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      Magnesium Status and Stress: The Vicious Circle Concept Revisited

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          Abstract

          Magnesium deficiency and stress are both common conditions among the general population, which, over time, can increase the risk of health consequences. Numerous studies, both in pre-clinical and clinical settings, have investigated the interaction of magnesium with key mediators of the physiological stress response, and demonstrated that magnesium plays an inhibitory key role in the regulation and neurotransmission of the normal stress response. Furthermore, low magnesium status has been reported in several studies assessing nutritional aspects in subjects suffering from psychological stress or associated symptoms. This overlap in the results suggests that stress could increase magnesium loss, causing a deficiency; and in turn, magnesium deficiency could enhance the body’s susceptibility to stress, resulting in a magnesium and stress vicious circle. This review revisits the magnesium and stress vicious circle concept, first introduced in the early 1990s, in light of recent available data.

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          Most cited references155

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          Protective and damaging effects of stress mediators.

          B S McEwen (1998)
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            Stress and disorders of the stress system.

            All organisms must maintain a complex dynamic equilibrium, or homeostasis, which is constantly challenged by internal or external adverse forces termed stressors. Stress occurs when homeostasis is threatened or perceived to be so; homeostasis is re-established by various physiological and behavioral adaptive responses. Neuroendocrine hormones have major roles in the regulation of both basal homeostasis and responses to threats, and are involved in the pathogenesis of diseases characterized by dyshomeostasis or cacostasis. The stress response is mediated by the stress system, partly located in the central nervous system and partly in peripheral organs. The central, greatly interconnected effectors of this system include the hypothalamic hormones arginine vasopressin, corticotropin-releasing hormone and pro-opiomelanocortin-derived peptides, and the locus ceruleus and autonomic norepinephrine centers in the brainstem. Targets of these effectors include the executive and/or cognitive, reward and fear systems, the wake-sleep centers of the brain, the growth, reproductive and thyroid hormone axes, and the gastrointestinal, cardiorespiratory, metabolic, and immune systems. Optimal basal activity and responsiveness of the stress system is essential for a sense of well-being, successful performance of tasks, and appropriate social interactions. By contrast, excessive or inadequate basal activity and responsiveness of this system might impair development, growth and body composition, and lead to a host of behavioral and somatic pathological conditions.
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              The global burden of mental disorders: An update from the WHO World Mental Health (WMH) Surveys

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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                28 November 2020
                December 2020
                : 12
                : 12
                : 3672
                Affiliations
                [1 ]Plateforme d’Investigation Clinique/CIC Inserm 1405, University Hospital CHU, 63000 Clermont-Ferrand, France; gisele.pickering@ 123456uca.fr
                [2 ]INRAE, UNH, Unité de Nutrition Humaine, Université Clermont Auvergne, 63001 Clermont-Ferrand, France; andre.mazur@ 123456inrae.fr
                [3 ]Independent Regulatory Board for Auditors (IRBA), 91220 Bretigny-sur-Orge, France; marion.trousselard@ 123456gmail.com
                [4 ]Department of Psychiatry, Warsaw Medical University, 02-091 Warsaw, Poland; pbienko@ 123456yahoo.com
                [5 ]Department of General Medicine, The Yaroslavl State Medical University Institute of Postgraduate Education, 150000 Yaroslavl, Russia; yaltzewa@ 123456yandex.ru
                [6 ]Medical Affairs Department, Consumer HealthCare, Sanofi, Gentilly, 94250 Paris, France; Mohamed.Amessou@ 123456sanofi.com (M.A.); Etienne.Pouteau@ 123456sanofi.com (E.P.)
                Author notes
                [* ]Correspondence: Lionel.Noah@ 123456sanofi.com ; Tel.: +33-06-0213-6165
                Author information
                https://orcid.org/0000-0003-0592-4547
                https://orcid.org/0000-0001-7706-4211
                Article
                nutrients-12-03672
                10.3390/nu12123672
                7761127
                33260549
                d2237a00-fffe-4312-ad0d-9f2f360ce887
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 11 November 2020
                : 25 November 2020
                Categories
                Review

                Nutrition & Dietetics
                stress,magnesium,hypomagnesemia,magnesium deficiency,vicious circle,dietary intake,magnesium supplementation

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