Evidence map›Paper›PMID 40212717›Full record

ArticleFrontiers in nutrition2025

Association of magnesium depletion score with serum anti-aging protein Klotho in the middle-aged and older populations.

Zhijie Zhuang, Shan Huang, Yingzhu Xiong, Yan Peng, Shuangming Cai

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Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zhijie ZhuangDepartment of Gastroenterology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China.
Shan HuangDepartment of MICU, Guangdong Women and Children Hospital, Guangzhou, China.
Yingzhu XiongDepartment of Neurophysiology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China.
Yan PengDepartment of Internal Medicine, Guangdong Women and Children Hospital, Guangzhou, China.
Shuangming CaiDepartment of MICU, Guangdong Women and Children Hospital, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Magnesium deficiency and low levels of the anti-aging protein Klotho have been independently associated with various age-related diseases. The Magnesium Depletion Score (MDS) is recognized as a more valuable and reliable predictor of body magnesium status than traditional clinical markers such as serum and urine magnesium. However, the relationship between magnesium status and serum Klotho levels remains unexplored. This study aimed to investigate the association between magnesium depletion, as quantified by MDS, and serum Klotho levels in US adults. Methods: We analyzed data from 11,387 participants aged 40-79 years in the National Health and Nutrition Examination Survey (NHANES) 2007-2016. Participants were divided into three groups based on MDS: low (0-1 points), middle (2 points), and high (3-5 points), reflecting cumulative risks of magnesium depletion derived from diuretic use, proton pump inhibitors, renal function, and alcohol intake. Serum Klotho levels were measured using a validated ELISA assay. Sample-weighted multivariable linear regression models were used to examine the association between MDS and serum Klotho levels, adjusting for age, sex, race, socioeconomic status, lifestyle factors (smoking, alcohol use), clinical parameters (body mass index, blood pressure, lipid levels), and energy intake. Results: The weighted average serum Klotho concentrations decreased significantly across MDS groups (low: 864.50, middle: 805.67, high: 755.02 pg./mL; Conclusion: This study provides novel evidence of an inverse association between MDS, a new valuable indicator of magnesium status, and serum Klotho levels in a large, representative sample of US adults. These findings suggest that monitoring magnesium status via MDS could help identify individuals at risk of accelerated aging, prompting interventions such as dietary adjustments or magnesium supplementation in high-risk populations. Further research is warranted to elucidate the mechanisms underlying this association and its implications for age-related diseases.

Indexed as

cross-sectional studyKlothomagnesium depletion scoreNHANESnutrition

Identifiers

PMID40212717
PMCPMC11984463

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.