Study2025Open access

Sex-specific differences in the association of magnesium intake with femoral neck bone mineral density among older adults

Wang B, Tan X, Yao X, Zhu Z, Zhu Z

Endocrine connections · 2 citations

How it was studied

Design
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2025-07-23 · Endocr Connect · vol. 14 · issue 8
Publisher
Bioscientifica
Cited
1 citation · more than 64% of similar papers · 0.5× the field average
References
33 works
Access
Open access (journal) · CC-BY-NC-ND
Research areas
Magnesium in Health and Disease · Parathyroid Disorders and Treatments · Bone health and osteoporosis research
Keywords
Medicine, Femoral neck, National Health and Nutrition Examination Survey, Bone mineral, Bayesian multivariate linear regression, Magnesium, Bone density, Internal medicine, Linear regression, Demography, Physiology, Endocrinology, Osteoporosis, Environmental health, Population

4 authors

From CN

  • Bo WangThe First People's Hospital of Xiaoshan District, Hangzhou
  • Xin TanThe First People's Hospital of Xiaoshan District, Hangzhou
  • Xiaocong YaoThe First People's Hospital of Xiaoshan District, Hangzhou
  • Zhongxin ZhuWenzhou Medical University; The First People's Hospital of Xiaoshan District, Hangzhou

Abstract

Background

Magnesium plays a crucial role in bone metabolism, but its relationship with bone mineral density (BMD) remains complex and potentially sex-specific. This study aimed to investigate the association between magnesium intake and femoral neck BMD in older adults.

Methods

We analyzed data from 1,343 adults aged ≥65 years in the 2017-2020 National Health and Nutrition Examination Survey, conducted by the National Center for Health Statistics in the United States. Magnesium intake was assessed using 24 h dietary recalls, and femoral neck BMD was measured by dual-energy X-ray absorptiometry. We employed weighted multivariate linear regression, subgroup analyses, and non-linear modeling techniques.

Results

The fully adjusted model (controlling for demographic, clinical, lifestyle, nutritional, and biochemical factors) revealed a significant positive association between magnesium intake and femoral neck BMD (β = 0.0020 g/cm2 per 50 mg/d increase in magnesium intake, 95% CI: 0.0001, 0.0039, P = 0.042). This association was stronger in women and participants with BMI >30 kg/m2. In men, we identified a non-linear relationship with an inflection point at 480 mg/d magnesium intake, above which the positive association diminished.

Conclusions

Our findings reveal complex, sex-specific relationships between magnesium intake and femoral neck BMD in older adults, highlighting the need for tailored dietary recommendations. The observed non-linear associations and threshold effects underscore the importance of optimal magnesium intake levels for bone health.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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