Association of magnesium and vitamin D status with grip strength and fatigue in older adults: a 4-week observational study of geriatric participants undergoing rehabilitation.

Kettig, Eva; Kistler-Fischbacher, Melanie; de Godoi Rezende Costa Molino, Caroline; Bischoff-Ferrari, Heike A; Frundi, Devine Shimbagha (2023). Association of magnesium and vitamin D status with grip strength and fatigue in older adults: a 4-week observational study of geriatric participants undergoing rehabilitation. Aging clinical and experimental research, 35(8), pp. 1619-1629. Springer 10.1007/s40520-023-02450-7

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BACKGROUND

Low magnesium and vitamin D levels negatively affect individuals' health.

AIMS

We aimed to investigate the association of magnesium status with grip strength and fatigue scores, and evaluate whether this association differs by vitamin D status among older participants undergoing geriatric rehabilitation.

METHODS

This is a 4-week observational study of participants aged ≥ 65 years undergoing rehabilitation. The outcomes were baseline grip strength and fatigue scores, and 4-week change from baseline in grip strength and fatigue scores. The exposures were baseline magnesium tertiles and achieved magnesium tertiles at week 4. Pre-defined subgroup analyses by vitamin D status (25[OH]D < 50 nmol/l = deficient) were performed.

RESULTS

At baseline, participants (N = 253, mean age 75.7 years, 49.4% women) in the first magnesium tertile had lower mean grip strength compared to participants in the third tertile (25.99 [95% CI 24.28-27.70] vs. 30.1 [95% CI 28.26-31.69] kg). Similar results were observed among vitamin D sufficient participants (25.54 [95% CI 22.65-28.43] kg in the first magnesium tertile vs. 30.91 [27.97-33.86] kg in the third tertile). This association was not significant among vitamin D deficient participants. At week 4, no significant associations were observed between achieved magnesium tertiles and change in grip strength, overall and by vitamin D status. For fatigue, no significant associations were observed.

CONCLUSIONS

Among older participants undergoing rehabilitation, magnesium status may be relevant for grip strength, particularly among vitamin D sufficient individuals. Magnesium status was not associated with fatigue, regardless of vitamin D status.

STUDY REGISTRATION

Clinicaltrials.gov, NCT03422263; registered February 5, 2018.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Frundi, Devine Shimbagha

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1720-8319

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

08 Jun 2023 11:13

Last Modified:

25 Jul 2023 08:09

Publisher DOI:

10.1007/s40520-023-02450-7

PubMed ID:

37285075

Additional Information:

Open access funding provided by University of Zurich.

Uncontrolled Keywords:

Fatigue Geriatric Grip strength Magnesium Rehabilitation Vitamin D

BORIS DOI:

10.48350/183237

URI:

https://boris.unibe.ch/id/eprint/183237

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