Lower serum selenium concentration associated with anxiety in children
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Updated: Oct 15, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Jill Portnoy1, Jessica Wang2, Fenfen Wang2
1University of Massachusetts Lowell, Lowell, MA, USA.
Insights
Lower serum selenium levels in children are linked to increased anxiety symptoms and disorders. This highlights the importance of child nutrition for mental well-being.
Area of Science:
- Pediatric Health
- Nutritional Psychiatry
- Mental Health Research
Background:
- Limited research exists on the connection between selenium and childhood anxiety.
- Selenium is an essential trace element vital for various bodily functions, including neurological health.
Purpose of the Study:
- To investigate the association between serum selenium concentrations and the prevalence of anxiety disorders in children.
- To explore the relationship between selenium levels and specific anxiety symptoms in a pediatric cohort.
Main Methods:
- The study included 831 children from the China Jintan Child Cohort Study (mean age 12.67 years).
- Serum selenium levels were measured, and anxiety was assessed using the Chinese version of the Screen for Child Anxiety Related Disorders (SCARED).
- Six anxiety scores were computed: total, panic/somatic, generalized, separation, social anxiety, and school phobia.
Main Results:
- Lower serum selenium concentrations were significantly associated with higher odds of total anxiety, panic/somatic, generalized anxiety, social anxiety, and school phobia.
- No significant association was found between serum selenium and separation anxiety.
- Lower selenium levels correlated with higher continuous scores for total anxiety, generalized anxiety, and school phobia.
Conclusions:
- A notable association exists between lower serum selenium levels and increased anxiety in children.
- This study is the first to report on the link between serum selenium and anxiety disorders in a pediatric population.
- Enhancing children's nutritional status, particularly selenium intake, may be a viable strategy for mitigating childhood anxiety.
Purpose:
Few studies have examined the role of selenium in anxiety. This study aimed to evaluate the association between serum selenium concentrations and anxiety disorders and symptoms in children.
Design And Methods:
This study utilized data from 831 children participating in the China Jintan Child Cohort Study (mean age = 12.67 years; 46.1% female). Serum selenium samples were collected and anxiety was assessed using the Chinese version of the Screen for Child Anxiety Related Disorders. Six types of anxiety scores were calculated, including total anxiety, panic/somatic, generalized anxiety, separation anxiety, social anxiety, and school phobia.
Results:
Controlling for covariates, children with lower serum selenium concentrations were more likely to meet clinical cutoffs for total anxiety (OR = 0.992, p < 0.01), panic/somatic disorder (OR = 0.993, p < 0.05), generalized anxiety disorder (OR = 0.990, p < 0.05), social anxiety disorder (OR = 0.991, p < 0.01), and school phobia (OR = 0.989, p < 0.01), but not separation anxiety (OR = 1.000, p > 0.05). Controlling for covariates, lower serum selenium concentrations were also associated with higher continuous total anxiety, generalized anxiety, and school phobia scores (p < 0.05).
Conclusions:
Lower serum selenium concentrations were associated with higher anxiety. To our knowledge, this was the first study to examine the relationship between serum selenium and anxiety disorders in a sample of children. Results indicate an association between children's micronutrient levels and anxiety disorders.
Practice Implications:
Improving child nutrition may be a promising strategy to help reduce childhood anxiety.
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