J Nutr Health.  2015 Apr;48(2):167-179. 10.4163/jnh.2015.48.2.167.

Association between intakes of minerals (potassium, magnesium, and calcium) and diet quality and risk of cerebral atherosclerosis in ischemic stroke patients

Affiliations
  • 1Department of Clinical Nutrition, The Graduate School of Clinical Health Sciences, Ewha Womans University, Seoul 120-750, Korea. yuri.kim@ewha.ac.kr
  • 2Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.
  • 3Nutrition Education Major Graduate School of Education, Sangmyung University, Seoul 110-743, Korea.
  • 4Stroke Center, Department of Neurology, Ewha Womans University, School of Medicine, Seoul 158-710, Korea.

Abstract

PURPOSE
This study was conducted to evaluate the association between intakes of potassium, magnesium, and calcium and diet quality in ischemic stroke patients.
METHODS
This study analyzed data from 285 subjects recruited from February 2011 to August 2014 in Seoul, Korea. Nutrition intakes were obtained from a semi-quantitative food frequency questionnaire composed of 111 food items. The subjects were divided into 4 groups by quartiles according to intakes of potassium, magnesium, and calcium. Index of Nutritional Quality (INQ), Mean Adequacy Ratio (MAR), and DQI-International (DQI-I) were analyzed for assessment of diet quality.
RESULTS
We found a positive association of intakes of these three minerals with MAR and DQI-I after adjustment for age, sex, education level, smoking, atrial fibrillation, and total energy intake. However, total moderation of DQI-I score in the Q4 group was significantly lower than that of the Q1 group. The age, sex, education level, and smoking, atrial fibrillation, and total energy intake-adjusted odds ratios of extensive cerebral atherosclerosis were inversely associated with intake of magnesium (Ptrend = 0.0204). However, this association did not exist with intakes of potassium and calcium.
CONCLUSION
Potassium, magnesium, and calcium rich and high quality diet could be associated with decreased risk of ischemic stroke, in part, via effect on extensive cerebral atherosclerosis.

Keyword

ischemic stroke; mineral intake; diet quality; cerebral atherosclerosis

MeSH Terms

Atrial Fibrillation
Calcium
Diet*
Education
Energy Intake
Humans
Intracranial Arteriosclerosis*
Korea
Magnesium*
Minerals*
Nutritive Value
Odds Ratio
Potassium
Surveys and Questionnaires
Seoul
Smoke
Smoking
Stroke*
Calcium
Magnesium
Minerals
Potassium
Smoke

Figure

  • Fig. 1. Comparison of intake of potassium, magnesium, and calcium with Dietary Reference Intakes for Koreans (KDRIs), 2010.


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Bo Young Seo, Eun Sil Her
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