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Submitted: 16 Jan 2024
Accepted: 15 Mar 2024
ePublished: 28 Apr 2024
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J Renal Inj Prev. Inpress.
doi: 10.34172/jrip.2024.34301
  Abstract View: 469

Original

Serum magnesium level in peritoneal dialysis patients

Sahar Ravanshad 1 ORCID logo, Mohammad Mohammadian 2 ORCID logo, Mohammadhossein Taherynejad 2 ORCID logo, Zahra Lotfi 3 ORCID logo, Maryam Emadzadeh 4 ORCID logo, Maryam Miri 3* ORCID logo

1 Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
*Corresponding Author: Maryam Miri, Email: mirighm@mums.ac.ir, Email: marmar5918@gmail.com

Abstract

Introduction: Electrolyte imbalances are common among dialysis patients, and disorders related to magnesium, calcium, and phosphorus are particularly concerning. However, comparatively less research is available on disorders related to magnesium ion disorders.

Objectives: This paper aims to assess magnesium disorders in patients with renal failure undergoing peritoneal dialysis.

Patients and Methods: In this cross-sectional study, we recruited patients who had been undergoing peritoneal dialysis for at least three months. We collected demographic information, body mass index (BMI), drug history, the underlying disease leading to renal failure, duration of dialysis, and serum magnesium level. Additionally, we measured levels of calcium, phosphorus, parathyroid hormone (PTH), albumin, and 25-hydroxyvitamin D.

Results: A total of 91 patients were undergoing peritoneal dialysis, including 41.8% women and 58.2% men, with a mean magnesium level of 2.86±0.53 mg/dL. More than 70% of patients had hypermagnesemia and only one patient suffered from hypomagnesemia. Diabetic patients had a lower magnesium level than non-diabetics (P=0.01).

Conclusion: Given the frequent occurrence of electrolyte imbalance in peritoneal dialysis, it may be necessary to regularly monitor electrolyte levels and make appropriate adjustments to both the patient’s diet and electrolyte levels.


Implication for health policy/practice/research/medical education:

Among dialysis patients, electrolyte imbalances are frequently observed, with particular concern surrounding disorders associated with magnesium, calcium, and phosphorus. However, there is a relative scarcity of research focused on magnesium disorders in peritoneal dialysis patients.

Please cite this paper as: Ravanshad S, Mohammadian M, Taherynejad M, Lotfi Z, Emadzadeh M, Miri M. Serum magnesium level in peritoneal dialysis patients. J Renal Inj Prev. 2024; x(x): e34301. doi: 10.34172/jrip.2024.34301.

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