sensitivity analyses, including the exclusion of gout patients, further evaluated this association.ResultsAmong 18,761 participants, higher MDS were associated with an increased prevalence of HUA. Multivariable logistic regression confirmed a significant positive association between MDS and HUA (OR = 1.73, 95% CI = 1.62-1.84). Restricted cubic splines (RCS) further characterized the non-linear relationship between MDS and HUA prevalence. Subgroup analysis indicated a positive association between MDS and HUA, with significant interactions observed for sex and body mass index. Sensitivity and additional analyses reinforced the robustness of these findings.ConclusionAmong U.S. adults, higher MDS were significantly associated with an increased prevalence of HUA, suggesting that interventions targeting magnesium deficiency could be beneficial in reducing HUA prevalence within this population. However, prospective studies are needed to further confirm these findings.
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spelling doaj-art-4801962d5aa446e59e897ef5e0362bf02025-02-06T05:21:43ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-02-011610.3389/fendo.2025.14386391438639Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018Yongchun Xiao0Yong Mou1Yong Mou2Ping Wu3Ke Wang4Tianjun Chen5Zhiwan Chen6Hongsheng Lin7Hua Yang8Zhisheng Ji9Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Microsurgery, The Affiliated Guangdong Second Provincial General Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaBackgroundThe Magnesium Depletion Score (MDS) is a novel indicator that integrates multiple factors to assess systemic magnesium depletion. However, its association with hyperuricemia (HUA) prevalence remains unclear. This study aims to investigate the relationship between MDS and the prevalence of HUA.MethodsA cross-sectional analysis was conducted using data from the 2007-2018 National Health and Nutrition Examination Survey (NHANES). The MDS was derived by integrating multiple risk factors associated with magnesium depletion: the use of diuretics and proton pump inhibitors (PPI), estimated glomerular filtration rate (eGFR), and alcohol consumption exceeding recommended thresholds. Univariable and multivariable logistic regression models assessed the association between MDS and HUA. Subgroup and sensitivity analyses, including the exclusion of gout patients, further evaluated this association.ResultsAmong 18,761 participants, higher MDS were associated with an increased prevalence of HUA. Multivariable logistic regression confirmed a significant positive association between MDS and HUA (OR = 1.73, 95% CI = 1.62-1.84). Restricted cubic splines (RCS) further characterized the non-linear relationship between MDS and HUA prevalence. Subgroup analysis indicated a positive association between MDS and HUA, with significant interactions observed for sex and body mass index. Sensitivity and additional analyses reinforced the robustness of these findings.ConclusionAmong U.S. adults, higher MDS were significantly associated with an increased prevalence of HUA, suggesting that interventions targeting magnesium deficiency could be beneficial in reducing HUA prevalence within this population. However, prospective studies are needed to further confirm these findings.https://www.frontiersin.org/articles/10.3389/fendo.2025.1438639/fullmagnesium depletion scorehyperuricemiauric acidcross-sectional studyNHANES
spellingShingle Yongchun Xiao
Yong Mou
Yong Mou
Ping Wu
Ke Wang
Tianjun Chen
Zhiwan Chen
Hongsheng Lin
Hua Yang
Zhisheng Ji
Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018
Frontiers in Endocrinology
magnesium depletion score
hyperuricemia
uric acid
cross-sectional study
NHANES
title Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018
title_full Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018
title_fullStr Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018
title_full_unstemmed Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018
title_short Association between magnesium depletion score and prevalence of hyperuricemia in American adults: a study based on NHANES 2007-2018
title_sort association between magnesium depletion score and prevalence of hyperuricemia in american adults a study based on nhanes 2007 2018
topic magnesium depletion score
hyperuricemia
uric acid
cross-sectional study
NHANES
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1438639/full
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