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Serum selenium concentrations and hypertension in the US Population
Martin Laclaustra1, Ana Navas-Acien, Saverio Stranges
1Department of Cardiovascular Epidemiology and Population Genetics, Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain.
High selenium levels in US adults were linked to increased blood pressure and a higher risk of hypertension. Further research is needed to understand the implications of elevated selenium status.
Area of Science:
- Nutritional Science
- Cardiovascular Health
- Public Health
Background:
- Selenium is an antioxidant micronutrient with potential cardiovascular benefits.
- Limited and inconsistent research exists on the association between selenium and hypertension.
- This study investigates serum selenium concentrations and their relationship with blood pressure and hypertension in a US population.
Purpose of the Study:
- To explore the association between serum selenium concentrations and blood pressure.
- To examine the relationship between serum selenium levels and the prevalence of hypertension.
- To assess these relationships in a representative sample of US adults.
Main Methods:
- Cross-sectional analysis of 2638 adults aged 40+ from the 2003-2004 National Health and Nutrition Examination Survey.
- Serum selenium measured using inductively coupled plasma-dynamic reaction cell-mass spectrometry.
- Hypertension defined as blood pressure ≥140/90 mm Hg or current antihypertensive medication use.
Main Results:
- Mean serum selenium was 137.1 microg/L.
- Higher serum selenium (highest vs. lowest quintile) was associated with increased systolic (4.3 mm Hg) and pulse pressure (2.8 mm Hg).
- The odds ratio for hypertension was 1.73 in the highest selenium quintile; prevalence increased with selenium concentrations up to 160 microg/L.
Conclusions:
- Elevated serum selenium concentrations are associated with a higher prevalence of hypertension.
- These findings suggest a potential risk associated with high selenium status in the US.
- Further evaluation of the risks and benefits of high selenium status is warranted.
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