Yan-Ping Cao,1 Bo Yuan,1 Rui-Qing Zhang,1 Ya-Meng Ding,2 Wei-Jia Shi,1 Ru-Juan Chen,1 Ya-Min Wang1 

1Second Department of Nephrology, Handan First Hospital, Handan, Hebei Province, 056000, People’s Republic of China; 2Forth Department of Cardiology, Handan First Hospital, Handan, Hebei Province, 056000, People’s Republic of China

Correspondence: Yan-Ping Cao, Second Department of Nephrology, Handan First Hospital, No. 25 Congtai Road, Congtai District, Handan, Hebei Province, 056000, People’s Republic of China, Tel +86 18631015517, Email cyp_yanpingcao@126.com

Background: Depression exhibits notable prevalence among patients affected by chronic kidney disease(CKD) and end-stage renal disease (ESRD). Emerging reports suggest a potential association between magnesium (Mg) levels and depressive symptoms, there has been a surge of interest in exploring Mg supplementation as a complementary measure in depression treatment.
Objective: In this study our aim is to investigate the correlation between depressive symptoms and serum Mg level in patients undergoing peritoneal dialysis (PD) at Handan First Hospital, China. Additionally, we assessed the diagnostic significance of this relationship and identified pertinent influencing factors.
Methods: This study comprises a cohort of 140 individuals undergoing PD for a minimum duration of 3 months at the PD center of the Handan First Hospital. The Hamilton Depression Scale (HAMD) served as the assessment tool to evaluate the psychological status of the patients. Serum Mg levels, hemoglobin (Hb), and various demographic and clinical data were collected. Logistic regression and ROC analysis were performed to identify significant predictors of depression.
Results: The prevalence of depression was higher in patients with hypomagnesemia (60%) compared to those with normal or elevated Mg levels. Notably, a correlation emerged between abnormal serum Mg levels and the presence of depressive symptoms among individuals undergoing PD. Furthermore, binary logistic regression analysis revealed that serum Mg levels, hemoglobin (Hb) concentration, and unemployment significantly influenced the likelihood of occurrence of depression in patients undergoing PD (P< 0.05).
Conclusion: In addition, serum Mg levels demonstrate significant predictive value in anticipating onset of depression, indicating that rectifying low serum Mg levels among patients undergoing PD may serve as a preventive measure against depression. Further research is recommended to explore the therapeutic potential of Mg supplementation in this population.

Keywords: biochemical marker, chronic kidney disease, depression, magnesium, peritoneal dialysis