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February 12, 2026Journal of Hypertension5 citationsOpen Access

Magnesium depletion score is associated with arterial stiffness: data from the Brisighella Heart Study

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FFFederica FogacciMGMarina GiovanniniEGElisa Grandi

Key Result

A higher Magnesium Depletion Score was independently associated with increased arterial stiffness, specifically augmentation index (β=0.087, P=0.011) and pulse wave velocity (β=0.131, P=0.013).

Key Points

  • This research aims to investigate the relationship between magnesium depletion score and arterial stiffness in a rural Mediterranean population.
  • Analyzed data from 2048 participants in the Brisighella Heart Study.
  • Assessed magnesium depletion score (MDS) and arterial stiffness using validated methods.
  • Employed multiple regression models to adjust for various health and lifestyle factors.
  • 51.6% of participants had an MDS of at least 2, more prevalent in men (P < 0.001).
  • Higher MDS correlates with increased augmentation index (AIx) and carotid-femoral pulse wave velocity (cfPWV) (P < 0.001).
  • MDS is an independent predictor of AIx (β = 0.087, P = 0.011) and cfPWV (β = 0.131, P = 0.013).

Study Design

Type

Observational (n=2,048)

Structured PICO

Is a higher magnesium depletion score associated with increased arterial stiffness in a rural Mediterranean population?

P
Population
2048 participants from a rural Mediterranean population (Brisighella Heart Study), 49.2% men, 50.8% women.
I
Intervention
Higher Magnesium Depletion Score (MDS)
O
Outcome
Arterial stiffness parameters (augmentation index [AIx] and carotid-femoral pulse wave velocity [cfPWV])surrogate

A higher magnesium depletion score is independently associated with increased arterial stiffness, suggesting that magnesium imbalance may negatively affect vascular health.

Main Result

Effect estimate: β 0.087 (AIx), β 0.131 (cfPWV)

p-value: p=0.011 (AIx), 0.013 (cfPWV)

Abstract

Background and aims: The magnesium depletion score (MDS) estimates magnesium deficiency risk by integrating dietary intake and physiological losses. This study evaluated the association between MDS and arterial stiffness in a rural Mediterranean population. Methods: We analyzed data from 2048 participants (49.2% men, 50.8% women) in the Brisighella Heart Study. MDS and arterial stiffness parameters – augmentation index (AIx) and carotid–femoral pulse wave velocity (cfPWV) – were assessed using validated methods. Multiple regression models adjusted for age and mean arterial pressure included sex, smoking, physical activity, BMI, heart rate, fasting glucose, low-density lipoprotein cholesterol (LDL-C), triglycerides, serum uric acid, estimated glomerular filtration rate (eGFR), and MDS. Results: An MDS at least 2 was observed in 51.6% of participants, more often in men ( P < 0.001). Higher MDS was significantly associated with increased AIx and cfPWV in both sexes ( P < 0.001). MDS remained an independent predictor of AIx ( β = 0.087, P = 0.011) and cfPWV ( β = 0.131, P = 0.013) after adjustment. Conclusion: Higher MDS values correlate with greater arterial stiffness, suggesting that magnesium imbalance may negatively affect vascular health.

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Cite This Study

Fogacci et al. (2026) conducted an observational in Arterial stiffness (n=2,048). Magnesium depletion score (MDS) was evaluated on Arterial stiffness parameters (augmentation index [AIx] and carotid-femoral pulse wave velocity [cfPWV]) (β 0.087 (AIx), β 0.131 (cfPWV), p=0.011 (AIx), 0.013 (cfPWV)). A higher Magnesium Depletion Score was independently associated with increased arterial stiffness, specifically augmentation index (β=0.087, P=0.011) and pulse wave velocity (β=0.131, P=0.013).

synapsesocial.com/papers/698d6eeb5be6419ac0d54da3https://doi.org/10.1097/hjh.0000000000004253
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