Food Intake and Serum Selenium Concentration in Elderly People

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Abstract

Background/Aims: It is becoming apparent that the essential trace element selenium plays a critical role in the maintenance of optimal health status. The objective of this study was to identify the food groups that most contributed to selenium intake and its serum levels in elderly people. Methods: Dietary intake was assessed in 205 institutionalized elderly by means of a 1-year food frequency questionnaire (FFQ). Intake of macronutrients and minerals of the diet were estimated. Selenium was determined in serum and analyzed by graphite-furnace atomic absorption spectrometry. Results: Selenium intake and serum concentration were both within the normal range. The major contributors to selenium intake were cereals and bakery, fish and shellfish, meat and meat products and dairy products. All of them except cereals were also associated to serum selenium. Intake of animal protein, but not the vegetable one, contributed to serum selenium. Conclusion: An adequate intake of fish and meat would be of importance to improve selenium status and health principally in elderly people who are at high risk of mineral deficiency.

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Most cited references 17

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Essentiality and toxicity of selenium and its status in Australia: a review.

Ujang Tinggi (2003)

Selenium (Se) is an essential trace element for animals and humans because of its role in an antioxidant enzyme glutathione peroxidase. This enzyme protects cell membranes from damage caused by the peroxidation of lipids. The paper provides an overview of the effects of Se toxicity and deficiency in humans and animals. It is well established that Se deficiency causes health implications in humans and animals. Se is also very toxic and can cause Se poisoning (selenosis) in humans and animals. In Australia, Se deficiency has caused health problem to livestock; however, the problems were eliminated after the introduction of Se supplementation. Se toxicity has also been reported in some regions of Australia as a result of livestock feeding on Se accumulative plant species. The major source of Se is diet, and in many regions of the world the levels of Se in the soils generally reflect the Se status in human populations. In foods, the bioavailability and toxicity of Se depend on its chemical forms. Generally, organic forms of Se are more bioavailable and less toxic than the inorganic forms (selenites, selenates). The Se status in the Australian population and how this is compared with the rest of the world is also discussed.

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Serum selenium concentration and risk of ischaemic heart disease in a prospective cohort study of 3000 males.

F Gyntelberg, Klaus Maier-Hein, P Suadicani (1992)

Whether an association, causative or not, exists between the level of serum selenium and the risk of ischaemic heart disease (IHD) remains unsettled. We investigated the issue in a cohort of 3387 males aged 53-74 years (mean 63). Based on information about health status, life-style and socioeconomic factors given in a prefilled comprehensive questionnaire, the men were interviewed and the information validated. Following the interview, they underwent a clinical examination and had a venous blood sample drawn for the determination of a number of biochemical characteristics. Three hundred and forty-six men were excluded due to prevalent cardiovascular disease, including stroke. During the next three years (1986-1989) 107 men (approximately 3%) suffered an IHD event; 25 events were fatal. Compared to others, men with serum selenium levels less than or equal to 1 mumol/l, approximately the lowest tertile, had a 70% increased risk of IHD, relative risk (RR) with 95% confidence limits was 1.70 (1.14-2.53). After multivariate adjustment for cholesterol, social class, smoking and age, RR was 1.55 (1.00-2.39). Serum selenium level was significantly (P less than 0.05), but not strongly, correlated with a number of IHD risk factors: serum cotinine, tobacco smoking, social class, alcohol consumption, total cholesterol, hypertension, age and physical inactivity. Body mass index, HDL-cholesterol and triglycerides were not significantly associated with serum selenium. We conclude that middle-aged and elderly Danish men with serum selenium less than or equal to 1 mumol/l had a significantly increased risk of ischaemic heart disease. This association was not explained by the interrelationship of serum selenium and major cardiovascular risk factors.

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Dietary intake and nutritional status of children and adolescents in Europe.

Carlo Agostoni, E. Krause, Sonia Samartín … (2004)

The objective of this project was to collect and evaluate data on nutrient intake and status across Europe and to ascertain whether any trends could be identified. Surveys of dietary intake and status were collected from across Europe by literature search and personal contact with country experts. Surveys that satisfied a defined set of criteria -- published, based on individual intakes, post-1987, adequate information provided to enable its quality to be assessed, small age bands, data for sexes separated above 12 years, sample size over 25 and subjects representative of the population -- were selected for further analysis. In a small number of cases, where no other data for a country were available or where status data were given, exceptions were made. Seventy-nine surveys from 23 countries were included, and from them data on energy, protein, fats, carbohydrates, alcohol, vitamins, minerals and trace elements were collected and tabulated. Data on energy, protein, total fat and carbohydrate were given in a large number of surveys, but information was very limited for some micronutrients. No surveys gave information on fluid intake and insufficient gave data on food patterns to be of value to this project. A variety of collection methods were used, there was no consistency in the ages of children surveyed or the age cut-off points, but most surveys gave data for males and females separately at all ages. Just under half of the surveys were nationally representative and most of the remainder were regional. Only a small number of local surveys could be included. Apart from anthropometric measurements, status data were collected in only seven countries. Males had higher energy intakes than females, energy intake increased with age but levelled off in adolescent girls. Intakes of other nutrients generally related to energy intakes. Some north-south geographical trends were noted in fat and carbohydrate intakes, but these were not apparent for other nutrients. Some other trends between countries were noted, but there were also wide variations within countries. A number of validation studies have shown that misreporting is a major problem in dietary surveys of children and adolescents and so all the dietary data collected for this project should be interpreted and evaluated with caution. In addition, dietary studies rely on food composition tables for the conversion of food intake data to estimated nutrient intakes and each country uses a different set of food composition data which differ in definitions, analytical methods, units and modes of expression. This can make comparisons between countries difficult and inaccurate. Methods of measuring food intake are not standardised across Europe and intake data are generally poor, so there are uncertainties over the true nutrient intakes of children and adolescents across Europe. There are insufficient data on status to be able to be able to draw any conclusions about the nutritional quality of the diets of European children and adolescents.

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Author and article information

Journal

Journal ID (publisher-id): ANM

Journal ID (nlm-ta): Ann Nutr Metab

Journal ID (doi): 10.1159/issn.0250-6807

Title: Annals of Nutrition and Metabolism

Publisher: S. Karger AG

ISSN (Print): 0250-6807

ISSN (Electronic): 1421-9697

Publication date Subscription-year: 2006

Publication date (Print): February 2006

Publication date (Electronic): 27 February 2006

Volume: 50

Issue: 2

Pages: 126-131

Affiliations

Departamento de Biología Funcional, Ðrea de Fisiología, Facultad de Medicina, Universidad de Oviedo, Asturias, Spain

Article

Publisher ID: 90633 Other ID: Ann Nutr Metab 2006;50:126–131

DOI: 10.1159/000090633

PubMed ID: 16391467

SO-VID: e878b0cd-2b42-416b-86ea-a1aa85a05256

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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

History

Date received : 26 November 2004

Date accepted : 03 May 2005

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Figures: 1, Tables: 4, References: 37, Pages: 6

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Food Intake and Serum Selenium Concentration in Elderly People

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Karger: Nutrition and Dietetics

Most cited references 17

Essentiality and toxicity of selenium and its status in Australia: a review.

Serum selenium concentration and risk of ischaemic heart disease in a prospective cohort study of 3000 males.

Dietary intake and nutritional status of children and adolescents in Europe.

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