Dietary magnesium is able to influence the relationship between vitamin C and estimated glomerular filtration rate: A cross‐sectional study

• Published in: Food science & nutrition Vol. 11; no. 8; pp. 4773 - 4780
• Main Authors: Lin, Zheng‐yang, Liang, Yong‐yi, Wang, Ru, Hu, Biao, He, Wen‐ju, Li, Jun‐kui, Ding, Zi‐ang, Lin, Zhuo‐yuan, Zhang, Shi
• Format: Journal Article
• Language: English
• Published: United States John Wiley & Sons, Inc 01.08.2023; John Wiley and Sons Inc; Wiley
• Subjects: Alcoholic beverages; Antioxidants; Ascorbic acid; Body mass index; Clinical trials; Cohort analysis; Cross-sectional studies; Diabetes; Diet; Dietary guidelines; Dietary intake; dietary magnesium; dietary vitamin C; Disease prevention; Epidermal growth factor receptors; estimated glomerular filtration rate (eGFR); Glomerular filtration rate; Glucose; Hypertension; interaction; Interviews; Kidney diseases; Magnesium; Marital status; Medical treatment; Missing data; Nutrition; Original; Patients; Physical fitness; Questionnaires; Regression analysis; Renal function; Signal transduction; Smoking; Smooth muscle; Statistical analysis; Vitamin C; interaction; dietary magnesium; dietary vitamin C; estimated glomerular filtration rate (eGFR)
• ISSN: 2048-7177; 2048-7177
• DOI: 10.1002/fsn3.3456

The estimated glomerular filtration rate (eGFR) is a comprehensive index that is widely used to assess renal function. Although studies have confirmed a correlation between eGFR and dietary vitamin C, the impact of varying levels of vitamin C on eGFR remains unclear. Additionally, the interaction between dietary magnesium intake and vitamin C concentration on eGFR is not well understood. As such, the objective of this study was to investigate the relationship between dietary magnesium intake and vitamin C in relation to eGFR. This study analyzed the data of consecutive NHANES from 2005 to 2018. We included 17,633 participants aged 20 or older and used multiple linear regression analysis to evaluate the relationship between dietary vitamin C and eGFR. Dietary Mg intake from experimental data was dichotomized into a low dietary Mg intake group (≤254 mg/day) and a normal dietary Mg intake group (>254 mg/day). To evaluate the impact of dietary magnesium intake on eGFR, a multivariable linear regression was conducted utilizing an interaction test between dietary vitamin C and eGFR. We discovered a positive association between dietary vitamin C content and eGFR. The relationship between dietary vitamin C levels and eGFR differed between individuals with low Mg intake and those with normal Mg intake (β: 2.96 95% CI:1.63 ~ 4.29 vs. β: 1.05 95% CI: −0.15 to 2.25), and the positive association of high dietary vitamin C content with eGFR was stronger in the low Mg intake group. Furthermore, we observed that dietary magnesium intake significantly altered the positive association between dietary vitamin C and eGFR (interaction value of 0.020). Our experimental study revealed that the interaction between dietary magnesium and dietary vitamin C can significantly impact eGFR. This finding carries significant implications for the treatment of diseases resulting from abnormal eGFR, as well as the selection of clinically relevant drugs. Glomerular filtration rate is the most useful measure of renal function, which is affected by several factors. Our study found that vitamin C intake would affect GFR, and dietary Mg intake would further affect the relationship between vitamin C and GFR.